Nursing Roles in the Care of Critically Ill Older Adults: A Holistic Approach to Enhance Quality of Life and Patient Safety in the Intensive Care Unit
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Abstract
The rising number of older adults has a profound impact on healthcare systems, particularly in the intensive care unit (ICU). Older adults are especially vulnerable due to age-related physiological changes, which reduce their ability to respond effectively to treatment and increase the risk of serious complications. They are also prone to geriatric syndromes and post-intensive care syndrome (PICS), which affect physical, psychological, and social well-being, leading to delayed recovery and diminished long-term quality of life. The care of older adults in the ICU is further challenged by limited resources, treatment complexity, and inadequate multi-disciplinary, resulting in care that often prioritizes physical aspects while neglecting psychosocial and spiritual needs. Nurses play a critical role in delivering holistic care to critically ill older adults, addressing physical, psychological, social, and spiritual dimensions. Their responsibilities include assessing physiological changes, monitoring for complications, developing individualized care plans, facilitating communication and shared decision-making with families, coordinating with interdisciplinary teams, and planning discharge and continuity of care. These roles are essential for enhancing safety and improving the quality of life of older adults in the ICU.
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References
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