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Diese Faktoren erh\u00f6hen die Vulnerabilit\u00e4t und beeinflussen die Prognose und den pflegerischen Versorgungsbedarf. Pflegefachpersonen \u00fcbernehmen dabei zentrale Aufgaben, die wesentlich zum Funktionserhalt und zur Pr\u00e4vention von Komplikationen beitragen.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ziel<\/jats:title>\n                    <jats:p>Darstellung zentraler Versorgungsschwerpunkte f\u00fcr \u00e4ltere Intensivpatienten und Analyse der daraus ableitbaren pflegerischen Kernaufgaben.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material und Methode<\/jats:title>\n                    <jats:p>Eine systematische Literaturrecherche in PubMed (U.S. National Library of Medicine) und Cumulative Index to Nursing and Allied Health Literature (CINAHL) identifizierte 11\u00a0Studien und Empfehlungen zur Versorgung intensivpflichtiger \u00e4lterer Menschen. Relevante pflegerische Aufgaben und Versorgungsschwerpunkte wurden thematisch geclustert und narrativ synthetisiert.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ergebnisse<\/jats:title>\n                    <jats:p>Pflegerelevante Versorgungsschwerpunkte, die sich in thematische Cluster, wie Delir- und Kognitionsmanagement, Schmerztherapie, Mobilisation, geriatrisches Assessment, Ern\u00e4hrungsmanagement und Risiken im Umgang mit Polypharmazie sowie Schlaf\u2011\/Orientierungsunterst\u00fctzung, zusammenfassen lassen, konnten identifiziert werden. Pflegefachpersonen \u00fcbernehmen in diesen Bereichen kontinuierliches Monitoring, alltagsnahe Interventionen sowie die Unterst\u00fctzung klinischer Entscheidungsprozesse.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Schlussfolgerung<\/jats:title>\n                    <jats:p>Altersgerechte Versorgungskonzepte auf Intensivstationen (\u201eage-friendly intensive care unit [ICU]\u201c) k\u00f6nnen Funktionserhalt und Delirpr\u00e4vention unterst\u00fctzen. Die Integration evidenzbasierter Prozesse und klar definierte Abl\u00e4ufe stellen zentrale Bestandteile einer an den Bed\u00fcrfnissen \u00e4lterer Intensivpatienten orientierten Versorgung dar.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00063-026-01431-8","type":"journal-article","created":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T13:20:05Z","timestamp":1774876805000},"page":"281-289","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Versorgung \u00e4lterer Intensivpatienten","Intensive care of elderly patients"],"prefix":"10.1007","volume":"121","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2944-4003","authenticated-orcid":false,"given":"Denise","family":"Schindele","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0889-1381","authenticated-orcid":false,"given":"Carsten","family":"Hermes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5354-8991","authenticated-orcid":false,"given":"Tilmann","family":"M\u00fcller-Wolff","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,3,30]]},"reference":[{"key":"1431_CR1","doi-asserted-by":"publisher","first-page":"1647","DOI":"10.1007\/s40520-020-01624-x","volume":"32","author":"P Aceto","year":"2020","unstructured":"Aceto\u00a0P, Antonelli Incalzi\u00a0R, Bettelli\u00a0G et\u00a0al (2020) Perioperative Management of Elderly patients (PriME): recommendations from an Italian intersociety consensus. 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C.\u00a0Hermes A. Finanzielle Interessen: Baxter\u00a0\u2013 pers\u00f6nliche Zuwendung, \u00dcbernahme von Reisekosten und Vortragshonorare; Getinge\u00a0\u2013 pers\u00f6nliche Zuwendung, \u00dcbernahme von Reisekosten und Vortragshonorare im Rahmen des Forums Atmungstherapie und Intensivbeatmung. Alle o.\u202fg. Interessenkonflikt (COI) ohne direkten Einfluss auf den vorliegenden Artikel.\u00a0\u2013 Eigene Seminare zur Fr\u00fchmobilisation; Trainer f\u00fcr Fr\u00fchmobilisation. Alle o.\u202fg. COI ohne direkten Einfluss auf den vorliegenden Artikel.\u00a0\u2013 B. Nichtfinanzielle Interessen: Hauptamt: freiberuflich selbst\u00e4ndiger Pflegewissenschaftler; Lehrauftrage an der HAW Hamburg und Akkon Hochschule Berlin; diverse Lehrauftrage europaweit im Rahmen der Aus\u2011, Fort- und Weiterbildung in der Fach und Funktionspflege, Schwerpunkt Delir und Fr\u00fchmobilisation | Ehrenamt: Vorstand in der Pflegekammer NRW; Mitglied Bundespflegekammer (Lenkungsgruppe); Gr\u00fcndungsmitglied im deutschen Netzwerk Fr\u00fchmobilisation und deutschen Delir-Netzwerk; Vorstand in der DGIIN; Mitglied in DG-Pflegewissenschaft, DBfK, DGF, DIVI; Mitarbeit im Deutschen Pflegerat; Mitherausgeber der Zeitschrift\n                      Medizinische Klinik\u00a0\u2013 Intensivmedizin und Notfallmedizin\n                      (Springer Medizin Verlag); Wissenschaftlicher Beirat der DGIIN und der Zeitschrift Intensiv- und Notfallbehandlung (Dustri-Verlag); Podcaster (EKG_Podcast).T.\u00a0M\u00fcller-Wolff gibt an, dass kein Interessenkonflikt besteht.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}},{"value":"F\u00fcr diesen Beitrag wurden von den Autor\/-innen keine Studien an Menschen oder Tieren durchgef\u00fchrt. F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}