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[荷兰全科医生学院的《痴呆症》(第二次修订版)实践指南;从全科医疗角度作出的回应]

[The practice guideline 'Dementia' (second revision) from the Dutch College of General Practitioners; a response from the perspective of general practice].

作者信息

Mazel J A

出版信息

Ned Tijdschr Geneeskd. 2004 Jun 12;148(24):1177-9.

Abstract

With growing numbers of older adults in the population, the number suffering from dementia will increase. The general practitioner has to try to determine the difference between Alzheimer's disease and vascular dementia on the one hand, and fronto-temporal dementia and dementia with Lewy bodies on the other hand, while also considering the therapeutic options now and in the future. Support for patients and their family is the responsibility of the general practitioner, who must also consider the patient's driving proficiency and the wishes for euthanasia of the demented older adult. The revised version of the practice guideline 'Dementia' of the Dutch College of General Practitioners is well suited to the work of the general practitioner. It is advisable to read the practice guideline several times and in such cases not only to use the summary card but the entire practice guideline.

摘要

随着人口中老年人数量的不断增加,患痴呆症的人数也会上升。全科医生一方面要努力区分阿尔茨海默病和血管性痴呆,另一方面要区分额颞叶痴呆和路易体痴呆,同时还要考虑当下及未来的治疗选择。对患者及其家人的支持是全科医生的职责,全科医生还必须考虑患者的驾驶能力以及痴呆老年患者对安乐死的意愿。荷兰全科医生学院修订版的《痴呆症》实践指南非常适合全科医生的工作。建议多次阅读该实践指南,在这种情况下不仅要使用总结卡片,还要阅读整个实践指南。

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