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全科医疗中痴呆症的诊断与管理

Diagnosis and management of dementia in general practice.

作者信息

Pond Dimity, Brodaty Henry

机构信息

Discipline of General Practice, School of Medicine, Practice and Popualtion Health, University of Newcastle, New South Wales.

出版信息

Aust Fam Physician. 2004 Oct;33(10):789-93.

PMID:15532152
Abstract

BACKGROUND

The assessment and management of dementia has changed in the past 5 years with the introduction of new drugs to combat dementia. In addition, services available for patients with dementia and the means of accessing these services is constantly changing.

OBJECTIVE

This article discusses the assessment and management of dementia using two case studies. The case studies raise issues about screening and accessing the new drugs for a patient with early dementia, care planning, and the involvement of the carer for a patient with more advanced disease.

DISCUSSION

As the population ages, dementia is an increasingly important part of general practice. It is important general practitioners are aware of early detection issues, and understand basic screening as well as the possibility of accessing new treatments and community management for patients with dementia.

摘要

背景

在过去5年里,随着用于对抗痴呆症的新药问世,痴呆症的评估和管理方式发生了变化。此外,为痴呆症患者提供的服务以及获取这些服务的途径也在不断变化。

目的

本文通过两个案例研究来探讨痴呆症的评估和管理。这些案例研究提出了关于为早期痴呆症患者进行筛查和获取新药、护理计划以及为病情更严重的患者安排护理人员等问题。

讨论

随着人口老龄化,痴呆症在全科医疗中变得越来越重要。全科医生了解早期检测问题、掌握基本筛查方法以及了解痴呆症患者获得新治疗和社区管理的可能性非常重要。

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1
Diagnosis and management of dementia in general practice.全科医疗中痴呆症的诊断与管理
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引用本文的文献

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BMC Fam Pract. 2020 Jun 10;21(1):104. doi: 10.1186/s12875-020-01178-x.
2
Development, implementation and evaluation of Australia's first national continuing medical education program for the timely diagnosis and management of dementia in general practice.澳大利亚首个针对全科医生及时诊断和管理痴呆症的全国继续医学教育项目的开发、实施和评估。
BMC Med Educ. 2018 Aug 10;18(1):194. doi: 10.1186/s12909-018-1295-y.
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Malays Fam Physician. 2011 Aug 31;6(2-3):74-8. eCollection 2011.
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The primary care physician and Alzheimer’s disease: an international position paper.初级保健医生与阿尔茨海默病:一份国际立场文件。
J Nutr Health Aging. 2011 Aug;15(7):595-6. doi: 10.1007/s12603-011-0135-0.
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The primary care physician and Alzheimer's disease: an international position paper.基层医疗机构医生与阿尔茨海默病:国际立场文件。
J Nutr Health Aging. 2010 Feb;14(2):110-20. doi: 10.1007/s12603-010-0022-0.
6
What is the role of the general practitioner towards the family caregiver of a community-dwelling demented relative? A systematic literature review.全科医生对社区痴呆患者家庭照顾者的作用是什么?一项系统的文献综述。
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