Howe Edmund
Dr. Howe is Professor, Department of Psychiatry, Director, Programs in Medical Ethics, and Senior Scientist, Center for the Study of Traumatic Stress, Uniformed Services University of the Health Sciences, Bethesda, Maryland.
Psychiatry (Edgmont). 2009 Nov;6(11):40-7.
There are several treatment initiatives a psychiatrist should consider when treating a patient with Alzheimer's disease. The author discusses five treatment initiatives in the order in which they tend to arise during the illness progression of a patient with Alzheimer's disease: screening for Alzheimer's disease, providing information to patients on nonevidence-based treatments of Alzheimer's disease, assisting patients with contacting loved ones as the disease progresses, confronting patients with difficult decisions, and discussing moral concerns of the patient with his or her loved ones. Case examples and a review of literature are also provided.
在治疗阿尔茨海默病患者时，精神科医生应考虑多项治疗举措。作者按其在阿尔茨海默病患者疾病进展过程中出现的先后顺序，讨论了五项治疗举措：阿尔茨海默病筛查、向患者提供关于阿尔茨海默病非循证治疗的信息、在疾病进展过程中协助患者联系亲人、让患者面对艰难决策，以及与患者的亲人讨论患者的道德问题。文中还提供了案例及文献综述。
