Sloane P D, Mathew L J
Department of Family Medicine, University of North Carolina, Chapel Hill 27599.
Gerontologist. 1991 Feb;31(1):128-31. doi: 10.1093/geront/31.1.128.
Dementia is extremely common among nursing home patients, and it takes many forms. Accurate assessment by staff is crucial in providing appropriate care to these patients. Equally important is the ability to establish care priorities. Current staging models are so general, however, that their usefulness is limited. Thus, this paper proposes a strategy that, using basic assessment data, categorizes dementia residents according to four key determinants of care needs: activities of daily living status, behavioral problems, communication abilities, and physical transition.
痴呆症在养老院患者中极为常见,且有多种形式。工作人员进行准确评估对于为这些患者提供适当护理至关重要。确定护理重点的能力同样重要。然而,目前的分期模型过于笼统,其效用有限。因此,本文提出一种策略,即利用基本评估数据,根据护理需求的四个关键决定因素对患有痴呆症的居民进行分类:日常生活活动状况、行为问题、沟通能力和身体状况变化。