van Steijn Jolanda H M, Huinink Elles J, Walderveen Peter E, Schuur Tanja, van Asselt Dieneke Z B
Medisch Centrum Leeuwarden, Centrum Geriatrie, Leeuwarden, The Netherlands.
Ned Tijdschr Geneeskd. 2010;154:A1158.
Illness presentation in the elderly is often complex and atypical. This may cause negative health outcomes. In the standard medical model of diagnosis, there is a 1:1 correspondence between clinical signs and symptoms and a pathological disease process. This model can be only applied to some presentations of illness in the elderly. For this reason Linda Fried, 'grande dame' of geriatric medicine in the United States, developed four complementary generic diagnostic models, taking into account social and functional aspects as well as clinical symptoms. Here we present these models for a broader audience, since not only geriatricians but all physicians are being confronted with a growing population of older patients.
老年人的疾病表现往往复杂且不典型。这可能导致不良的健康后果。在标准的医学诊断模型中，临床体征和症状与病理疾病过程之间存在一一对应关系。该模型仅适用于老年人疾病的某些表现形式。出于这个原因，美国老年医学的“女元老”琳达·弗里德开发了四种互补的通用诊断模型，同时考虑了社会和功能方面以及临床症状。在此，我们将这些模型呈现给更广泛的受众，因为不仅老年科医生，所有医生都面临着老年患者数量不断增加的情况。
