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终末期痴呆的管理

Management of end-stage dementia.

作者信息

Lussier David, Bruneau Marie-Andrée, Villalpando Juan Manuel

机构信息

Institut universitaire de gériatrie de Montréal, 4565 Queen-Mary, Montreal, QC, Canada.

出版信息

Prim Care. 2011 Jun;38(2):247-64, viii. doi: 10.1016/j.pop.2011.03.006.

Abstract

Dementia is a progressive and noncurable illness, and its management in late stages should follow a palliative care approach. However, many patients with advanced dementia sustain aggressive interventions that do not improve their survival and might hinder their comfort and quality of life. This is likely explained by a lack of research on this population; a lack of knowledge from health care providers, patients, and family members; and lack of communication between those caring for these patients. There is therefore an urgent need for research and education on this topic, as well as palliative care services devoted to this population.

摘要

痴呆症是一种进行性且无法治愈的疾病,其晚期管理应遵循姑息治疗方法。然而,许多晚期痴呆症患者接受了激进的干预措施,这些措施并未改善他们的生存状况,反而可能妨碍他们的舒适度和生活质量。这可能是由于对这一人群缺乏研究、医疗保健提供者、患者及其家庭成员缺乏相关知识以及照顾这些患者的人员之间缺乏沟通所致。因此,迫切需要针对这一主题开展研究和教育,并为这一人群提供专门的姑息治疗服务。

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