痴呆患者的长期照护中的姑息治疗。
Palliative care for patients with dementia in long-term care.
机构信息
Division of Geriatrics, Department of Medicine, Warren Alpert Medical School of Brown University, Butler Hospital, Providence, RI 02906, USA.
出版信息
Clin Geriatr Med. 2011 May;27(2):153-70. doi: 10.1016/j.cger.2011.01.002.
Seventy percent of people in the United States who have dementia die in the nursing home. This article addresses the following topics on palliative care for patients with dementia in long-term care: (1) transitions of care, (2) infections, other comorbidities, and decisions on hospitalization, (3) prognostication, (4) the evidence for and against tube feeding, (5) discussing goals of care with families/surrogate decision makers, (6) types of palliative care programs, (7) pain assessment and management, and (8) optimizing function and quality of life for residents with advanced dementia.
70%的美国痴呆症患者在养老院中去世。本文讨论了长期护理中痴呆症患者的姑息治疗的以下问题：（1）护理过渡，（2）感染、其他合并症以及住院决策，（3）预后，（4）管饲的利弊，（5）与家属/代理人讨论照护目标，（6）姑息治疗计划的类型，（7）疼痛评估和管理，以及（8）优化晚期痴呆症居民的功能和生活质量。
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