痴呆症并发谵妄：护士记录的准确性。
Delirium superimposed on dementia: accuracy of nurse documentation.
作者信息
Steis Melinda R, Fick Donna M
机构信息
Department of Veterans Affairs Medical Center, Tampa, FL, USA.
出版信息
J Gerontol Nurs. 2012 Jan;38(1):32-42. doi: 10.3928/00989134-20110706-01. Epub 2011 Jul 15.
Abstract
Delirium is an acute, fluctuating confusional state that results in poor outcomes for older adults. Dementia causes a more convoluted course when coexisting with delirium. This study examined 128 days of documentation to describe what nurses document when caring for patients with dementia who experience delirium. Nurses did not document that they recognized delirium. Common descriptive terms included words and phrases indicating fluctuating mental status, lethargy, confusion, negative behavior, delusions, and restlessness. Delirium is a medical emergency. Nurses are in need of education coupled with clinical and decisional support to facilitate recognition and treatment of underlying causes of delirium in individuals with dementia.
摘要
谵妄是一种急性、波动的意识混乱状态，会给老年人带来不良后果。痴呆症与谵妄共存时会导致更复杂的病程。本研究检查了128天的记录，以描述护士在照顾患有谵妄的痴呆症患者时记录的内容。护士没有记录他们识别出谵妄。常见的描述性术语包括表明精神状态波动、嗜睡、困惑、消极行为、妄想和躁动的单词和短语。谵妄是一种医疗急症。护士需要接受教育，并获得临床和决策支持，以促进对痴呆症患者谵妄潜在病因的识别和治疗。
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