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家庭执业护士对肌萎缩侧索硬化症(ALS)的管理:预期转诊时间表。

Management of amyotrophic lateral sclerosis (ALS) by the family nurse practitioner: a timeline for anticipated referrals.

作者信息

Davis Melanie, Lou Jau-Shin

机构信息

School of Nursing, Pacific Lutheran University, Tacoma, Washington 97239, USA.

出版信息

J Am Acad Nurse Pract. 2011 Sep;23(9):464-72. doi: 10.1111/j.1745-7599.2011.00628.x. Epub 2011 Jun 15.

Abstract

PURPOSE

This article reviews characteristics of amyotrophic lateral sclerosis (ALS) and appropriate timing of referrals by the nurse practitioner (NP).

DATA SOURCES

Selected research and clinical articles.

CONCLUSION

Management of patients with ALS by the NP requires anticipation of needed referrals based on symptom assessment and knowledge of the common timeline of ALS progression. Close collaboration with specialists such as neurologists, pulmonologists, and a palliative care team provides patients and families with much needed support and improves outcomes.

IMPLICATIONS FOR PRACTICE

Anticipating and initiating appropriate and timely referrals for patients with ALS may improve quality of life for patients with this devastating condition.

摘要

目的

本文综述了肌萎缩侧索硬化症(ALS)的特征以及执业护士(NP)进行恰当转诊的时机。

数据来源

选定的研究和临床文章。

结论

NP对ALS患者的管理需要根据症状评估以及对ALS进展常见时间线的了解来预期所需的转诊。与神经科医生、肺科医生和姑息治疗团队等专科医生密切合作,可为患者及其家庭提供急需的支持并改善治疗结果。

对实践的启示

为ALS患者预期并启动恰当且及时的转诊,可能会改善这种毁灭性疾病患者的生活质量。

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