Livesay Sarah, Ruppert Susan D
The University of Texas Health Science Center at Houston School of Nursing, 77030, USA.
Crit Care Nurs Q. 2012 Apr-Jun;35(2):160-72. doi: 10.1097/CNQ.0b013e31824565e0.
The aging of the US population poses complex management issues for the health care provider in the acute and subacute setting. Although management guidelines exist to guide the treatment of individual disease processes, addressing goals of care in an aging patient with multiple comorbidities requires conversations unique to each patient and family. This case study examines the care of a patient with Parkinson's disease, dementia, and pneumonia admitted to the intensive care unit for altered mental status and metabolic encephalopathy. The pathophysiology and management of Parkinson's disease, dementia, community-acquired pneumonia, and dysphagia will be reviewed.
美国人口老龄化给急症和亚急症环境下的医疗服务提供者带来了复杂的管理问题。尽管存在管理指南来指导个体疾病进程的治疗，但对于患有多种合并症的老年患者，确定护理目标需要针对每个患者及其家庭进行独特的沟通。本案例研究考察了一名因精神状态改变和代谢性脑病入住重症监护病房的帕金森病、痴呆症和肺炎患者的护理情况。将对帕金森病、痴呆症、社区获得性肺炎和吞咽困难的病理生理学及管理进行综述。
