老年患者的诊断挑战。
Diagnostic challenges in the older patient.
作者信息
Killinger Lisa Zaynab
机构信息
Director of Diagnosis and Radiology, Palmer College of Chiropractic, 1000 Brady Street, 52803, Davenport, IA, USA.
出版信息
Chiropr Man Therap. 2012 Sep 5;20(1):28. doi: 10.1186/2045-709X-20-28.
Abstract
Older patients often present with a long, complex history and a clinical picture that frequently includes co-morbidities. It is essential that health professionals caring for older patients become familiar with common age-related changes, and the specific clinical factors that complicate the diagnostic process. A case-based approach is taken in this article to explore the diagnostic challenges in caring for older patients. Three areas of focus are used: a) polypharmacy, b) cognitive issues such as delirium, dementia and depression, and c) increased odds of pathologies and chronic illnesses.
摘要
老年患者常常有着漫长而复杂的病史，其临床表现往往还包括多种合并症。照顾老年患者的医护人员必须熟悉常见的与年龄相关的变化，以及使诊断过程复杂化的具体临床因素。本文采用基于案例的方法来探讨照顾老年患者时的诊断挑战。重点关注三个领域：a）多重用药；b）认知问题，如谵妄、痴呆和抑郁症；c）患病和患慢性病几率增加。
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