Division of Primary Care Internal Medicine, Mayo Clinic, Rochester, MN 55905, USA.
Mayo Clin Proc. 2013 Jun;88(6):630-5. doi: 10.1016/j.mayocp.2013.03.017.
Within the next 15 years, the population of adults 65 years and older in the United States will double to approximately 70 million. Physicians must be well prepared to care for this rapidly growing population. Senior adults comprise a large proportion of most primary care practices in the United States, and the unique needs of this population cannot be overstated. Although traditional preventive screening modalities and disease-specific care models are of great utility, these processes may not be appropriate or consistent with the health goals of many older patients with multiple chronic conditions and reduced functional capacity. This Concise Review highlights commonly encountered clinical scenarios important to the care of these older patients. The topics include diagnosis and management of mild cognitive impairment, assessment of the cognitively impaired driver, cancer screening in the older patient, and sarcopenia.
在未来 15 年内，美国 65 岁及以上成年人的人口数量将翻一番，达到约 7000 万。医生必须做好充分准备，为这一快速增长的人口提供护理。美国大多数初级保健实践中，老年人占很大比例，这个群体的特殊需求怎么强调都不为过。虽然传统的预防筛查模式和针对特定疾病的护理模式非常有用，但这些方法可能并不适合或不符合许多患有多种慢性疾病和功能能力下降的老年患者的健康目标。这篇简明综述强调了与这些老年患者护理相关的常见临床情况。这些主题包括轻度认知障碍的诊断和管理、认知障碍驾驶员的评估、老年患者的癌症筛查以及肌肉减少症。
