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痴呆的神经精神症状:同意、生活质量和尊严。

Neuropsychiatric symptoms of dementia: consent, quality of life, and dignity.

机构信息

Department of Psychiatry, Geriatric Psychiatry Program, University of British Columbia, c/o Mount Saint Joseph Hospital, Vancouver, BC, Canada.

出版信息

Biomed Res Int. 2013;2013:230134. doi: 10.1155/2013/230134. Epub 2013 Jun 20.

DOI:10.1155/2013/230134
PMID:23853768
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3705839/
Abstract

Degenerative forms of dementia are progressive, incurable, fatal, and likely to cause suffering in conjunction with personal incapacity. Timely diagnostic disclosure and counseling can facilitate important advance care planning. The risk of harm associated with neuropsychiatric symptoms (NPS) of dementia often has to be balanced against the risk of harm associated with medication management of NPS. A palliative care framework can help preserve autonomy, quality of life, comfort, and dignity for patients with NPS.

摘要

退行性痴呆是进行性的、不可治愈的、致命的,并且可能伴随着个人能力丧失而导致痛苦。及时的诊断披露和咨询可以促进重要的预先护理计划。与痴呆的神经精神症状(NPS)相关的伤害风险通常需要与 NPS 的药物管理相关的伤害风险相平衡。姑息治疗框架可以帮助保护 NPS 患者的自主权、生活质量、舒适度和尊严。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6314/3705839/4eca32eb9d96/BMRI2013-230134.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6314/3705839/4eca32eb9d96/BMRI2013-230134.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6314/3705839/4eca32eb9d96/BMRI2013-230134.001.jpg

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Diagnosis and disclosure of a memory problem is associated with quality of life in community based older Australians with dementia.
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Int Psychogeriatr. 2012 Dec;24(12):1962-71. doi: 10.1017/S1041610212001111. Epub 2012 Jul 4.
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