Pretty Iain A, Ellwood Roger P, Lo Edward C M, MacEntee Michael I, Müller Frauke, Rooney Eric, Murray Thomson William, Van der Putten Gert-Jan, Ghezzi Elisa M, Walls Angus, Wolff Mark S
Colgate Dental Health Unit, School of Dentistry, University of Manchester, Manchester, UK.
Gerodontology. 2014 Feb;31 Suppl 1:77-87. doi: 10.1111/ger.12098.
There is a need for a structured, evidence based approach to care for older dental patients. The following article describes the development of the Seattle Care Pathway based upon a workshop held in 2013. An overview is provided on the key issues of older persons dental care including the demography shift, the concept of frailty, the need for effective prevention and treatment to be linked to levels of dependency and the need for a varied and well educated work force. The pathway is presented in tabular form and further illustrated by the examples in the form of clinical scenarios. The pathway is an evidence based, pragmatic approach to care designed to be globally applicable but flexible enough to be adapted for local needs and circumstances. Research will be required to evaluate the pathways application to this important group of patients.
需要一种结构化的、基于证据的方法来护理老年牙科患者。以下文章描述了基于2013年举办的一次研讨会而形成的西雅图护理路径的发展情况。概述了老年人口口腔护理的关键问题，包括人口结构转变、衰弱概念、有效预防和治疗与依赖程度挂钩的必要性以及对多样化且受过良好教育的劳动力的需求。该路径以表格形式呈现，并通过临床案例形式的示例进一步说明。该路径是一种基于证据的实用护理方法，旨在全球适用，但又足够灵活，可根据当地需求和情况进行调整。需要开展研究来评估该路径在这一重要患者群体中的应用情况。
