Pedersen Hanne, Klinkby Kristian Skikkild, Waldorff Frans Borch
Ugeskr Laeger. 2017 Mar 20;179(12).
Comorbidity is common in patients with dementia, and due to the nature of the dementia disease, patients with dementia have special challenges in relation to comorbidity. This article is about dementia and heart failure, chronic obstructive pulmonary disease, urinary incontinence, falls, polypharmacy and chronic pain. Ongoing goal setting is important, and advance care planning is recommended. In general, comorbidity must be carefully and holistic assessed and managed according to each patient's general status of health and stage of dementia. As the dementia develops, focus should primarily be on symptom control and comfort.
共病在痴呆症患者中很常见，由于痴呆症疾病的性质，痴呆症患者在共病方面面临特殊挑战。本文涉及痴呆症与心力衰竭、慢性阻塞性肺疾病、尿失禁、跌倒、多重用药和慢性疼痛。持续设定目标很重要，建议进行预先护理规划。一般来说，必须根据每位患者的总体健康状况和痴呆症阶段，对共病进行仔细且全面的评估和管理。随着痴呆症的发展，重点应主要放在症状控制和舒适度上。
