Hamdy R C, Lewis J V, Copeland R, Depelteau A, Kinser A, Kendall-Wilson T, Whalen K
East Tennessee State University, Johnson City, TN, USA.
Alzheimer's Tennessee, Knoxville, TN, USA.
Gerontol Geriatr Med. 2017 Oct 12;3:2333721417734684. doi: 10.1177/2333721417734684. eCollection 2017 Jan-Dec.
Patients with dementia, especially Alzheimer's disease and particularly those in early stages, are susceptible to become victims of predators: Their agnosia (see Case 1) prevents them from detecting and accurately interpreting subtle signals that otherwise would have alerted them that they are about to fall for a scam. Furthermore, their judgment is impaired very early in the disease process, often before other symptoms manifest themselves and usually before a diagnosis is made. Patients with early stages of dementia are therefore prime targets for unscrupulous predators, and it behooves caregivers and health care professionals to ensure the integrity of these patients. In this case study, we discuss how a man with mild Alzheimer's disease was about to fall for a scam were it not for his vigilant wife. We discuss what went wrong in the patient/caregiver interaction and how the catastrophic ending could have been avoided or averted.
患有痴呆症的患者,尤其是阿尔茨海默病患者,特别是早期患者,很容易成为骗子的受害者:他们的失认症(见案例1)使他们无法察觉并准确解读那些本可提醒他们即将上当受骗的微妙信号。此外,在疾病进程的早期,他们的判断力就会受损,往往在其他症状出现之前,通常也在确诊之前。因此,早期痴呆症患者是无良骗子的主要目标,护理人员和医疗保健专业人员有责任确保这些患者的安全。在本案例研究中,我们将讨论一名患有轻度阿尔茨海默病的男子,若不是他警惕的妻子,他差点就上当受骗了。我们将探讨患者/护理人员互动中出现的问题,以及如何避免这场灾难性的结局。