Department of Rehabilitation, Aged and Extended Care, Flinders University, Australia.
Sydney Medical School, The University of Sydney, Australia.
Age Ageing. 2018 Mar 1;47(2):171-174. doi: 10.1093/ageing/afx173.
Multidisciplinary rehabilitation is increasingly accepted as valuable in the management of chronic disease. Whereas traditional rehabilitation models focussed on recovery, maintaining independence and delaying functional decline are now considered worthwhile aims even where full recovery is not feasible. Despite this, rehabilitation is notably absent from dementia care literature and practice. People with dementia report frustration with the lack of availability of structured post-diagnosis pathways like those offered for other conditions. Alternative terms such as 're-ablement' are used to refer to rehabilitation-like services, but lack an evidence-base to guide care. This commentary will discuss possible reasons for the resistance to accept multidisciplinary rehabilitation as part of dementia care, and identifies the value of doing so for people with dementia, their families, and for health professionals.
多学科康复在慢性病管理中越来越被认为是有价值的。虽然传统的康复模式侧重于恢复、保持独立性和延缓功能下降，但即使完全恢复不可行，这些也被认为是有价值的目标。尽管如此，康复在痴呆症护理文献和实践中明显缺失。痴呆症患者对缺乏结构化的诊断后途径感到沮丧，这些途径与其他疾病提供的途径类似。替代术语，如“重新适应”，用于指代类似康复的服务，但缺乏指导护理的证据基础。本评论将讨论为什么人们抵制将多学科康复作为痴呆症护理的一部分的可能原因，并确定这样做对痴呆症患者、他们的家人和卫生专业人员的价值。
