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谵妄:改善老年人急性护理的框架。

Delirium-A Framework to Improve Acute Care for Older Persons.

机构信息

Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.

Aging Brain Center, Institute for Aging Research, Hebrew SeniorLife, Boston, Massachusetts.

出版信息

J Am Geriatr Soc. 2018 Mar;66(3):446-451. doi: 10.1111/jgs.15296. Epub 2018 Feb 23.

Abstract

This article is based on the M. Powell Lawton Award Lecture that I delivered at the 2016 Gerontological Society of America Annual Meeting. I provide an overview of my journey in geriatric medicine and delirium research. I created new measures, including the Confusion Assessment Method, for identification of delirium; conceptualized a multifactorial risk model; and developed and tested intervention strategies for delirium prevention. The Hospital Elder Life Program arose from this work. In addition, like Dr. Lawton, I am working to apply my work to the policy arena. As the population ages, we face an unprecedented opportunity to realize the full benefit of aging in our society, an untapped resource. The field of aging is facing innumerable challenges in terms of continued stigma and funding shortfalls for clinical care and research. I issue a call to action to clinicians, researchers, and leaders in aging to seize this opportunity to use our know-how and expertise to transform the experience of aging for all.

摘要

这篇文章基于我在 2016 年美国老年学学会年会上发表的 M. Powell Lawton 奖演讲。我概述了我在老年医学和谵妄研究方面的历程。我创建了新的措施,包括谵妄评估方法,用于识别谵妄;概念化了多因素风险模型;并制定和测试了谵妄预防的干预策略。医院老年生活项目由此产生。此外,像 Lawton 博士一样,我也在努力将我的工作应用于政策领域。随着人口老龄化,我们面临着一个前所未有的机会,可以在我们的社会中实现老龄化的全部好处,这是一个未开发的资源。在老龄化领域,临床护理和研究的持续污名化以及资金短缺方面面临着无数挑战。我呼吁临床医生、研究人员和老龄化领域的领导者抓住这一机会,利用我们的知识和专业技能,为所有人改变老龄化的体验。

相似文献

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Delirium-A Framework to Improve Acute Care for Older Persons.谵妄:改善老年人急性护理的框架。
J Am Geriatr Soc. 2018 Mar;66(3):446-451. doi: 10.1111/jgs.15296. Epub 2018 Feb 23.
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Delirium in the hospitalized elder and recommendations for practice.住院老年人的谵妄及实践建议。
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A volunteer-based Hospital Elder Life Program to reduce delirium.一项基于志愿者的医院老年生活计划,以减少谵妄。
Health Care Manag (Frederick). 2010 Apr-Jun;29(2):150-6. doi: 10.1097/HCM.0b013e3181daa2a0.

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Does Apolipoprotein E Genotype Increase Risk of Postoperative Delirium?载脂蛋白E基因型会增加术后谵妄的风险吗?
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Cytokines and Postoperative Delirium in Older Patients Undergoing Major Elective Surgery.细胞因子与行择期大手术老年患者术后谵妄。
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