Heckmann Josef G, Kraus Jörg, Lang Christoph J G
Department of Neurology, Municipal Hospital Landshut, Landshut, Germany.
Department of Neurology, Medical Faculty, University Hospital Düsseldorf, Düsseldorf, Germany.
Neurohospitalist. 2018 Apr;8(2):92-101. doi: 10.1177/1941874417738697. Epub 2017 Nov 12.
Due to the increasing age of the population, neurohospitalists are more frequently caring for old and very old people. Fundamental definitions and topics related to geriatric medicine are therefore of particular importance. In this review, common issues encountered in geriatric patients hospitalized on the neurology service are discussed. Focus is put on the geriatric assessment, multiprofessional diagnostic and therapeutic procedures, geriatric syndromes, pharmacotherapy of the aged, delirium, pain, and palliative management as they are relevant for the neurohospitalist. In addition, ethical questions are addressed.
由于人口老龄化加剧,神经科医生越来越频繁地照料老年人和高龄老人。因此,与老年医学相关的基本定义和主题尤为重要。在这篇综述中,我们讨论了在神经内科住院的老年患者中遇到的常见问题。重点关注老年评估、多专业诊断和治疗程序、老年综合征、老年人的药物治疗、谵妄、疼痛以及姑息治疗管理,因为这些与神经科医生密切相关。此外,还探讨了伦理问题。