Esposito Ciro
Unità di Nefrologia e Dialisi, Dipartimento di Medicina Clinico-Specialistica, ICS Maugeri SpA SB, IRCCS, Istituto di Pavia, Università degli Studi di Pavia.
G Ital Med Lav Ergon. 2018 Feb;40(1):30-36.
The prevalence of chronic degenerative diseases such as diabetes, chronic kidney disease, obesity, cancer is increasing and comorbidity is more frequent in older age. The elderly patients with chronic degenerative diseases experience more acute complications and hospitalizations and poorer quality of life compared to elderly patients without chronic diseases. Furthermore it is widely acknowledged that an acute care model is inappropriate for patients with chronic conditions.
The objective of this chapter is to review some of the more common conditions associated with disability in elderly subjects that lead to frequent hospitalization for acute complications and propose a different model of care for these complex patients.
糖尿病、慢性肾病、肥胖症、癌症等慢性退行性疾病的患病率正在上升,且在老年人群中合并症更为常见。与没有慢性病的老年患者相比,患有慢性退行性疾病的老年患者会经历更多的急性并发症和住院治疗,生活质量也更差。此外,人们普遍认为急性护理模式不适用于慢性病患者。
本章的目的是回顾一些与老年受试者残疾相关的较为常见的疾病,这些疾病会导致因急性并发症而频繁住院,并为这些复杂患者提出一种不同的护理模式。