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["对一名‘不配合’老年患者的体格检查"]

[The Physical Examination of an 'Uncooperative' Elderly Patient].

作者信息

Schlögl Mathias, Schietzel Simeon, Kunz Roland, Savaskan Egemen, Kressig Reto W, Riese Florian

机构信息

1 Klinik für Geriatrie, Universitätsspital Zürich.

2 Klinik für Alterspsychiatrie, Psychiatrische Universitätsklinik Zürich.

出版信息

Praxis (Bern 1994). 2018 Sep;107(19):1021-1030. doi: 10.1024/1661-8157/a003038.

Abstract

The Physical Examination of an 'Uncooperative' Elderly Patient Abstract. The physical examination of uncooperative elderly patients regularly presents physicians in the private practice, in the hospital or nursing home with great challenges. The lack of cooperation itself can be an important indication of an underlying medical problem. Important elements to improve the patient's cooperation include ensuring basic needs, sufficient time and patience, adequate communication and good cooperation with relatives and other healthcare professionals. Targeted clinical observation as well as thinking in geriatric syndromes and unmet needs can help to raise physical findings despite limited cooperation. Pathological findings are indicators of impaired organ and functional systems and must be supplemented by a detailed examination.

摘要

“不合作”老年患者的体格检查 摘要。在私人诊所、医院或养老院中,对不合作的老年患者进行体格检查常常给医生带来巨大挑战。缺乏合作本身可能是潜在医疗问题的一个重要指征。提高患者合作度的重要因素包括确保基本需求、给予足够时间和耐心、进行充分沟通以及与亲属和其他医疗保健专业人员良好合作。尽管合作有限,但有针对性的临床观察以及从老年综合征和未满足需求的角度进行思考,有助于发现体格检查结果。病理检查结果是器官和功能系统受损的指标,必须辅以详细检查。

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