Mouriz Romina, Caamaño Ponte José, García Tuñas Laura, Dosil Carlos, Facal David
Gerontological Therapeutic Complex "A Veiga", Serge Lucense, Pobra de San Xiao, Láncara, 27360 Lugo, Spain.
Department of Developmental Psychology, University of Santiago de Compostel, Santiago de Compostela, 15782 Galicia, Spain.
Geriatrics (Basel). 2019 Jan 22;4(1):15. doi: 10.3390/geriatrics4010015.
Among the main challenges in geriatric and gerontological centers, we consider, central, the individualized attention to those elderly persons with challenging behaviors, to the extent that it is possible to design preventive strategies that delay cognitive deterioration and minimize consequences of behavior disorders. The first step will be to develop the correct interpretation of symptoms and deficits as a guarantee of a correct diagnosis which, in addition to not always being easy, has to be adapted to the progression of the disease. We present the case of a 68-year-old institutionalized individual, with an initial diagnosis of diffuse Lewy bodies dementia, analyzing his cognitive and behavioral evolution, and the pharmacological and non-pharmacological approach to the case.
在老年医学和老年学中心面临的主要挑战中，我们认为核心在于对有挑战性行为的老年人给予个性化关注，以便能够设计出预防策略，延缓认知衰退并将行为障碍的后果降至最低。第一步将是对症状和缺陷进行正确解读，以确保做出正确诊断，而这不仅并非总是易事，还必须适应疾病的进展。我们呈现一位68岁的机构养老者的案例，其初始诊断为弥漫性路易体痴呆，分析其认知和行为演变情况，以及针对该案例的药物和非药物治疗方法。
