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谵妄并发于痴呆:挑战与机遇。

Delirium Superimposed on Dementia: Challenges and Opportunities.

机构信息

University of Kentucky College of Nursing, 202 College of Nursing Building, Lexington, KY 40536, USA.

出版信息

Nurs Clin North Am. 2019 Dec;54(4):541-550. doi: 10.1016/j.cnur.2019.07.004. Epub 2019 Oct 11.

DOI:10.1016/j.cnur.2019.07.004
PMID:31703779
Abstract

Delirium superimposed on dementia is an acute medical illness that is difficult to diagnose because of the similarities of the symptoms to dementia. Delirium can contribute to the suffering of the patient as well as the family and caregiver. An initial holistic assessment of the patient is critical in establishing the cognitive baseline symptoms of delirium. Prevention of delirium can be assisted by ongoing reassessment of the patient for symptoms of delirium. The goal of treatment is to treat the underlying cause of the delirium.

摘要

谵妄是一种急性的医学疾病,由于其症状与痴呆相似,因此难以诊断。谵妄会给患者及其家属和护理人员带来痛苦。对患者进行全面的初步评估对于确定谵妄的认知基线症状至关重要。通过对患者的症状进行持续评估,可以协助预防谵妄。治疗的目标是治疗谵妄的根本原因。

相似文献

1
Delirium Superimposed on Dementia: Challenges and Opportunities.谵妄并发于痴呆:挑战与机遇。
Nurs Clin North Am. 2019 Dec;54(4):541-550. doi: 10.1016/j.cnur.2019.07.004. Epub 2019 Oct 11.
2
Double trouble: when delirium complicates dementia.双重麻烦:谵妄并发痴呆时
Nursing. 2008 Sep;38(9):48-54; quiz 54-5. doi: 10.1097/01.NURSE.0000334649.82455.55.
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Delirium superimposed on dementia and mild cognitive impairment.叠加在痴呆症和轻度认知障碍上的谵妄。
Postgrad Med. 2014 Oct;126(6):129-37. doi: 10.3810/pgm.2014.10.2827.
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How to try this: Delirium superimposed on dementia.如何尝试这个:痴呆叠加谵妄。
Am J Nurs. 2008 Jan;108(1):52-60; quiz 61. doi: 10.1097/01.NAJ.0000304476.80530.7d.
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Evaluating and managing delirium, dementia, and depression in older adults hospitalized with otorhinolaryngic conditions.评估和管理因耳鼻喉科疾病住院的老年人的谵妄、痴呆和抑郁。
ORL Head Neck Nurs. 2007 Summer;25(3):14-25.
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Descending into delirium.
Am J Nurs. 2002 Mar;102(3):49-56; quiz 57. doi: 10.1097/00000446-200203000-00021.
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Delirium superimposed on dementia: a systematic review.痴呆叠加谵妄:一项系统综述
J Am Geriatr Soc. 2002 Oct;50(10):1723-32. doi: 10.1046/j.1532-5415.2002.50468.x.
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Intensive care unit delirium.重症监护病房谵妄
Crit Care Nurs Clin North Am. 2010 Jun;22(2):161-78. doi: 10.1016/j.ccell.2010.03.003.
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Consequences of not recognizing delirium superimposed on dementia in hospitalized elderly individuals.未识别住院老年患者中叠加于痴呆症之上的谵妄的后果。
J Gerontol Nurs. 2000 Jan;26(1):30-40. doi: 10.3928/0098-9134-20000101-09.
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Delirium in older adults.老年人的谵妄
Adv Nurse Pract. 2009 Sep;17(9):30-5; quiz 36.

引用本文的文献

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Cultural and Social Factors in Care Delivery Among African American Caregivers of Persons With Dementia: A Scoping Review.痴呆症患者非裔美国照料者护理服务中的文化和社会因素:一项范围综述
Gerontol Geriatr Med. 2023 Jan 25;9:23337214231152002. doi: 10.1177/23337214231152002. eCollection 2023 Jan-Dec.
2
Ascertainment of Delirium Status Using Natural Language Processing From Electronic Health Records.使用电子健康记录中的自然语言处理来确定谵妄状态。
J Gerontol A Biol Sci Med Sci. 2022 Mar 3;77(3):524-530. doi: 10.1093/gerona/glaa275.
3
Reducing Perioperative Neurocognitive Disorders (PND) Through Depth of Anesthesia Monitoring: A Critical Review.
通过麻醉深度监测减少围手术期神经认知障碍:一项批判性综述
Int J Gen Med. 2021 Jan 14;14:153-162. doi: 10.2147/IJGM.S242230. eCollection 2021.
4
Development and Evaluation of Clinical Practice Guideline for Delirium in Long-Term Care.长期照护机构谵妄临床实践指南的制定与评价。
Int J Environ Res Public Health. 2020 Nov 9;17(21):8255. doi: 10.3390/ijerph17218255.
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Delirium Superimposed on Dementia in Perioperative Period and Intensive Care.围手术期和重症监护中叠加于痴呆症的谵妄
J Clin Med. 2020 Oct 13;9(10):3279. doi: 10.3390/jcm9103279.
6
Nurses' perceptions in caring for people with dementia in Dutch acute hospitals.护士在荷兰急性医院照顾痴呆症患者的认知。
J Clin Nurs. 2022 Jul;31(13-14):1800-1816. doi: 10.1111/jocn.15458. Epub 2020 Sep 9.