Quail Zara, Wei Angelina, Zhang Vicky Fan, Carter Mark McLean
Care Visions Healthy Ageing, Care Visions Limited, Stirling, Scotland, UK.
Care Visions Dementia Services, Care Visions China, Beijing, China.
BMJ Case Rep. 2020 Mar 10;13(3):e232115. doi: 10.1136/bcr-2019-232115.
In China, the ageing population and the prevalence of dementia are projected to escalate significantly by 2050 resulting in a substantial increase in health and economic burden on caregivers, healthcare facilities, healthcare providers and communities. There is no published national dementia policy or strategy in China. This case report describes significant barriers contributing to diagnostic problems and inadequate care of dementia through the case of an older female in rural China, whose condition deteriorated due to neuropsychiatric and functional symptoms of undiagnosed dementia. Intersectoral collaboration between care organisations facilitated delivery of a non-pharmacological intervention programme which was associated with improvements in the patient's functional and neuropsychiatric symptoms. The case demonstrates that recruitment and training of a wider range of health and care professionals and caregivers in a systematic approach to non-pharmacological interventions could help overcome barriers to the specialised care needs of people with dementia where resources are lacking.
在中国，预计到2050年，老年人口数量和痴呆症患病率将大幅上升，这将给照护者、医疗机构、医疗服务提供者和社区带来巨大的健康和经济负担。中国尚未发布国家痴呆症政策或战略。本病例报告通过一名中国农村老年女性的案例，描述了导致痴呆症诊断问题和护理不足的重大障碍，该患者因未确诊痴呆症的神经精神症状和功能症状而病情恶化。护理组织之间的跨部门合作促成了一项非药物干预计划的实施，该计划使患者的功能和神经精神症状得到改善。该病例表明，以系统的方式对更多种类的健康和护理专业人员及照护者进行非药物干预培训，有助于在资源匮乏的情况下克服痴呆症患者特殊护理需求的障碍。
