Psychiatry Service (116A), James A Haley VA Hospital, University of South Florida College of Medicine, 13000 Bruce B Downs Boulevard, Tampa, FL 33612, USA.
Psychiatry Service (116A), James A Haley VA Hospital, University of South Florida College of Medicine, 13000 Bruce B Downs Boulevard, Tampa, FL 33612, USA.
Clin Geriatr Med. 2020 May;36(2):329-339. doi: 10.1016/j.cger.2019.11.011. Epub 2019 Nov 15.
Dementia management is complicated by neuropsychiatric symptoms such that the longitudinal care of a psychiatrist or other mental health provider is often an essential part of patient care and a major source of family support. Given the importance of end-of-life continuity of care, the involvement of psychiatry in palliative and hospice services affords an important opportunity for growth. Common challenges involve sharing prognostic information with patients and families to aid in advance planning, and management of persistent pain and nutritional issues. Future research will yield important new insights and guidelines for care.
痴呆症的管理很复杂，会出现神经精神症状，因此精神病医生或其他心理健康提供者的长期护理通常是患者护理的重要组成部分，也是家庭支持的主要来源。鉴于临终关怀连续性护理的重要性，精神病学在姑息治疗和临终关怀服务中的参与为其发展提供了重要机会。常见的挑战包括与患者和家属分享预后信息，以帮助提前计划，并管理持续的疼痛和营养问题。未来的研究将为护理提供重要的新见解和指南。
