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初级保健中的跌倒与痴呆症的交集:评估和管理注意事项。

The Intersection of Falls and Dementia in Primary Care: Evaluation and Management Considerations.

机构信息

Senior Health Program, Providence Health & Services, 4400 NE Halsey, Fifth Floor, Portland, OR 97213, USA.

Senior Health Program, Providence Health & Services, 4400 NE Halsey, Fifth Floor, Portland, OR 97213, USA.

出版信息

Med Clin North Am. 2020 Sep;104(5):791-806. doi: 10.1016/j.mcna.2020.06.003. Epub 2020 Jul 15.

Abstract

A large body of research has addressed the assessment and management of fall risk among community-dwelling older adults. Persons with dementia are at higher risk for falls and fall-related injuries, yet less is known about effective strategies for reducing falls and injuries among those with dementia. Falls and dementia are regularly considered to be discrete conditions and are often managed separately. Increasing evidence shows that these conditions frequently co-occur, and one may precede the other. This article explores the relationship between falls and dementia, including the importance of rehabilitation strategies for reducing fall risk in these individuals.

摘要

大量研究已经针对社区居住的老年人的跌倒风险评估和管理进行了探讨。痴呆患者跌倒和与跌倒相关的伤害风险更高,但对于减少痴呆患者跌倒和伤害的有效策略知之甚少。跌倒和痴呆通常被认为是两种不同的疾病,而且往往分开管理。越来越多的证据表明,这些情况经常同时发生,而且一种情况可能先于另一种情况发生。本文探讨了跌倒和痴呆之间的关系,包括在这些人群中减少跌倒风险的康复策略的重要性。

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