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对患有复杂多种疾病的拉丁裔进行具有文化胜任力的神经认知功能评估:一项案例研究。

Culturally Competent Assessment of Neurocognitive Functioning in Latinos with Complex Multimorbidity: A Case Study.

作者信息

Safi Diomaris, Barreto Abrams Jesús, Rios Melissa, Rodés Elisenda, Díaz-Santos Mirella, Suárez Paola

机构信息

Department of Psychiatry and Behavioral Sciences, UCLA Hispanic Neuropsychiatric Center of Excellence, 760 Westwood Plaza, C8-238, Los Angeles, CA 90095, USA.

California School of Professional Psychology, Alliant International University, Alhambra, CA 91803, USA.

出版信息

Geriatrics (Basel). 2022 Sep 6;7(5):93. doi: 10.3390/geriatrics7050093.

DOI:10.3390/geriatrics7050093
PMID:36136802
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9498523/
Abstract

Multimorbidity-the coexistence of multiple chronic conditions within an individual-is the new normal in hospital settings. Individuals with higher levels of multimorbidity require a multidisciplinary and holistic approach to meet their needs, though the complexity of their neurocognitive profiles is still poorly researched. This study reported on the neurocognitive profile of a 69-year-old, left-handed, Latino cisgender male with 10 years of education. He was deemed to have a short-term mortality in 2018, yet is still enjoying a good quality of life in 2022. This case report illustrated (a) a rather common neurocognitive profile of a patient with complex multimorbidity, (b) the advantages of being served in a center of excellence with linguistically and culturally appropriate services that evaluate patients' cognitive functioning and inform and provide continuity of care, and (c) the benefits of a holistic and multidisciplinary approach to the care of the multimorbidity population.

摘要

多重疾病——个体内多种慢性病共存——是医院环境中的新常态。多重疾病程度较高的个体需要多学科和整体方法来满足其需求,尽管他们神经认知特征的复杂性仍研究不足。本研究报告了一名69岁、左利手、拉丁裔顺性别男性的神经认知特征,其受教育年限为10年。他在2018年被判定有短期死亡风险,但在2022年仍享有良好生活质量。本病例报告说明了:(a)患有复杂多重疾病患者相当常见的神经认知特征;(b)在具备语言和文化适宜服务的卓越中心接受服务的优势,这些服务可评估患者的认知功能并提供护理信息及连续性护理;(c)对多重疾病人群采用整体和多学科护理方法的益处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5a6/9498523/70c3a729f207/geriatrics-07-00093-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5a6/9498523/70c3a729f207/geriatrics-07-00093-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5a6/9498523/70c3a729f207/geriatrics-07-00093-g001.jpg

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本文引用的文献

1
Teleneuropsychology for Monolingual and Bilingual Spanish-Speaking Adults in the Time of COVID-19: Rationale, Professional Considerations, and Resources.COVID-19 时期的单语和双语西班牙语成年人的远程神经心理学:基本原理、专业考虑因素和资源。
Arch Clin Neuropsychol. 2020 Nov 19;35(8):1249-1265. doi: 10.1093/arclin/acaa100.
2
Healthy life-expectancy and multimorbidity among older adults: Do inequality and poverty matter?老年人的健康预期寿命和多种疾病:不平等和贫困是否重要?
Arch Gerontol Geriatr. 2020 Sep-Oct;90:104157. doi: 10.1016/j.archger.2020.104157. Epub 2020 Jun 18.
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Introduction to the Neuropsychological Norms for the US-Mexico Border Region in Spanish (NP-NUMBRS) Project.
美国-墨西哥边境地区神经心理学常模项目简介(NP-NUMBRS)。
Clin Neuropsychol. 2021 Feb;35(2):227-235. doi: 10.1080/13854046.2020.1751882. Epub 2020 May 20.
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"We need a one-stop-shop": co-creating the model of care for a multidisciplinary memory clinic with community members, GPs, aged care workers, service providers, and policy-makers.“我们需要一个一站式服务”:与社区成员、全科医生、老年护理工作者、服务提供者和政策制定者共同创建多学科记忆诊所的护理模式。
BMC Geriatr. 2020 Feb 11;20(1):49. doi: 10.1186/s12877-019-1410-x.
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Racial/ethnic differences in multimorbidity development and chronic disease accumulation for middle-aged adults.中年人群中多种合并症的发生和慢性疾病积累的种族/民族差异。
PLoS One. 2019 Jun 17;14(6):e0218462. doi: 10.1371/journal.pone.0218462. eCollection 2019.
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Multimorbidity and Cognitive Decline Over 14 Years in Older Americans.美国人中 14 年以上的多重疾病与认知能力下降。
J Gerontol A Biol Sci Med Sci. 2020 May 22;75(6):1206-1213. doi: 10.1093/gerona/glz147.
7
A Systematic Review of the Impact of Patient-Physician Non-English Language Concordance on Quality of Care and Outcomes.患者-医生非英语语言一致对医疗质量和结果的影响的系统评价。
J Gen Intern Med. 2019 Aug;34(8):1591-1606. doi: 10.1007/s11606-019-04847-5. Epub 2019 May 30.
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The global burden of multiple chronic conditions: A narrative review.多种慢性病的全球负担:一项叙述性综述。
Prev Med Rep. 2018 Oct 19;12:284-293. doi: 10.1016/j.pmedr.2018.10.008. eCollection 2018 Dec.
9
What are the effective elements in patient-centered and multimorbidity care? A scoping review.以患者为中心的多病共存护理中的有效要素有哪些?一项范围综述。
BMC Health Serv Res. 2018 Jun 14;18(1):446. doi: 10.1186/s12913-018-3213-8.
10
Trajectories of Aging Among U.S. Older Adults: Mixed Evidence for a Hispanic Paradox.美国老年人的衰老轨迹:西班牙裔悖论的混合证据。
J Gerontol B Psychol Sci Soc Sci. 2020 Feb 14;75(3):601-612. doi: 10.1093/geronb/gby057.