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老年人群体的心理问题诊断与管理

Psychological Problem Diagnosis and Management in the Geriatric Age Group.

作者信息

Thakur Ujwall, Varma Anuj R

机构信息

Psychiatry, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, IND.

Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, IND.

出版信息

Cureus. 2023 Apr 27;15(4):e38203. doi: 10.7759/cureus.38203. eCollection 2023 Apr.

DOI:10.7759/cureus.38203
PMID:37252553
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10224735/
Abstract

The definition of geriatrics is very complex to explain though it can be written as the treatment and care provided by healthcare and medical systems primarily to more venerable and senior citizens group of the population. The age group considered to be entering the old group is believed to be those who have reached their sixth decade of life. However, most of the global geriatric population doesn't need treatment until their seventh decade. Bodily impairment, both physical and mental, due to various reasons, for example, financial or personal reasons or feeling ignored, is reasonable for clinicians to anticipate caring for a growing proportion of older patients with complicated medical and psychosocial concerns. Complex ethical quandaries could develop as a result of these difficulties and problems. Who should anticipate ethical challenges faced by doctors early during management? We offer practical recommendations for improving communication because ineffective patient-clinician communication might result in moral dilemmas. Physical impairment, hopelessness, and cognitive decline are all more prevalent as people age. Politicians and healthcare providers of nations should step in to search for a measure to reduce the uprising of the condition; otherwise, it will lead to an uprising of the cases in an exponential manner. It is necessary to increase the financial challenges faced by the elderly. In addition, awareness should be increased, as well as programs aimed at enhancing their standard of living.

摘要

老年医学的定义很难解释清楚,不过可以表述为医疗保健系统主要为人口中更年长、更 venerable 的群体提供的治疗和护理。被认为进入老年群体的年龄范围据信是那些已步入人生第六个十年的人。然而,全球大多数老年人口直到第七个十年才需要治疗。由于各种原因,如经济或个人原因或感到被忽视,导致身体和精神上的损伤,临床医生有理由预期要照顾越来越多患有复杂医疗和社会心理问题的老年患者。这些困难和问题可能会引发复杂的伦理困境。在管理早期,谁应该预见到医生面临的伦理挑战呢?我们提供了改善沟通的实用建议,因为无效的医患沟通可能会导致道德困境。随着人们年龄增长,身体损伤、绝望和认知能力下降都更为普遍。各国的政治家和医疗保健提供者应该介入寻找措施来减少这种情况的出现;否则,它将以指数方式导致病例激增。增加老年人面临的经济挑战是必要的。此外,还应提高认识,并开展旨在提高他们生活水平的项目。 (注:原文中“venerable”翻译为“受尊敬的”,这里根据语境灵活处理为“年长、更 venerable 的群体”,因为结合上下文是在说老年人群体相关内容,这样表述更符合整体意思。)