FRACP, PhD, Director Aged Care Research, Department of Medicine, The Royal Melbourne Hospital, The University of Melbourne, Melbourne, Vic; Lead, National Health and Medical Research Council (NHMRC) Let@s CHAT Dementia project, The University of Melbourne, Melbourne, Vic.
PhD, DEA, BA, Project Lead, NHMRC Let@s CHAT Dementia project, Department of Medicine, The Royal Melbourne Hospital, University of Melbourne, Melbourne, Vic.
Aust J Gen Pract. 2023 Aug;52(8):505-511. doi: 10.31128/AJGP-01-23-6672.
The population of older (age ≥50 years) Aboriginal and Torres Strait Islander people is increasing, and the rate of dementia in this group is three to fivefold higher than in the general population. A high prevalence of risk factors across the life course likely contributes to these rates.
This paper highlights practical ways to apply best practice principles when addressing the detection of cognitive impairment and dementia in older Aboriginal and Torres Strait Islander people and its management in the context of a person's family, carers and community.
Recognising culture, the collective nature of family and community decision making for a person, the ways to uphold respect for Elders and a trauma-informed approach are fundamental to the care of older Aboriginal and Torres Strait Islander people with cognitive impairment and dementia.
老年（年龄≥50 岁）原住民和托雷斯海峡岛民的人口不断增加，该群体的痴呆症发病率是普通人群的三到五倍。一生中存在大量的风险因素，可能导致了这些比率。
本文强调了在针对老年原住民和托雷斯海峡岛民的认知障碍和痴呆症的检测及其在个人的家庭、照顾者和社区背景下的管理方面，应用最佳实践原则的实际方法。
承认文化、家庭的集体性质以及为个人做出决策、维护对长者的尊重以及采取创伤知情方法，这些都是照顾患有认知障碍和痴呆症的老年原住民和托雷斯海峡岛民的基本要素。
