Dresden Scott M, Dickens John C, Lo Alexander X
Department of Emergency Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA; Center for Healthcare Services and Outcomes Research, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Department of Emergency Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Emerg Med Clin North Am. 2025 May;43(2):235-248. doi: 10.1016/j.emc.2024.09.002. Epub 2025 Feb 17.
Assessments are available which can help to identify emergency department (ED) patients who may have dementia. Persons living with dementia (PLWD) have unique emergency care needs such as difficulties with activities of daily living and behavioral and psychological symptoms of dementia. Multiple emergency care practices have shown improved outcomes for PLWD. Communication between clinicians and PLWD requires additional attention and should include care partners and other clinicians when possible. Transitions of care from the ED for PLWD are often problematic with poor outcomes. Interventions like community paramedicine follow up may improve the transition from the ED to the community.
现有一些评估方法，可帮助识别可能患有痴呆症的急诊科患者。痴呆症患者有独特的急诊护理需求，例如日常生活活动困难以及痴呆症的行为和心理症状。多种急诊护理措施已显示对痴呆症患者有更好的治疗效果。临床医生与痴呆症患者之间的沟通需要格外关注，如有可能，应让护理伙伴和其他临床医生参与其中。痴呆症患者从急诊科的护理过渡往往存在问题，治疗效果不佳。像社区护理人员随访这样的干预措施可能会改善从急诊科到社区的过渡情况。
