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老年患者的临床评估

Clinical assessment of the elderly patient.

作者信息

Skrastins R, Merry G M, Rosenberg G M, Schuman J E

出版信息

Can Med Assoc J. 1982 Aug 1;127(3):203-6.

Abstract

The examination of an elderly patient often requires special techniques and attention to the patient's comfort and ease. This paper outlines a reasonable approach to each phase of the interview and discusses the particular medical problems of this age group. Older people are often slow to bring their troubles to medical attention because their symptoms are vague or because they accept their disability as part of old age. Sometimes they have difficulty in communicating effectively with the physician. Simple patience can ease an otherwise frustrating situation.

摘要

对老年患者进行检查通常需要特殊的技巧,并关注患者的舒适度和自在感。本文概述了问诊各阶段的合理方法,并讨论了该年龄组特有的医学问题。老年人往往不轻易就医,因为他们的症状不明确,或者因为他们将自己的残疾视为衰老的一部分。有时他们与医生有效沟通也有困难。简单的耐心就能缓解原本令人沮丧的局面。

本文引用的文献

2
Depression in the elderly.老年人抑郁症
Can Med Assoc J. 1980 Mar 8;122(5):525-32, 540.
3
Evaluation of early diagnostic services for the elderly.老年人早期诊断服务的评估。
Br Med J. 1970 Aug 1;3(5717):275-7. doi: 10.1136/bmj.3.5717.275.
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Is 80 years too old for aneurysmectomy?
Arch Surg. 1976 Nov;111(11):1250-7. doi: 10.1001/archsurg.1976.01360290084012.
9
How to examine an old person.如何检查老年人。
Lancet. 1977 May 28;1(8022):1145-6. doi: 10.1016/s0140-6736(77)92399-6.

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