一种用于老年患者功能性障碍常规筛查的简易方法

M S Lachs1, A R Feinstein, L M Cooney

  • 1Yale University School of Medicine, New Haven, Connecticut.

PubMed

我们提出一种简短且简便的方法,可供内科医生在日常门诊实践中常规筛查老年患者的功能状态。该方法侧重于检查少数几个在老年患者中常见功能障碍但往往在常规病史采集和体格检查中被忽视的项目。新的重点包括对视力、听力、上下肢功能、尿失禁、精神状态、工具性及基本日常生活活动能力、环境危险因素以及社会支持系统的精心选择的评估。通过简短的提问和易于观察的任务来获取所需信息,以实现适当而有效的筛查,同时最大限度地减少操作时间。如果能从常规临床检查中剔除某些相对低效的步骤,特别是如果内科医生能因其额外投入的时间获得相应补偿,则该方法可被纳入常规临床实践。 关键词:老年患者,功能状态筛查,内科门诊,日常生活活动能力,视力,听力,上下肢功能,尿失禁,精神状态,环境危险,社会支持

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