管理异常性正常压力水脑:需要改变思维方式
Romain Manet1, Zofia Czosnyka2, Marek Czosnyka2
1Department of Neurosurgery B, Neurological Hospital P. Wertheimer, University of Lyon, France.
World neurosurgery
|August 6, 2023
概括
异常性正常压力脑症 (iNPH) 是一个日益严重的神经老年疾病,影响着老年人. 本文提出了一种结构化,全面的护理方法,以改善患者的生活质量.
科学领域:
- 神经科学是一个神经科学.
- 老年病的医生 老年病的医生
- 神经学 神经学
背景情况:
- 异常性正常压力头症 (iNPH) 是一种复杂的脑部疾病,影响老年人.
- 它的特点是心室扩大和哈基姆三位一体:步态/平衡问题,尿失禁和认知障碍.
- 随着老年人口的增加,iNPH的患病率和社会经济影响增加.
研究的目的:
- 突出目前iNPH管理中的挑战.
- 确定优化iNPH护理的关键策略.
- 倡导向全面的,以患者为中心的护理转变.
主要方法:
- 对iNPH的当前临床实践的审查.
- 识别结构化管理方法中的差距.
- 全球定制护理模式的建议.
主要成果:
- 目前的iNPH管理在很大程度上未经编码,导致不理想的护理.
- 要解决iNPH复杂性的问题,需要采用结构化,全面的方法.
- 专注于通过定制目标改善日常生活至关重要.
结论:
- 需要在iNPH护理中进行范式转变,超越以治疗为中心的模式.
- 根据个体患者需求量身定制的综合护理是必不可少的.
- 优化iNPH护理需要一个结构化,多学科的方法.
相关概念视频
Glaucoma: Overview
621
Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
621
Open Angle Glaucoma: Treatment
479
In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
Drugs such as carbonic anhydrase inhibitors, α2- and...
479
Aneurysm IV: Nursing Management
8
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
8
Angle Closure Glaucoma: Treatment
560
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
560
Hypertension V: Nursing Management
11
The nursing management of hypertension involves accurately assessing symptoms, making a comprehensive nursing diagnosis, collaborating with patients to set goals, and implementing targeted interventions to mitigate the condition's impact and improve patient well-being.Comprehensive AssessmentThe initial step in nursing care for hypertension involves a thorough patient assessment. It includes evaluating symptoms such as headaches, dizziness, blurred vision, and previous hypertension episodes.
11
Psychosurgery
78
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
78


