老年医生如何评估认知障碍的老年人的决策能力? 来自欧洲调查的结果
Thomas Tannou1,2, Fabrice Gzil3,4,5, Seán P Kennelly6
1CIUSS Centre-Sud de l'ile de Montréal, Centre de Recherche de l'institut Universitaire de Gériatrie de Montréal, 4565 Rue Queen Mary, Montréal, QC, H3W1W5, Canada. thomas.tannou@umontreal.ca.
European geriatric medicine
|August 21, 2023
概括
老年医师通过临床访谈评估认知障碍的老年人的决策能力. 支持风险决策涉及患者的生活方式,风险水平和共享决策,优先考虑安全.
科学领域:
- 老年医学 老年医学
- 神经科学是一个神经科学.
- 临床心理学 临床心理学
背景情况:
- 对于老年医生来说,评估认知障碍的老年人的决策是一个挑战.
- 缺乏明确的实践指导方针来评估这一群体的风险承担.
- 需要对当前实践和临床医生的需求有一个概述.
研究的目的:
- 描述欧洲老年医生关于认知障碍老年人的决策能力的现有实践和知识.
- 调查临床医生对与决策能力相关的伦理和法律建议的知识.
- 确定对改进评估和支持的需求.
主要方法:
- 在欧洲老年医生中共同创建并进行了一项在线调查.
- 调查包括关于实践,风险决策评估和道德/法律知识的部分.
- 使用描述性统计和定性方法分析数据.
主要成果:
- 临床面试是评估轻度至中度痴呆症患者决策的主要方法.
- 老年医生在承担风险的情况下优先考虑安全而不是自主权,但可能会支持与患者生活方式一致的风险决策.
- 对风险决策的支持取决于风险水平,评估能力和共享决策.
结论:
- 对于老年医生来说,评估认知障碍的老年人的决策能力仍然是一个挑战.
- 目前对临床面试和全球认知测试的依赖可能不足.
- 需要加强患者和环境的支持,以实现独立,风险相关的决策.
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