快速访问记忆程序,以解决在学术初级保健环境中对初始痴呆症的担忧
Travis H Turner1,2, Emmi P Scott1, Katherine Barlis3,4
1Department of Neurology, Medical University of South Carolina, Charleston, SC, USA.
Journal of geriatric psychiatry and neurology
|December 29, 2023
概括
快速访问记忆程序 (RAMP) 改善了初级保健中老年人的痴呆症诊断. 该计划提供及时的神经心理服务,使得诊断和管理计划更快.
科学领域:
- 老年学是指老年学的学科.
- 神经心理学 神经心理学
- 初级医疗保健医学 一级医疗保健医学
背景情况:
- 由于时间限制和专家短缺,早期痴呆症的及时诊断在初级保健中具有挑战性.
- 神经心理学评估的长时间等待列表会延迟患者的护理.
研究的目的:
- 描述快速访问记忆程序 (RAMP) 的开发和临床结果.
- 在初级保健中加强对有认知衰退问题的老年人获得神经心理服务的机会.
主要方法:
- 快速访问记忆程序 (RAMP) 是为了提供缩短的神经认知评估而开发的.
- 关键功能包括当天的患者反,加快提供者报告和财务自我支持.
- 从该计划的最初三年分析了临床结果.
主要成果:
- 160名患者中有30%被诊断为痴呆症,50%的患者有轻度认知障碍.
- 阿尔茨海默病是最常见的疑似原因;新精神病诊断发生在三分之一的患者中.
- 建议包括药物调整,安全规划和专家转诊,17%的人参加研究.
结论:
- 拉姆普计划证明了在将初级保健患者与基本神经心理服务联系起来时的可行性和实用性.
- 结果支持RAMP作为改善老年人痴呆症护理准入的有效模式.
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