适用对轻度认知障碍和痴呆症的诊断披露的建议:临床医生的实用指南
Kyra O'Brien1, Emily A Largent2, Jason Karlawish1,2,3
1Department of Neurology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 31, 2024
概括
沟通认知障碍诊断,特别是阿尔茨海默病 (AD) 和相关痴呆症 (ADRD),需要小心的患者和护理伙伴参与. 这些指南有助于临床医生自信地披露诊断和护理计划.
科学领域:
- 神经学 神经学
- 老年病的医生 老年病的医生
- 心理学 心理学 心理学
背景情况:
- 认知障碍评估以诊断披露结束,这对于指导后续护理至关重要.
- 披露阿尔茨海默病 (AD) 和与AD相关的痴呆症 (ADRD) 的诊断提出了独特的挑战.
- 有效的沟通对于患者的理解和护理规划至关重要.
研究的目的:
- 为临床医生提供关于AD/ADRD诊断披露复杂性的指导.
- 增强临床医生在沟通诊断结果和护理计划方面的信心.
- 强调以患者为中心的沟通和护理伙伴参与的重要性.
主要方法:
- 对认知障碍的诊断披露最佳实践的审查.
- 在披露过程中纳入患者和护理合作伙伴的观点.
- 评估患者的理解,目标和信息偏好方面的指导.
主要成果:
- 诊断披露是认知障碍评估过程中不可或缺的一部分.
- 涉及护理合作伙伴对于AD/ADRD的评估和持续护理至关重要.
- 建议以患者为中心的沟通策略是有效的披露.
结论:
- 临床医生应采用良心和以患者为中心的方法来揭示AD/ADRD诊断信息.
- 建议及早和一致地纳入护理伙伴.
- 有效的沟通建立了信心,并改善了对认知障碍患者的护理.
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