如何管理患有帕金森病的个体,急性无法吞
Mayu Teranaka1, Wakana Teranaka2, Howell T Jones3,4
1Department of Geriatric Medicine, Watford General Hospital, Hertfordshire, UK.
当吞困难时,管理帕金森病 (PD) 药物需要一个结构化的方法. 这包括评估非口腔途径,如鼻胃管或可分散/局部药物,优先考虑以患者为中心的护理.
科学领域:
- 神经学 神经学
- 药理学 药理学是指药理学的学科.
- 胃肠病学 胃肠病学
背景情况:
- 帕金森病 (PD) 常常会导致失消,使口服药物管理复杂化.
- 患有PD的患者可能需要非口服药物,因为吞困难,nil-by-mouth状态,或其他原因.
- 对PD药物的有效管理对于症状控制和患者健康至关重要.
研究的目的:
- 概述帕金森病患者急性非口服药物需求的五步管理策略.
- 为提供指导,当口服不可行时,提供替代药物注射途径.
- 强调多学科和以患者为中心的方法来治疗PD的药物管理.
主要方法:
- 对鼻胃管 (NG) 的适当性进行评估.
- 将口服药物转换为可分散配方或局部贴片.
- 根据患者的反应进行每日临床检查和药物定位.
- 语音语言治疗和饮食团队的参与.
主要成果:
- 一种结构化的五步方法可促进PD中急性非口服药物需求的管理.
- 可以有效地利用替代药物治疗途径 (NG管,可分散,局部).
- 多学科协作和共享决策增强了患者的护理.
结论:
- 一种系统的方法确保了无法服用口服药物的PD患者的护理连续性.
- 以患者为中心的护理和多学科的投入对于优化药物管理至关重要.
- 对非口服药物的及时审查和定位对于实现期望的临床结果至关重要.
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