在急诊室的老年人中预防和管理妄症
Rachel M Skains1, Sangil Lee2, Jin H Han3
1Department of Emergency Medicine, University of Alabama at Birmingham School of Medicine, 521 19th Street South, Suite 203, Birmingham, AL 35233, USA; Geriatric Research, Education, and Clinical Center, Birmingham Veterans Affairs Medical Center, 700 19th Street South, Birmingham, AL 35233, USA.
在急诊室 (ED) 中对老年人进行常规查是非常重要的,因为它往往没有被识别,并导致不良结果. 管理层优先考虑非药物治疗方法,然后再考虑低剂量抗精神病药物治疗严重动荡.
科学领域:
- 老年病的医生 老年病的医生
- 紧急医疗 紧急医疗
- 神经科学是一个神经科学.
背景情况:
- 痴呆症影响到10-35%的老年人在急诊室 (ED).
- 在ED中,大约80%的妄想病例未被识别.
- 不被识别的妄想会导致老年患者出现显著的不良结果.
研究的目的:
- 强调在ED中常规 Delirium 查的重要性.
- 突出有效的错觉管理策略,特别是动荡.
主要方法:
- 审查当前的做法,在ED的痴呆症的识别和管理.
- 非药物干预的讨论:耐受,预期,不要激动 (TADA) 方法.
- 介绍管理的评估,诊断,评估,预防和治疗 (ADEPT) 工具.
主要成果:
- 常规查对于改善ED痴呆症的预防和管理至关重要.
- 非药物治疗措施优先用于管理激动.
- 用非典型抗精神病药物的药理干预仅适用于严重病例,使用最低有效剂量.
结论:
- 在ED中早期识别和管理痴呆症对于改善患者的治疗结果至关重要.
- 建议采取逐步的方法,优先考虑非药物治疗方法,用于妄想症管理.
- 建议在严重症状时谨慎使用药理学药物.
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