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Inpatient care for persons with Alzheimer's disease.

机译:阿尔茨海默氏病患者的住院治疗。

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摘要

In the United States, 4.9 million people aged 65 years and older have Alzheimer's disease (AD). Medicare costs for patients with heart disease, diabetes, congestive heart failure, or chronic obstructive pulmonary disease and dementia are higher than for those without dementia. Although one principle of care for persons with AD is "do not hospitalize," comorbidities may require inpatient care. This article presents a definition, the diagnostic criteria for AD, and information about differential diagnosis, risk factors, pathology, progression, evidence base for practice, assessment, pharmacologic management, guidelines for general inpatient care, discharge planning, and interventions related to communications, environment, spirituality, special tasks (eating, protecting tubes and dressings, bathing), stages of AD, and special problems (wandering, pain, incontinence, hallucinations, aggression).
机译:在美国,有490万名65岁以上的老年人患有阿尔茨海默氏病(AD)。患有心脏病,糖尿病,充血性心力衰竭或慢性阻塞性肺疾病和痴呆症的患者的医疗保险费用要高于没有痴呆症的患者。尽管对AD患者的护理原则之一是“不住院”,但合并症可能需要住院治疗。本文介绍了AD的定义,诊断标准,以及有关鉴别诊断,危险因素,病理学,进展,实践证据,评估,药理学管理,一般住院护理指南,出院计划以及与交流有关的干预措施的信息,环境,灵性,特殊任务(饮食,管子和敷料的保护,洗澡),AD阶段以及特殊问题(流浪,疼痛,失禁,幻觉,侵略)。

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