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內科學誌 Scopus

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篇名 住院中周全性老年評估之應用與實證
卷期 30:1
並列篇名 The Application and Evidence of Inpatient Comprehensive Geriatric Assessment
作者 林孟屏陸鳳屏
頁次 002-006
關鍵字 周全性老年評估 篩檢工具 高齡 住院病患照護 ScopusTSCI
出刊日期 201902
DOI 10.6314/JIMT.201902_30(1).02

中文摘要

老年病患常有多重問題,住院中若只治療急性問題,而缺乏對老年病患全面性的評估與治療計畫,將錯失改善病人身體功能之契機。本個案介紹一位因泌尿道感染住院之老年病患,藉由周全性老年評估而提早介入其失智、譫妄、憂鬱、疼痛、營養、生活功能下降等問題,達到早期診斷、早期治療、改善預後、及全人照護之目的;並簡介周全性老年評估的內容、方式、與實證基礎。

英文摘要

Older patients often have complex health problems in multiple domains. In addition to traditional management of single disease, performing a comprehensive geriatric assessment (CGA) help clinicians to early detect and to intervene potential risk factors to improve functional capacity and quality of life among older adults. Here we presented a patient who was hospitalized due to a complicated urinary tract infection. Multiple problems including cognitive impairment, delirium, depression, pain, malnutrition, and functional decline were detected through CGA. Patient-centered plans were implemented through multidisciplinary team care. We also introduced the scope, brief methods, and updated evidence of CGA.

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