The Cases on the Application of Touch Panel Type Screening Check for Early Detection of Dementia Conducted at a Community Pharmacy Near a Community Medical Hospital to an Advanced Treatment Hospital

The Cases on the Application of Touch Panel Type Screening Check for Early Detection of Dementia Conducted at a Community Pharmacy Near a Community Medical Hospital to an Advanced Treatment Hospital
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社区医院附近社区药房触摸屏式早期痴呆筛查检查应用于高级治疗医院案例

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发表时间:
2022
期刊:
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通讯作者:
T. Egawa
T. Egawa
中科院分区:
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作者:
Hiroshi Akura;Mamiko Kai;Yoshio Soda;Takafumi Nakano;Toshinobu Hayashi;Hitoshi Iida;K. Ogomori;Hiroaki Kawasaki;Masanobu Sonoda;Masashi Takahashi;T. Egawa

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本研究的目的是构建基于触屏式痴呆筛查(TPCD)结果从药房到高级治疗医院精神科专科医师的会诊系统,并评估其对痴呆诊断的有效性。我们在此报告三个案例,证明了TPCD在研究过程中的重要性。案例1是一名78岁男性的成功案例,药剂师根据TPCD结果推荐TPCD得分为11分的个体去高级医疗医院福冈大学医院的精神科医生那里就诊。他实际上被诊断为轻度认知障碍(MCI)。病例2为部分成功病例,来自一名78岁妇女。她的TPCD分数只有9分。药剂师有效地利用追踪报告通知患者的心脏病专家在药房执行TPCD的结果,如她所愿。另一方面,病例3显示,TPCD评分为2分的患者,尽管我们根据TPCD评分向家庭医生咨询,但仍因痴呆晚期而无法接受治疗。这些病例表明,高级医疗医院附近的药房应发挥作用,为疑似痴呆症患者和精神科专家之间提供便利,并使他们有机会在MCI后发展为痴呆症之前,与社区专业人士合作,尽早咨询专家。
The purpose of this study is to construct the consultation system based on the touch panel type screening check for dementia (TPCD) results from a pharmacy to psychiatric specialists at an advanced treatment hospital, and to evaluate the effectiveness of resulting in dementia diagnosis. We herein report three cases that demonstrate the significance of TPCD in the course of study. Cases 1 was successful case from a 78-year-old man in which pharmacists recommended individuals scored 11 on the TPCD to visit psychiatrists at Fukuoka University Hospital, an advanced medical hospital, based on the results of TPCD. He was practically diagnosed with mild cognitive impairment (MCI). Cases 2 was partially successful case from a 78-year-old woman. Her TPCD score resulted only 9. The pharmacist effectively utilized tracing report to notify the patient’s cardiologist about the results of the TPCD performed at the pharmacy as she wished. On the other hand, Case 3 showed that patient whose TPCD score resulted 2 could receive no treatment due to advanced stage of dementia despite our con-sulting with family doctor based on the TPCD scores. These cases suggest that the pharmacy near an advanced medical hospital should play a role to provide accessibility between the patients with suspected dementia and psychiatric specialists and make opportunities to consult specialists earlier before progressing towards a dementia following MCI collaborated with community interprofessionals.