Our dementia challenge: arise palliative care
Our dementia challenge: arise palliative care
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DOI：
10.1111/imj.16011
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发表时间：
2023-02-01
影响因子：
2.1
通讯作者：
Cohen, Joshua
中科院分区：
文献类型：
--
作者：
Brennan, Frank;Chapman, Michael;Cohen, Joshua
虽然20世纪的许多疾病正在稳步得到控制，但神经退行性疾病的发展仍在很大程度上未受控制。痴呆症是这类疾病的一个例子;其发病率和流行率继续上升，这在很大程度上是由于全世界人口的稳步老龄化。它们代表了一组慢性、进行性和最终致命的神经退行性疾病。痴呆症在治疗上仍然是不可行的。它不是一种单一的疾病，正因为如此，我们不能指望有单一的灵丹妙药。虽然初级预防理所当然地获得了突出地位，但那些已确诊的疾病患者目前需要将重点从治疗转向提高生活质量。进入姑息治疗。痴呆症患者需求的数量和复杂性，从身体到心理社会和精神，需要广泛的医学学科，护理和专职卫生专业人员的参与。正如最近澳大利亚皇家老年护理质量和安全委员会所强调的那样，其中一个学科是姑息治疗。本文将扩大在照顾痴呆症患者的整体背景下的作用。
While many of the maladies of the 20th century are steadily coming under control, the march of neurodegenerative disorders continues largely unchecked. Dementias are an exemplar of such disorders; their incidence and prevalence continue to rise, in large part due to a steadily ageing population worldwide. They represent a group of chronic, progressive and, ultimately, fatal neurodegenerative diseases. Dementia has remained therapeutically recalcitrant. It is not a single disease, and because of that, we cannot expect a single panacea. While primary prevention rightly gains prominence, those with established disease currently require a shift in focus from curative intent towards improved quality of life. Enter palliative care. The sheer number and complexity of needs of patients with dementia, from the physical to the psychosocial and spiritual, necessitates the engagement of a wide range of medical disciplines, nursing and allied health professionals. One of those disciplines, as highlighted in the recent Australian Royal Commission into Aged Care Quality and Safety, is palliative care. This paper shall expand upon that role in the overall context of care for those with dementia.