Misdiagnosis of Alzheimer's Disease: Case Studies in Capacity Assessment

Misdiagnosis of Alzheimer's Disease: Case Studies in Capacity Assessment
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阿尔茨海默病的误诊:能力评估案例研究

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发表时间:
2012
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影响因子:
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通讯作者:
P. Lichtenberg
P. Lichtenberg
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文献类型:
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作者:
P. Lichtenberg

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对阿尔茨海默病的强烈关注甚至导致经验丰富的从业者将老年人的认知障碍误诊为阿尔茨海默病。在能力方面,尤其是监护能力和遗嘱能力方面,误诊的影响可能最大。提供了两个案例,重点关注诊断问题以及鉴于老年人认知功能障碍病例不断增加的准确诊断的重要性。在第一个案例中,谵妄和虚弱问题被误诊为阿尔茨海默病,而在第二个案例中,过度依赖家庭报告和文化能力的缺乏导致一名患有轻度认知障碍(执行功能型)的女性被诊断为中度阿尔茨海默病。随着老年人口的增长,临床老年学家将继续被要求评估能力,而准确的诊断对于准确的评估至关重要。
The intense focus on Alzheimer's disease has led even experienced practitioners to misdiagnose older adults' cognitive impairment as Alzheimer's. The impact of misdiagnosis may be greatest in cases of capacity, especially conservatorship and testamentary capacity. Two case examples are presented, with an emphasis on diagnostic issues and the importance of accurate diagnosis in light of increasing cases of cognitive dysfunction in older adults. In the first case, issues of delirium and frailty were misdiagnosed as Alzheimer's disease, while in the second case, overreliance on family report and a lack of cultural competency caused a woman with mild cognitive impairment (executive functioning type) to be diagnosed with moderate Alzheimer's disease. As the older adult population grows, clinical gerontologists will continue to be called on to assess capacity, and accurate diagnosis is essential for accurate assessment.
DOI: 10.1001/archneurol.2010.179
发表时间: 2010-08
影响因子: --
作者:
De Meyer, Geert;Shapiro, Fred;Vanderstichele, Hugo;Vanmechelen, Eugeen;Engelborghs, Sebastiaan;De Deyn, Peter Paul;Coart, Els;Hansson, Oskar;Minthon, Lennart;Zetterberg, Henrik;Blennow, Kaj;Shaw, Leslie;Trojanowski, John Q.
通讯作者: Trojanowski, John Q.