Alzheimer's disease patients and their caregivers: medical care issues for the primary care physician.
Alzheimer's disease patients and their caregivers: medical care issues for the primary care physician.
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阿尔茨海默病患者及其护理人员：初级保健医生的医疗护理问题。
DOI：
10.1097/00007611-199601000-00001
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发表时间：
1996
影响因子：
1.1
通讯作者：
Powers,RE
中科院分区：
文献类型：
--
作者：
Barrett,JJ;Haley,WE;Powers,RE
阿尔茨海默病（AD）是一种常见的问题，对初级保健医生的评估和管理具有复杂的挑战。我们提出了一个实用的、医生在AD护理中使用的六步策略，简称为ACROSS: AD评估，诊断沟通，转介到适当的社区资源，持续评估，为患者和护理者问题提供解决方案，并保持对家庭护理者问题的敏感性。阿尔茨海默病患者的家庭照顾者为医生提供必要的诊断信息，并执行医生对阿尔茨海默病护理的建议。医生的建议和支持对于家庭照顾者承受照顾患有进行性痴呆症的亲人的无情压力至关重要。我们为AD各个阶段常见的患者和护理人员问题的管理提供实用的建议。
Alzheimer's disease (AD) is a common problem with complex challenges in assessment and management for the primary care physician. We present a practical, six-step strategy for physicians to use in AD care, summarized by the acronym ACROSS: assessment of AD, communication of the diagnosis, referral to appropriate community resources, ongoing evaluation, providing solutions to patient and caregiver problems, and maintaining sensitivity to family caregiver issues. The family caregiver of the patient with AD provides the physician with essential diagnostic information and implements physician recommendations for AD care. Advice and support from the physician are essential for the family caregiver to withstand the relentless strain of caring for a loved one with a progressive dementia. We provide practical suggestions for management of common patient and caregiver problems across the stages of AD.