کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
8680731 | 1579302 | 2018 | 27 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
A Palliative Approach to Falls in Advanced Dementia
ترجمه فارسی عنوان
یک رویکرد تساهل به افتادن دمانس پیشرفته
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کلمات کلیدی
سقوط، زوال عقل، مراقبت تسکین دهنده، خانه پرستاری، جلوگیری می کند
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
مغز و اعصاب بالینی
چکیده انگلیسی
Falls are viewed as a preventable cause of injury, functional loss, and death in older adults with dementia, and have been used as a marker of quality of care in long-term care facilities. Despite intensive intervention around fall prevention in these settings, falls and injury remain frequent, particularly among residents in the advanced stages of dementia. In this clinical review, we consider the common challenges and pitfalls in both the management of falls and the provision of palliative care in advanced dementia. We then describe a palliative approach to falls in advanced dementia that involves identifying individuals who would benefit from this care approach, framing falls and loss of mobility as a quality of life issue, and devising an individualized symptom assessment and management plan. A palliative approach can lead to recognition and acceptance that recurrent falls are often symptomatic of advanced dementia, and that not all falls are preventable. We conclude that falls in the advanced stage of dementia can be sentinel events indicating the need for a palliative approach to care. Rather than replace falls prevention activities, a palliative approach to falls prompts us to select dementia stage-appropriate interventions with a focus on symptom management, comfort, and dignity.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The American Journal of Geriatric Psychiatry - Volume 26, Issue 4, April 2018, Pages 407-415
Journal: The American Journal of Geriatric Psychiatry - Volume 26, Issue 4, April 2018, Pages 407-415
نویسندگان
Andrea M.D., D.Phil., Karen Ph.D., Meghan N. P.T., Amy O.T., Alastair J. M.B., Daphna M.D., Ron M.D.,