[共病和痴呆]。

Philippe Chassagne, Fatiha Idrissi-Kassimy, Olivier Rigal
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引用次数: 5

摘要

流行病学数据表明,衰老、痴呆与癌症、慢性肾衰竭或营养不良等合并症之间存在密切联系。这些慢性疾病可能导致侵入性诊断程序以及困难的治疗管理。当老年认知障碍或痴呆患者出现此类症状时,医生和护理人员应制定具体的护理方案。例如,如果讨论对老年痴呆癌症患者进行辅助化疗,应仔细提供知情同意和治疗方案的详细信息。在慢性疾病发病时,评估其预后以及对自主性或生活质量的影响,尤其当患者同时患有痴呆时。我们讨论了因严重致死性疾病而需要高风险治疗的老年痴呆患者的具体管理特点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Comorbidity and dementia].

Epidemiological data suggest a strong association between aging, dementia and comorbidity such as cancer, chronic renal failure or undernourishment. These chronic conditions may lead to invasive diagnosis procedures as well as to difficult therapeutic management. When they occur in elderly patients with cognitive disorders or dementia, physicians and caregivers should apply specific care program. For example, if an adjuvant chimiotherapy is discussed for an old demented patient with cancer, informed consent and details about the treatment program should be carefully provide. At the onset of a chronic disease, the assessment of its prognosis as well as its impact on the autonomy or quality of life is particular when the patient is also demented. We discuss the specific characteristics about management of demented elderly patients who require high risk treatment because of severe and lethal diseases.

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