Demans Olgusunun Acil Serviste Yönetimi
Özet
Demans, belirli bir semptom grubu için kullanılan genel bir terimdir. Bir kişinin günlük aktivitelerini gerçekleştirme yeteneğini etkileyen hafıza, dil, problem çözme ve diğer düşünme becerilerindeki zorluklar demansın karakteristik semptomlarını oluşturur. Günlük aktivitelerdeki fonksiyon kaybındaki düşüş yavaş olarak izlenmektedir. Artan yaşlı nüfus ve bununla birlikte demans tanısı alan birey sayısındaki artış, klinisyenlere acil serviste demans hastasına yaklaşımında ve yönetiminde yol gösterici kaynaklara ihtiyaç oluşturmuştur. Demansla yaşayan kişiler, yetersiz bakım ve taburcu olduktan sonraki bakım geçişlerine atfedilen kötü sonuçlarla sık ve maliyetli acil servis ziyaretleri yaşarlar. Geriatrik demans olgularında tüm acil durumların yönetiminde öncelikle altta yatan nedenler sorgulanmalıdır ve kliniği etkileyen etyolojiye yönelik tedavi planı yapılmalıdır.
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