- 期刊
長照體系內譫妄症與急性問題行為之評估與處置
Assessment and Management of Delirium and Acute Problematic Behavior in the Long-Term Care Setting
摘要
譫妄症是一種嚴重而複雜的症候群，且在所有醫療照護體系相當常見，包括長期照護體系。在長期照護體系中，譫妄症會造成相當程度的併發症及死亡，對醫療專業人員而言是相當大的挑戰。在長期照護體系中，譫妄症及急性問題行為相當常見。面對有急性問題行為的病患，若懷疑有譫妄症，應立即給予評估和處置。為了改善長期照護體系中的照護品質，美國醫療主管學會（American Medical Directors Association）針對長照體系內譫妄症與急性問題行為發展出一套臨床診療指引。該指引的特色為提供十五個步驟的系統性評估，包括辨識、評估、處置及監測四大部分。本文將介紹美國醫療主管學會在長照體系內譫妄症與急性問題行為的指引，並回顧相關診治的最新進展。
並列摘要
Delirium is a serious, complex syndrome, commonly encountered across all healthcare settings, including long-term care (LTC) setting. Delirium leads to substantial morbidity and mortality in LTC settings, and presents a huge challenge to healthcare professionals. If a patient with acute problematic behavior is suspected to have delirium, he/she needs immediate medical attention. To improve the quality of care delivered to residents in long-term care facilities, the American Medical Directors Association (AMDA) developed a clinical practice guideline on delirium and acute problematic behavior in the long-term care setting. The guideline features a 15-step systematic approach to recognizing, assessing, treating and monitoring long-term care residents with delirium and acute problematic behavior. The current article reviews the AMDA guideline and provides an update for delirium and acute problematic behavior in long-term care settings.