周全性老年評估個案報告：譫妄

Comprehensive Geriatric Assessment-Delirium

陳昭先(Chao-Hsien Chen) ； 王珮淳(Pei-Tsun Wang) ； 陳晶瑩(Chin-Ying Chen) ； 黃國晉 (Kuo-Chin Huang) ； 陳慶餘(Ching-Yu Chen)

《台灣老年醫學暨老年學雜誌》 8卷1期 (2013/02) Pp. 54-67

https://doi.org/10.29461/TGG.201302_8(1).0005

摘要

本個案為85歲男性，因為慢性腹瀉、營養不良、體重減輕、及意識不清入院，住院治療期間發生多次譫妄。我們以周全性老年評估的方式，及早辨識，並尋找潛在病因，特別注意老年人非典型表現，在團隊的努力下，除了給予足夠的支持治療，並預防併發症發生，讓病人得以康復出院，出院調養後已恢復住院前功能狀態。

關鍵字

周全性老年評估 ； 譫妄 ； 譫妄亞症候群 ； 老年症候群

並列摘要

An 85 year-old man was admitted due to chronic diarrhea, malnutrition, weight loss, and delirium. The patient presented with different phenotypes (including hyperactive, hypoactive, and mixed type) of delirium during hospitalization. We had evaluated this patient by comprehensive geriatric assessment to recognize delirium, found the remediable factors of delirium, provide adequate supportive care and interdisciplinary care to prevent complications. After evaluation and treatment, the patient reported significant improvement and gradually restored to his baseline functional status after discharge.

並列關鍵字

comprehensive geriatric assessment ； delirium ； delirium subsyndrome,geriatric syndrome