周全性老年評估個案報告：多重慢性中老年病人急性入院後日常生活活動功能恢復之探討

因急性內科疾病住院的高齡患者，常在住院前就有日常生活活動功能下降的現象。在住院期間，又因多重慢性病症及急性疾病的諸多交互作用下，導致患者失能的情況更加嚴重。這種「住院相關失能」的情況，即使在急性病程恢復後，約有三分之一的高齡患者的日常生活活動功能，仍無法恢復到住院前尚未生病時的水準。本文章是探討一位58歲的男性個案，因早發性失智及多重急慢性病的後遺症導致功能下降。在入院後，我們透過周全性老年醫學評估了解個案失能的原因、認知狀態的問題，並提供跨領域的整合治療及復健，以預防且處理其失能問題。出院三個月後追蹤個案的日常生活活動功能，已完全恢復至入院前的原本功能狀態。

關鍵字

日常生活活動功能；住院相關失能；多重慢性病

並列摘要

In older patients, acute medical illness that requires hospitalization is a sentinel event that often portends disability which in turn can result in subsequent inability to live independently and perform basic activities of daily living (ADLs). Occurring in approximately one-third of older patients, hospitalization-associated disability may even emerge in spite of the successful treatment of the illness that necessitates the hospitalization. In this article, a 58-year-old case with early-on-set dementia and multimorbidities had ADL decline after an acute illness, we evaluated this patient by comprehensive geriatric assessment to identify the problems in his functional status and cognition so as to provide adequate supportive care and interdisciplinary care to prevent and manage disability. After the assessment and treatment, the patient reported significant improvement and gradually returned to his baseline functional status three months after discharge.

並列關鍵字

activity of daily living ； hospitalization-associated disability ； multimorbidities

國際替代計量

周全性老年評估個案報告：多重慢性中老年病人急性入院後日常生活活動功能恢復之探討

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