ISSN:0734-0664    

DOI:10.1111/j.1741-2358.1987.tb00387.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

“Dementia” refers to a broad neurological syndrome marked by multifaceted intellectual loss. Primary and secondary forms exist. Alzheimer's disease, a primary dementia, is the most important cause of the syndrome. It has a well‐defined pathology and a characteristic clinical presentation, but its etiology, or etiologies, remains unknown. No currently available medical therapy can reverse or arrest Alzheimer's disease. However, treatment of associated symptoms and attention to the needs of patients and their families can blunt some of the effects of this devastating il

ISSN:0734-0664    

DOI:10.1111/j.1741-2358.1987.tb00388.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

Alzheimer's Disease is a devastating, age‐related, irreversible clinical syndrome characterized by a wide spectrum of progressive impairments in cognitive, behavioral and functional abilities. Since no effective therapy exists to cure or arrest the disease progression, treatment efforts are directed at providing relief of the physical, emotional and psychosocial discomforts associated with the advancing illness. Treatment goals focus on promoting quality of life for both patient and family with particular emphasis on role adjustments, comfort and safety. The complexity of changing illness manifestations necessitates professional multidisciplinary collaboration throughout the course of the illness. Continuity of care in the transition from home to institution is of great benefit to the patient, the family and the professional staff. The philosophy of caring and examples of intervention strategies to deal with the distressing symptoms in both the patient and the family are discusse

ISSN:0734-0664    

DOI:10.1111/j.1741-2358.1987.tb00389.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

Medications used for the management of the Alzheimer's patient are of two types: agents prescribed for treatment of cognitive disorders and agents used for symptomatic relief of mood disorders. This article reviews the mechanisms of action and side‐effects of the more common of these agents. In addition, dental management of the Alzheimer's patient is discussed in relation to specific medications being take

ISSN:0734-0664    

DOI:10.1111/j.1741-2358.1987.tb00390.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

Individuals with dementia present a significant challenge to the dental professional. The dental professional must meet the special needs of the patient with dementia with patience and a variety of non‐traditional skills, including treatment planning with caregivers and nonverbal communication to reassure disoriented patients. The goals of dental care for the patient with dementia are to restore and maintain oral health and prevent progression of oral disease. Because of the degenerative nature of dementia, the first dental visit for a patient with dementia may represent the patient's best cognitive functioning level. For this reason, the dental treatment plan should aim to restore oral function quickly and to institute an intensive preventive program. Practical guidelines for preventive diagnostic, and restorative care are provided. To illustrate these points, two cases are presente

ISSN:0734-0664    

DOI:10.1111/j.1741-2358.1987.tb00391.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

Ethical issues involved in providing dental care to geriatric patients have generally been ignored in the practice and academic literatures. Elderly patients require special ethical consideration because of increased burden of illness, sensory deficits which may interfere with symptom interpretation and communication, fiscal constraints and ageism among both providers and patients. A taxonomy of ethical issues is provided including issues pertaining to the patient, the family, service providers, and the health care system. Suggestions are made for improving decision making in geriatric dental care.

ISSN:0734-0664    

DOI:10.1111/j.1741-2358.1987.tb00392.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

ISSN:0734-0664    

DOI:10.1111/j.1741-2358.1987.tb00393.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

ISSN:0734-0664    

DOI:10.1111/j.1741-2358.1987.tb00394.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY