Alzheimer Dementia in the Orthopaedic Patient
Autor: | David A Zuelzer, Eric S Moghadamian, Stephen L. Kates, Arun Aneja |
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Rok vydání: | 2019 |
Předmět: |
Male
PubMed medicine.medical_specialty Population Disease Severity of Illness Index Perioperative Care Fractures Bone Life Expectancy Cost of Illness Quality of life Alzheimer Disease Severity of illness medicine Humans Dementia Orthopedic Procedures Orthopedics and Sports Medicine Intensive care medicine education Disease burden Aged Aged 80 and over Postoperative Care education.field_of_study business.industry Psychosocial Support Systems Perioperative medicine.disease Treatment Outcome Quality of Life Accidental Falls Female Surgery Alzheimer's disease business |
Zdroj: | Journal of the American Academy of Orthopaedic Surgeons. 27:e311-e318 |
ISSN: | 1067-151X |
DOI: | 10.5435/jaaos-d-17-00661 |
Popis: | Alzheimer disease is a neurologic disorder characterized by the progressive cognitive decline. As the population continues to age, orthopaedic surgeons need to become familiar with surgical and nonsurgical treatment considerations in this complex population. Despite the advances in geriatric and dementia care, surgical and postoperative management of both elective and emergent surgery remain complex and controversial in this patient population. Appropriate perioperative and postoperative management can optimize outcomes, and the management can significantly affect the quality of life of patient and caregiver and limit disease burden. Any treatment decision should be guided first and foremost by the goals of care as agreed between the surgeon, other providers, and family. Surgical management must be demand matched to the patient accounting for the severity of disease, life expectancy, and the social support system. The authors conducted a literature review of Alzheimer dementia care in orthopaedic patients via a Pubmed search of relevant articles published since 1980. |
Databáze: | OpenAIRE |
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