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Director (Cincinnati, Ohio)最新文献

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A new look on nutrition. 营养学的新观点。
Director (Cincinnati, Ohio)
Pub Date : 2008-01-01
Jeanne Carlson
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引用次数: 0
Discontinuing Alzheimer's disease drug therapy: why, when, and how. 停止阿尔茨海默病药物治疗:为什么，何时，如何。
Director (Cincinnati, Ohio)
Pub Date : 2008-01-01
Diane Crutchfield

Drug therapy is an important component in the management of AD. The agents discussed do not stop or reverse the disease, but can slow its progression. There are currently 3 AChEIs and memantine available to treat AD. Generally, one agent is started and increased up to a maximum dose. If this agent is not effective or not tolerated, another agent is substituted. Combination therapy with an AChEI and memantine is another option that has shown effectiveness in managing AD. Therapy is generally discontinued if these agents prove to be ineffective or are not tolerated. The decision to stop therapy should involve the resident, family, caregivers, and providers.

药物治疗是阿尔茨海默病治疗的重要组成部分。所讨论的药物不能阻止或逆转疾病，但可以减缓其进展。目前有3种achei和美金刚可用于治疗AD。一般来说，一种药物开始并增加到最大剂量。如果这种药物无效或不能耐受，则用另一种药物代替。乙酰胆碱抑制剂和美金刚联合治疗是治疗AD的另一种有效选择。如果这些药物被证明无效或不能耐受，则通常停止治疗。停止治疗的决定应包括住院医师、家属、照顾者和提供者。
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引用次数: 0
Treating chronic insomnia in long-term care: a look at nonpharmacologic options. 在长期护理中治疗慢性失眠:非药物选择的研究。
Director (Cincinnati, Ohio)
Pub Date : 2008-01-01
Sherrie Dornberger

It is important to establish a goal when a resident is diagnosed with chronic insomnia. Based on clinical studies, sleep hygiene should be the first step in managing insomnia. Long-term care facilities should identify environmental factors that may put residents at risk for insomnia. CBT has been studied and shown to be effetive in the management of chronic insomnia, especially in older adults at risk for complications associated with drug therapy. Various CBT options are available. The type of CBT used should be individualized depending upon the resident and resources available within the facility. Drug therapy can be added if CBT alone is ineffective. The next article in this series will discuss pharmacologic options to manage chronic insomnia.

当住院医师被诊断为慢性失眠症时，建立一个目标是很重要的。根据临床研究，睡眠卫生应该是控制失眠的第一步。长期护理机构应确定可能使居民面临失眠风险的环境因素。CBT已被研究并被证明在治疗慢性失眠方面是有效的，特别是在有药物治疗并发症风险的老年人中。CBT有多种选择。所使用的CBT类型应根据住院医师和设施内可用的资源进行个性化。如果单独的CBT无效，可以增加药物治疗。本系列的下一篇文章将讨论治疗慢性失眠的药物选择。
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引用次数: 0
Culture Change: celebrations that make life worth living. 文化变革:让生命值得活下去的庆祝活动。
Director (Cincinnati, Ohio)
Pub Date : 2008-01-01
Betty MacLaughlin Frandsen
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引用次数: 0
Insomnia: definition an prevalence in the elderly. 失眠症:老年人的定义和患病率。
Director (Cincinnati, Ohio)
Pub Date : 2008-01-01
Sherrie Dornberger

There is a high prevalence of insomnia in the long-term care setting. This condition needs to be addressed because insomnia affects the quality of life of the resident. It is important for practitioners to differentiate between primary and secondary insomnia so the proper treatment can be given to residents.

在长期护理环境中，失眠的患病率很高。这种情况需要解决，因为失眠会影响居民的生活质量。对于医生来说，区分原发性和继发性失眠是很重要的，这样才能给病人适当的治疗。
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引用次数: 0
The assisted living resident past-present-future. 过去-现在-未来的生活辅助居民。
Director (Cincinnati, Ohio)
Pub Date : 2008-01-01
Delia Dee McGinnis
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引用次数: 0
Insomnia: definition and evaluating insomnia and its comorbidities. 失眠症:定义和评估失眠症及其合并症。
Director (Cincinnati, Ohio)
Pub Date : 2008-01-01
Sherrie Dornberger
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引用次数: 0
Culture Change: what is it and how to get started. 文化变革:什么是文化变革，如何开始?
Director (Cincinnati, Ohio)
Pub Date : 2008-01-01
Betty MacLaughlin Frandsen
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引用次数: 0
Taking a new look at an old process. 用新的眼光看待旧的过程。
Director (Cincinnati, Ohio)
Pub Date : 2008-01-01
Betty MacLaughlin Frandsen
{"title":"Taking a new look at an old process.","authors":"Betty MacLaughlin Frandsen","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79399,"journal":{"name":"Director (Cincinnati, Ohio)","volume":"16 2","pages":"32, 34, 36"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28165846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Debridement update for long-term care practitioners. 长期护理从业人员清创更新。
Director (Cincinnati, Ohio)
Pub Date : 2008-01-01
Pamela Scarborough
{"title":"Debridement update for long-term care practitioners.","authors":"Pamela Scarborough","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79399,"journal":{"name":"Director (Cincinnati, Ohio)","volume":"16 1","pages":"14-7"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28165251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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