[老年眼科共同管理 :跨学科合作病例报告]。

IF 1.1 4区 医学 Q4 GERIATRICS & GERONTOLOGY Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2024-07-01 Epub Date: 2024-05-21 DOI:10.1007/s00391-024-02311-6
Jan-Niklas Krohn, Mohammed Almaqadma, Josef Schmidbauer, Markus Gosch, Katrin Singler
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引用次数: 0

摘要

本病例报告详细介绍了对一名 81 岁患者进行评估和跨学科合作治疗的过程,患者表现为急性视力障碍、头晕、全身无力、步态障碍和害怕跌倒。全面的老年病学评估显示,患者存在正张力失调和潜在的多因素步态障碍,而视力损伤又加剧了这种障碍。眼科检查结果包括左视网膜中央动脉分支闭塞和白内障。全面的老年病学评估显示,患者体质虚弱、活动能力受损、功能减退。随后,以患者为中心的跨学科治疗方法包括视网膜缺血治疗、正压测试、药物调节、物理治疗和职业治疗。本病例强调了眼科和老年病科之间的跨学科合作如何通过积极的评估和干预来降低视力受损患者功能衰退和丧失自主能力的风险,考虑到老龄化人口中视力受损的发生率越来越高,这一点尤为重要。
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[Geriatric ophthalmologic co-management : A case report of interdisciplinary collaboration].

This case report details the assessment and interdisciplinary collaboration in the management of an 81-year-old patient presenting with acute visual impairment, dizziness, general weakness, gait disturbances and fear of falling. A holistic geriatric evaluation revealed orthostatic dysregulation and an underlying multifactorial gait disorder exacerbated by visual impairment. Ophthalmological findings included left central retinal artery branch occlusion and cataracts. A comprehensive geriatric assessment showed frailty, impaired mobility and decreased functional abilities. Subsequent patient-centered interdisciplinary approaches included treatment for retinal ischemia, orthostatic testing, medication reconciliation, physiotherapy and occupational therapy. This case emphasizes how interdisciplinary collaboration between ophthalmology and geriatrics enables proactive assessment and intervention to reduce the risk of functional decline and loss of autonomy in visually impaired patients, which is of particular relevance considering the increasing prevalence of visual impairment in the ageing population.

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来源期刊
CiteScore
2.00
自引率
16.70%
发文量
126
审稿时长
6-12 weeks
期刊介绍: The fact that more and more people are becoming older and are having a significant influence on our society is due to intensive geriatric research and geriatric medicine in the past and present. The Zeitschrift für Gerontologie und Geriatrie has contributed to this area for many years by informing a broad spectrum of interested readers about various developments in gerontology research. Special issues focus on all questions concerning gerontology, biology and basic research of aging, geriatric research, psychology and sociology as well as practical aspects of geriatric care. Target group: Geriatricians, social gerontologists, geriatric psychologists, geriatric psychiatrists, nurses/caregivers, nurse researchers, biogerontologists in geriatric wards/clinics, gerontological institutes, and institutions of teaching and further or continuing education.
期刊最新文献
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