Dergi Ara >>
Yıl:2009; Cilt: 1; Sayı: Özel>> Özet
Geriatri ve Geriatrik Nöropsikiyatri Dergisi; 2009;1(Özel):78-80
Hastanede Yatan Yaşlılarda Demansın Belirlenmesi ve Hemşirenin Rolü
Ö Küçükgüçlü
Demans bilişsel fonksiyonların giderek bozulmasıyla
kendini gösteren nöropsikiyatrik bir hastalıktır. Alzheimer
hastalığı en sık görülen demans nedenidir ve
Alzheimer hastalığı tüm demansların yaklaşık % 50-
80'i ni oluşturmaktadır. Demansın yaşlılar arasında
prevalansı yüksektir. Hastalığın görülme oranı 65 yaşından
sonra her beş yılda ikiye katlanarak artmaktadır
ve 85 yaşında yaklaşık bireylerin % 30-50'si nde
görülmektedir. Fakat bu hastalık deneyimli klinisyenlerin
bile gözünden kaçabilmektedir. Çünkü hastalığın
varlığı için gereken ipucu gizli ve nonspesifik olabilmektedir.
Ayrıca tanıyı engelleyen diğer nedenlere
bakıldığında; yaşlıların bu hastalıktan dolayı damgalanmak
istememeleri nedeniyle hastaneye gitmemeleri
ve yanlış veriler vermesi, yaşlı bireyin ve ailesinin
bu durumun yaşlılıkla alakalı olduğunu düşünmesi ve
yardım istememesi, sağlık profesyonellerinin ilk karşılaşmada
yeterince dikkatli olmaması gibi nedenler
sayılabilir. Ancak bilinmektedir ki, hem tanıdaki hem
de kayıtlardaki güçlükler ve yetersizlikler bu hasta
grubuna yeterli bakımı engellemektedir.

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