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Yıl:2016; Cilt: 2; Sayı: 1>> Özet
Türkiye Klinikleri Psikiyatri Hemşireliği Özel Dergisi; 2016;2(1):27-31
Alzheimer Tipi Demans ve Hemşirelik Bakımı
N Aştı
İstanbul Arel Üniversitesi, İstanbul
Alzheimer tipi demans, ilerleyici bilişsel yıkımın, günlük yaşam aktivitelerinde azalmanın, ajitasyon, depresyon ve psikoz gibi davranış ve psikolojik semptomların görüldüğü bir sendromdur. Agresyon, huzursuzluk, ajitasyon, amaçsız dolaşma, bağırıp çağırma, küfür etme gibi davranışsal semptomlar bakıcı yada ailede tükenmeye neden olabilir. Demansı olan bireylerin bakımında temel hedefler; hastanın fonksiyonelliğinin korunması, güvenli çevre oluşturulması, ilişkilerinin düzenlenmesi ve yaşam kalitesini sürdürecek terapötik ortamın sağlanmasıdır. Demanstaki hafif davranışsal ve psikolojik semptomlarla başetmede genellikle non-farmokolojik yaklaşımlar birinci sırada yer alır. Ancak semptomlar orta ve ileri derecede ise ilaç tedavisi, sıklıkla nonformakolojik yaklaşımlarla birlikte uygulanır.
The Dementia of Alzheimer Type and Nursing Care
Alzheimer type of dementia is associated with progressive cognitive impairment, the deacrease of the daily living activities and behavioral and psychological symptoms of dementia. Behavioral symptoms as aggression, screaming, restlessness, agitation, wandering can cause of caregiver's or family's burden. The main objectives for dementia care is to protect the functionality , regulation of environment and the relations to maintain stability and to ensure the therapeutic environment to protect and ensure the quality of life. Non-pharmacological interventions are usually first-line in dealing with milder behavioral and psychological symptoms of dementia. But for symptoms that are moderate or severe, medication is indicated, often in conjunction with nonpharmacological interventions.

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