老人醫學門診避免長輩吃藥像吃飯

[MK]

http://tw.news.yahoo.com/article/url/d/ ... 1qkwj.html
更新日期:2009/09/07 00:18 記者郭政隆／嘉義報導
日前，有一位陳姓阿婆因為有頭暈症狀，共吃了11顆治頭暈的藥都沒有用，經嘉義基督教醫院老人醫學科主任張育誠診治後，停了所有的藥，只用一顆抗憂鬱藥就讓陳姓阿婆的狀況改善了。張育誠主任說他曾遇過每次服藥就像吃飯，一次就要服用28顆藥的老年病患。


嘉義基督教醫院老人醫學科主任張育誠説，老長輩的身體狀況和年輕人很不一樣，需要小心詳細的評估來確定病因，有一位因跌倒骨折的張姓老伯，在與他詳細了解病史後發現跌倒的原因是因為頭暈，張姓老伯當時持續服用抗頭暈藥，但張育誠主任再進一步問診後發現，原來在吃頭暈藥之前，他先吃了腸胃藥，而那顆腸胃藥正好會引起暈眩。


張育誠主任表示，老長輩對藥物的反應，與年輕人的反應差異大，需要依據老長輩特殊的身體狀況與需要，整體評估選取藥物，並盡量減少不必要的藥物以避免副作用。


嘉義基督教醫院從8月份起增加「老人醫學門診」，張育誠醫師表示，開辦老人醫學門診並不是在增加一個新的專科，而是提供一個整合型的評估與流暢的平台。由老人醫學專科醫師與各相關醫療專科共同合作，有專任衛教護理人員，以及社工、營養、復健、藥師等專業人員組成的團隊，可協助家中80歲以上或65歲以上有多重慢性病、需頻繁使用醫療、老人症候群、身心功能不全等…長輩，提供醫療整合治療及規劃健康快樂的銀髮生活。

[iht]

可是
這種一次吃十幾顆甚或幾十顆藥的人
常常都是一個病看三個醫師
然後又不跟醫師說已經有在吃藥的人...

[SIMON]

置入性行銷

[SIMON]

置入性行銷

[0227kmutw]

這應該是家庭醫師的職責吧，
會不會偏了老人醫學的方向… (偽可愛)

[benjamin]

老人也是人，該看專科醫師的時候，也是得看；若是一般情況，家醫科就可以了。所以我一直很懷疑老人醫學的角色。不知到其他醫師有沒有不同的意見。

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