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Orthogeriatrics: một yêu cầu cần thiết để cải thiện chăm sóc bệnh nhân gãy xương do yếu đuối trên toàn cầu, đặc biệt là liên quan đến Thổ Nhĩ Kỳ
Tóm tắt
Orthogeriatrics là một phương pháp tiếp cận theo nhóm nhằm cung cấp can thiệp kịp thời và đầy đủ cho những cá nhân bị gãy xương do yếu đuối, đặc biệt là gãy xương hông. Những bệnh nhân này chủ yếu là những người cao tuổi yếu đuối nhất. Mục tiêu của orthogeriatrics là phục hồi chức năng càng sớm càng tốt và giảm thiểu tình trạng khuyết tật cũng như tử vong. Một số quốc gia phát triển đã thiết lập các dịch vụ orthogeriatrics, trong khi nhiều nơi khác, bao gồm cả Thổ Nhĩ Kỳ, vẫn chưa có. Ở đây, để xác định các lĩnh vực cần cải thiện, chúng tôi phác thảo tình hình orthogeriatrics ở người cao tuổi tại Thổ Nhĩ Kỳ. Chúng tôi đưa ra các khuyến nghị rõ ràng cho hành động, nhấn mạnh các lĩnh vực có thể cải thiện đáng kể. Các đề xuất của chúng tôi bao gồm sự cần thiết phải có một phiên bản ngắn gọn dễ áp dụng của đánh giá geriatric toàn diện; các xét nghiệm hệ thống thích hợp khi nhập viện; paracetamol với sự nhấn mạnh đặc biệt vào liều lượng và các chỉ dẫn cho việc quản lý giảm đau tiên tiến; sự cần thiết thiết yếu phải giới thiệu bổ sung dinh dưỡng đường miệng, bất kể tình trạng dinh dưỡng; nhu cầu khởi đầu vitamin D, ở gần như tất cả các bệnh nhân; và bắt đầu điều trị loãng xương trong quá trình nhập viện vì gãy xương, khi có thể. Cuối cùng nhưng không kém phần quan trọng, yêu cầu ngày càng tăng để thành lập "dịch vụ liên kết gãy xương" được đề cập. Chúng tôi cho rằng các khuyến nghị của chúng tôi mang lại tiềm năng lớn ở Thổ Nhĩ Kỳ để cải thiện chăm sóc cho những bệnh nhân gãy xương yếu đuối. Chúng tôi kêu gọi các quốc gia khác chưa thiết lập các tuyến orthogeriatric áp dụng cách tiếp cận của chúng tôi để cải thiện quản lý bệnh nhân gãy xương trên toàn cầu.
Từ khóa
#orthogeriatrics #gãy xương #người cao tuổi #chăm sóc sức khỏe #Thổ Nhĩ KỳTài liệu tham khảo
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