重度與末期失智症者進食方式選擇－以台北市區域醫院經驗為例

Eating options for people living with terminal dementia- experience from Taipei City Regional Hospitals

10.6317/LTC.202004_24(1).0003

林乃玉(Nai-Yu Lin)；劉建良(Chien-Liang Liu)

重度失智症 ； 末期失智症 ； 醫病共享決策 ； 失智進食問題 ； 失智吞嚥困難 ； severe dementia ； end stage dementia ； shared decision-making ； dementia eating problems ； dementia dysphagia

長期照護雜誌

24卷1期（2020 / 04 / 01）

23 - 32

繁體中文

失智症是緩慢進行疾病，86％的末期失智者會出現吞嚥與進食問題，一但家屬將之送醫，病方端常被灌輸管路灌食可以解決反覆肺炎及營養不良。然失智症重度與末期照護以緩和療護為建議照護方式，當重度或末期失智者面臨吞嚥與進食問題時，臨床提供的醫療選項是否真的符合失智者的價值觀與偏好，或者醫療端是否確實提供末期失智者所有相關進食選項。我們以在院區執行重度或末期失智症者的進食選擇醫病共享決策經驗做分享，期待失智者在尚有決策能力時，透過醫病共享模式為自己將來的醫療照護做出決策。

Dementia is a slowly progressing disease. 86% of end-stage dementia suffer from swallowing and eating problems. Once the family member will send it to the doctor, the patient is often instilled and fed to solve the problem of covered pneumonia and malnutrition. However, palliative care is the recommended way of care for severe and terminal dementia. When patients with severe or terminal dementia are faced with swallowing and eating problems, do the clinical options really meet the value and importance of the dementia, or whether the medical end It does provide all relevant eating options for the wise men who are missing at the end. We share the experience of sharing decision-making for patients with severe or terminal dementia in the hospital area. We hope that when dementia still have the ability to make decisions, they can through shared decisions making for their future medical care through the sharing of medical care.

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