Gastrointestinal disease

胃肠道疾病
  • 文章类型: Journal Article
    “2021年AFFP猫科动物高级护理指南”是由猫科动物临床医学专家组成的工作组撰写的,是对2009年发布的指南的更新和扩展。他们强调个体患者的评估和衰老的过程,参考其他猫科动物实践指南,以更完整地讨论特定疾病。专注于每只猫鼓励和授权的主人成为猫的照顾的每一步。在体检和病史采集期间进行全面的讨论,可以为猫和参与护理的家庭量身定制方法。连续历史测量的视频和分析被带入每个患者的评估中。这些准则引入了新兴的脆弱概念,并将其纳入高级猫评估的描述和方法。讨论了最低数据库诊断,以及其他调查方面的建议。例如,在明显健康和患病的猫中,血压评估都是最低限度的诊断程序。猫的衰老速度比人类快得多,因此,包括了测试频率的实用时间表,并建议随着年龄的增长诊断频率增加。营养的重要性,以及高级猫的营养需求和不足,被考虑。疼痛被强调为它自己的综合症,强调每只高级猫的考虑。工作组讨论了麻醉,以及允许衰老的猫在高年级被安全地麻醉的策略。生活质量的医学概念通过兽医学中可用的最新信息得到解决。这包括临终考虑,如姑息治疗和临终关怀,以及关于建立“护理预算”的建议,这极大地影响了个体猫可以做的事情。承认每个猫的主人在这方面都是不同的;建立对个体主人来说合理和实用的东西是重要的。关于安乐死的讨论提供了一些建议,以帮助主人做出反映个体猫最大利益的决定。
    The \'2021 AAFP Feline Senior Care Guidelines\' are authored by a Task Force of experts in feline clinical medicine and serve as an update and extension of those published in 2009. They emphasize the individual patient evaluation and the process of aging, with references to other feline practice guidelines for a more complete discussion of specific diseases. Focusing on each cat encourages and empowers the owner to become a part of the cat\'s care every step of the way. A comprehensive discussion during the physical examination and history taking allows for tailoring the approach to both the cat and the family involved in the care. Videos and analysis of serial historical measurements are brought into the assessment of each patient. These Guidelines introduce the emerging concept of frailty, with a description and methods of its incorporation into the senior cat assessment. Minimum database diagnostics are discussed, along with recommendations for additional investigative considerations. For example, blood pressure assessment is included as a minimum diagnostic procedure in both apparently healthy and ill cats. Cats age at a much faster rate than humans, so practical timelines for testing frequency are included and suggest an increased frequency of diagnostics with advancing age. The importance of nutrition, as well as senior cat nutritional needs and deficiencies, is considered. Pain is highlighted as its own syndrome, with an emphasis on consideration in every senior cat. The Task Force discusses anesthesia, along with strategies to allow aging cats to be safely anesthetized well into their senior years. The medical concept of quality of life is addressed with the latest information available in veterinary medicine. This includes end of life considerations like palliative and hospice care, as well as recommendations on the establishment of \'budgets of care\', which greatly influence what can be done for the individual cat. Acknowledgement is given that each cat owner will be different in this regard; and establishing what is reasonable and practical for the individual owner is important. A discussion on euthanasia offers some recommendations to help the owner make a decision that reflects the best interests of the individual cat.
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