Nurse-led pre-test counseling for Alzheimer's disease biomarker testing: Knowledge and skills required to meet the needs of patients and families

被引：2

作者：

Greer, Olivia ^{[1
]}

Cheng, Rebekah ^{[2
]}

Tamres, Lisa K. ^{[3
]}

Mattos, Meghan ^{[4
]}

Morris, Jonna L. ^{[3
]}

Knox, Melissa L. ^{[3
]}

Lingler, Jennifer H. ^{[3
]}

机构：

[1] Childrens Hosp Philadelphia, Philadelphia, PA USA

[2] UPMC Western Psychiat Inst & Clin, Pittsburgh, PA USA

[3] Univ Pittsburgh, Sch Nursing, 3500 Victoria St,Suite 415, Pittsburgh, PA 15261 USA

[4] Univ Virginia, Sch Nursing, Charlottesville, VA USA

来源：

GERIATRIC NURSING | 2023年 / 53卷

关键词：

Alzheimer 's disease; Mild cognitive impairment; Patient education; Nurse -patient communication; Amyloid PET; MILD COGNITIVE IMPAIRMENT; POSITRON-EMISSION-TOMOGRAPHY; BLOOD-BASED BIOMARKERS;

D O I：

10.1016/j.gerinurse.2023.07.007

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Introduction: Biomarker testing for Alzheimer's disease and related disorders (ADRD) brings new opportunities for nurses to foster shared decision-making by leading pre-test counseling (PTC) for patients and families.Methods: Audio-recordings of 18 nurse-led PTC sessions were analyzed to characterize questions posed by patient and family members dyads considering whether to pursue amyloid positron emission tomography.Results: Sessions lasted 20 to 75 minutes and generated rich discussion of the purpose and potential implica-tions of amyloid imaging. Dyads posed questions regarding: basic neuroanatomy; the spectrum of normal cognitive aging to dementia; clinical phenotypes and pathological hallmarks of ADRD; secondary prevention of ADRD; and advance planning. In response, PTC facilitators provided disease-specific education, clarifica-tion of overt misconceptions, caregiver support, and emotion de-escalation.Conclusion: Nurses conducting PTC for AD biomarker testing should be equipped to answer questions about topics both directly and indirectly related to testing, and also provide emotional support.& COPY; 2023 The Author(s). Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)

引用

页码：130 / 134

页数：5