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照顾观察记录表

提醒：请具体记录行为和相关情况

例如：拿牙膏洗脸、把钥匙放进冰箱、不认识家人或叫错家人名字。

日期	记忆问题（例如：重复、忘记）	情绪变化（例如：焦虑、躁动）	行为异常（例如：走失、错误操作）	自理能力（例如：洗澡、吃饭）	备注

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就诊时与医生沟通技巧

就诊前准备

携带最近两周的“行为记录表”。
拍下特殊情况（例如：出现幻觉或妄想时的反应，或有怪异行为）。
整理好“家族病史”、“用药清单”以及“是否曾有头部受伤历史”（如跌倒、车祸等）。

如何与医生说明（清晰描述细节）

采用“在什么情况下发生了什么事”的方式进行描述。如果症状频繁出现，可以用次数来说明（例如：每周出现3次）。
推荐的说明方式示例： “以前她总是对人很有礼貌，现在却因小事大声骂人，还说了脏话。” “有一次她手脏了，直接把手伸进鱼缸里洗。” </aside>

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行为记录建议格式（ABCD原则）

项目/建议说明方式	你所描述的情况
A（Antecedent）先发事件	例如：找不到项链
B（Behavior）行为	例如：指着外面骂人说“是你进我房间偷拿的！”
C（Consequence）后果	例如：她用拐杖打外佣，还把水泼到她身上
D（Duration）持续时间	例如：我们请外佣暂时离开，过了三四个小时后，她才不再提这件事

备注：医生非常重视“症状发生的具体情境”，而不仅仅是单一的行为表现。

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Caregiver’s Observation Log

Reminder: Please record specific behaviors and circumstances.

Examples: Using toothpaste to wash face, putting keys in the fridge, not recognizing or calling

Date	Memory Issues (e.g., repetition, forgetfulness)	Emotional Changes (e.g., anxiety, agitation)	Unusual Behaviors (e.g., wandering off, mistakes in tasks)	Daily Self-care (e.g., bathing, eating)	Notes







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Tips for Communicating with Doctors During Medical Visits

Preparing for the Appointment

Bring along the “Behavior Log” from the past two weeks.
Take photos or videos of unusual behaviors or reactions (e.g., hallucinations or delusions).
Prepare family medical history, current medications, and any past head injuries (e.g., falls, accidents).

How to Explain to the Doctor (Be Clear and Specific)

Describe the situation using a structure like “what happened, under what circumstance.” If the behavior happens frequently, state the frequency (e.g., 3 times a week).
Example of effective explanation:
- “She used to be polite to others, but now she shouts and uses foul language over small things.”
- “One time, her hands were dirty and she stuck them straight into the fish tank to wash.” </aside>

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Suggested Behavior Reporting Format (ABCD Principle)

| Component | Explanation | Example | | --- | --- | --- | | A （Antecedent） | What happened before the behavior | Couldn’t find necklace | | B （Behavior ) | What the person did | Pointed outside and shouted, accusing someone of stealing | | C （Consequence） | What happened as a result | Hit maid with walking stick and splashed water | | D （Duration） | How long it lasted | Calmed down 3–4 hours later after maid left |

Note: Doctors value understanding the specific context in which symptoms occur, not just the behavior itself.

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Borang Pemerhatian Penjaga

Perhatian: Sila catat secara khusus tingkah laku dan keadaan yang berkaitan.

Contoh: Guna ubat gigi untuk cuci muka, letak kunci dalam peti sejuk, tidak kenal ahli keluarga atau tersalah panggil nama mereka.

| Tarikh | Masalah Ingatan (cth: ulang, lupa) | Perubahan Emosi (cth: cemas, gelisah) | Tingkah Laku Luar Biasa (cth: sesat, tindakan tidak sesuai) | Keupayaan Diri (cth: mandi, makan) | Catatan | | --- | --- | --- | --- | --- | --- | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |

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