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Diagnosing and managing delirium in the elderly
Canadian Family Physician Medecin De Famille Canadien
|February 24, 2001
Summary
Delirium in the elderly is often underdiagnosed. Early suspicion of acute behavioral changes and thorough investigation of causes are key for effective diagnosis and management of delirium.
Area of Science:
- Geriatric Medicine
- Psychiatry
- Neurology
Background:
- Delirium is a common yet frequently underdiagnosed condition in the elderly.
- Acute changes in behavior warrant suspicion for delirium.
Purpose of the Study:
- To review current diagnostic and management strategies for delirium in older adults.
- To highlight the importance of identifying and treating underlying causes.
Main Methods:
- Literature review of MEDLINE (1966-1998), including selected articles, review articles, and practice guidelines.
- Focus on diagnostic criteria and management approaches for delirium.
Main Results:
- Diagnostic tools include DSM-IV criteria, Delirium Symptom Interview, and Confusion Assessment Method.
- Management involves treating underlying causes, supportive care, and judicious pharmacotherapy for severe symptoms.
- Neuroleptics, particularly haloperidol, are generally preferred over benzodiazepines for delirium, except in withdrawal cases.
Conclusions:
- Delirium requires prompt recognition and investigation of its etiology for effective management.
- Suspecting delirium with acute behavioral changes is crucial for timely intervention.