Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Delirium: the clinical concept.

A D Macleod1

  • 1Nurse Maude Hospice and Brain Injury Rehabilitation Service, Burwood Hospital, Christchurch, New Zealand. ad.macleod@cdhb.govt.nz

Palliative & Supportive Care
|October 28, 2006
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Early constipation predicts faster dementia onset in Parkinson's disease.

NPJ Parkinson's disease·2021
Same author

Untangling chronic pain and post-concussion symptoms: the significance of depression.

Brain injury·2018
Same author

Medium-term prognosis of an incident cohort of parkinsonian patients compared to controls.

Parkinsonism & related disorders·2016
Same author

Motor complications in an incident Parkinson's disease cohort.

European journal of neurology·2015
Same author

Euthanasia and physician-assisted dying: editorial comment and reply to the Waikato GP survey findings by Dr Havill.

The New Zealand medical journal·2015
Same author

Impaired eye movements in post-concussion syndrome indicate suboptimal brain function beyond the influence of depression, malingering or intellectual ability.

Brain : a journal of neurology·2009
Same journal

From awareness to action: Reimagining cultural responsiveness in pediatric palliative care.

Palliative & supportive care·2026
Same journal

The screen and the bedside.

Palliative & supportive care·2026
Same journal

Practicing with what you left.

Palliative & supportive care·2026
Same journal

Dementia and the hands of time.

Palliative & supportive care·2026
Same journal

Shifting sands: How parents engage with the idea of their child's death.

Palliative & supportive care·2026
Same journal

Structure of the spiritual pain of bereaved caregivers of cancer patients: A preliminary scale development.

Palliative & supportive care·2026
See all related articles

Delirium, a common issue in terminal illness, is often missed due to its complex nature. Understanding alertness and attention deficits is key to recognizing and managing this condition.

Area of Science:

  • Geriatrics
  • Neurology
  • Palliative Care

Background:

  • Delirium frequently complicates the course of terminal illness.
  • Underrecognition stems partly from the complex and often loosely defined terminology used to describe its core features.
  • Key deficits involve consciousness, awareness, alertness, arousal, awakeness, vigilance, and attention.

Purpose of the Study:

  • To clarify the clinical concept of delirium in terminal illness.
  • To highlight the significance of alertness and attentional deficits as objective indicators.
  • To discuss the role of the "deliriant" threshold and symptomatic fluctuations in understanding delirium.

Main Methods:

  • Review of clinical concepts and terminology related to delirium.
  • Consideration of simple bedside assessments for delirium detection.

Related Experiment Videos

  • Application of Jackson's conceptualization of the nervous system to delirium.

    • Main Results:

    • Alertness is identified as the primary impairment in delirium.
    • Attentional deficits serve as objective clinical indices of cognitive impairments.
    • Understanding the "deliriant" threshold and fluctuations is crucial.

    Conclusions:

    • Effective palliative management of terminal delirium aims to raise the "deliriant" threshold.
    • Multicomponent interventions are proposed as a strategy to achieve this.
    • Improved recognition and management strategies are needed for this common syndrome.