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How to try this: Delirium superimposed on dementia
Donna Marie Fick1, Lorraine C Mion
1School of Nursing, Pennsylvania State University, University Park, PA, USA.
The American Journal of Nursing
|December 25, 2007
Summary
Nurses often misdiagnose delirium in older adults with dementia, delaying critical treatment. This article offers an algorithm to help nurses accurately assess and manage delirium superimposed on dementia, improving patient outcomes.
Area of Science:
- Geriatric Medicine
- Nursing Practice
- Neurology
Background:
- Delirium is frequently observed in elderly patients with dementia.
- Nurses may misinterpret delirium symptoms as dementia progression, leading to delayed diagnosis and treatment.
- Undiagnosed delirium poses risks, including falls, prolonged hospitalization, and exacerbation of underlying conditions.
Purpose of the Study:
- To present a practical algorithm for nurses to assess and treat delirium in patients with dementia.
- To improve the recognition and management of delirium superimposed on dementia.
Main Methods:
- Development of a clinical algorithm for delirium assessment in older adults with dementia.
- Guidance for nurses on differentiating delirium from dementia symptoms.
- Recommendations for appropriate treatment strategies.
Main Results:
- The algorithm provides a structured approach to identify and manage delirium in this vulnerable population.
- Improved diagnostic accuracy for delirium in patients with co-existing dementia.
- Potential for reduced adverse events associated with untreated delirium.
Conclusions:
- Accurate assessment and timely treatment of delirium superimposed on dementia are crucial for older adults.
- The proposed algorithm can enhance nursing practice and patient care.
- Early intervention can mitigate the negative consequences of delirium in patients with dementia.
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