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Related Experiment Video

Updated: Oct 12, 2025

Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum
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[Delirium Management in Palliative Care].

Annina Seiler1, Rafael Meyer2, Soenke Boettger3

  • 1Kompetenzzentrum Palliative Care, Klinik für Radio-Onkologie, Universitätsspital Zürich, Universität Zürich, Zürich.

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|November 24, 2021
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Summary

Delirium is a common, often overlooked complication in advanced illness. Effective management in palliative care is crucial for patient well-being and quality of life during the end-of-life process.

Keywords:
DelirDeliriumDistressDélireLebensendePalliative Caredistressend of lifefin de viepalliative caresoin palliatifstress

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Area of Science:

  • Palliative Care
  • Neuropsychiatry
  • Gerontology

Background:

  • Delirium is a frequent neuropsychiatric complication in advanced incurable diseases.
  • End-of-life delirium is often underdiagnosed and undertreated, impacting patient fragility and lifespan.
  • Acute confusion causes significant distress for patients and families, diminishing quality of life and dignified end-of-life experiences.

Purpose of the Study:

  • To highlight the importance of delirium management in palliative care settings.
  • To discuss the challenges in diagnosing and treating end-of-life delirium.
  • To explore the distinction between delirium and end-of-life visions from medical and philosophical perspectives.

Main Methods:

  • Literature review on delirium in palliative care.
  • Analysis of clinical presentation and management strategies.
  • Exploration of philosophical and theological interpretations of end-of-life phenomena.

Main Results:

  • Delirium significantly impacts patient functionality, lifespan, and quality of life.
  • Misdiagnosis or lack of treatment exacerbates patient and family distress.
  • End-of-life visions may have alternative interpretations beyond medical delirium, requiring further study.

Conclusions:

  • Active management of delirium is essential in palliative care.
  • Distinguishing delirium from end-of-life visions is critical for appropriate care.
  • Further research is needed to explore the phenomenon of end-of-life visions.