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Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
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Delirium in Home Care: A Case Report
Kelly Sabbe1, Roos Van Der Mast2, Bart Van Rompaey3
1Medicine and Health Sciences, University of Antwerp, Antwerp, BEL.
Cureus
|November 29, 2023
Summary
Delirium in older adults is often missed in home care. Early detection and multidisciplinary management, including hydration and nutrition, can lead to full recovery.
Area of Science:
- Geriatrics
- Internal Medicine
- Neurology
Background:
- Delirium presents a significant challenge in home care, impacting patients and caregivers.
- Effective detection and management are crucial to prevent adverse outcomes.
Observation:
- A frail 86-year-old man experienced cognitive and physical decline post-bronchitis.
- Screening revealed confusion, apathy, and fatigue, indicative of delirium.
- Functional Independence Measures and Delirium Observation Screening Scale (DOSS) confirmed functional decline and delirious symptoms.
Findings:
- A multidisciplinary treatment plan focused on hydration, nutrition, medication adjustment, and exercise.
- No specific pharmaceuticals were administered.
- The patient achieved a full recovery.
Implications:
- Healthcare professionals and caregivers must recognize delirium in deteriorating older patients.
- Prompt diagnosis of delirium and underlying conditions is essential.
- Integrated care involving dietitians and physiotherapists is vital for adequate treatment.
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