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Related Experiment Videos

Agitation

R M Haskell1, H L Frankel, M F Rotondo

  • 1Division of Trauma and Surgical Critical Care, University of Pennsylvania Medical Center, Philadelphia, USA.

AACN Clinical Issues
|August 1, 1997
PubMed
Summary
This summary is machine-generated.

Agitation in hospitals is common and can lead to serious illness. Identifying underlying causes like delirium, dementia, or psychosis through thorough evaluation is crucial for effective treatment.

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Area of Science:

  • Medical Sciences
  • Clinical Medicine
  • Patient Care

Background:

  • Agitation is a frequent clinical issue associated with increased patient morbidity during hospitalization.
  • It often presents as a complex set of fluctuating cognitive and psychiatric symptoms, complicating diagnosis.
  • Misdiagnosis or underrecognition of underlying disorders is common due to the varied presentation of symptoms.

Purpose of the Study:

  • To highlight the common causes and risk factors of agitation in hospitalized patients.
  • To emphasize the importance of a comprehensive diagnostic approach for agitated states.
  • To underscore the need for independent pursuit and treatment of each contributing factor.

Main Methods:

  • Comprehensive patient history.

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  • Direct patient observation.
  • Physical examination.
  • Selective diagnostic studies.
  • Main Results:

    • Delirium, dementia, and acute psychosis are the most frequent causes of agitation.
    • Hospitalization-related factors such as pain, anxiety, and intensive care stressors contribute to agitation.
    • Agitated states frequently have multifactorial origins requiring individualized management strategies.

    Conclusions:

    • Accurate diagnosis of agitation necessitates a detailed evaluation process.
    • Addressing all potential contributing factors independently is essential for optimal patient outcomes.
    • A systematic approach combining history, observation, physical exam, and diagnostics is key to managing agitation effectively.