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Related Experiment Videos

Delirium in the elderly. Optimal management

J M Flacker1, E R Marcantonio

  • 1Department of Medicine, Harvard Medical School, Boston, Massachusetts, USA.

Drugs & Aging
|September 18, 1998
PubMed
Summary
This summary is machine-generated.

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Delirium management in elderly patients requires precise diagnosis, risk identification, and prompt evaluation. Optimal care involves treating underlying causes and supporting patients and families.

Area of Science:

  • Geriatrics
  • Internal Medicine
  • Psychiatry

Background:

  • Delirium is a frequent, serious, and expensive condition in hospitalized elderly patients.
  • It is often underdiagnosed and inadequately managed, leading to poor outcomes.

Purpose of the Study:

  • To outline a 5-step approach for the optimal management of delirium.
  • To improve recognition, evaluation, and treatment of delirium in elderly individuals.

Main Methods:

  • Defining delirium using Diagnostic and Statistical Manual of Mental Disorders (fourth edition) [DSM-IV] or Confusion Assessment Method criteria.
  • Identifying high-risk patients through assessment of risk factors like age, dementia, and comorbidities.
  • Emphasizing improved recognition and documentation of delirium.

Related Experiment Videos

  • Detailing comprehensive evaluation including history, medication review, physical exam, and lab tests.
  • Outlining key management strategies: treating primary conditions, removing contributing factors, behavioral control, and patient/family support.

    • Main Results:

    • A structured 5-step approach facilitates optimal delirium management.
    • Early identification of risk factors and prompt recognition are crucial.
    • Comprehensive evaluation and multi-faceted management improve patient care.

    Conclusions:

    • Optimal delirium management requires a systematic approach encompassing precise definition, risk assessment, recognition, thorough evaluation, and targeted interventions.
    • Addressing the underlying causes and providing supportive care are paramount for effective delirium management in the elderly.