Delirium

William D. Freeman

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Delirium is an acute disorder of consciousness characterized by attention and awareness difficulties. It has a typically fluctuating clinical course. It can be caused from a wide range of etiologies, and certain patient populations are at increased risk, especially those with dementia or elderly patients. The confusion assessment method (CAM) is a useful screening tool for patients not in an intensive care unit that can help identify patients with delirium. Identification of delirium is pivotal to earlier diagnosis and therapeutic interventions. Delirium is associated with negative clinical outcomes regardless of the severity of illness, age of the patient, or pre-existing history of dementia. The approach toward delirium is aimed at identification of infectious precipitants if present, discontinuation of medications that cause or worsen delirium, prevention of falls, and possible treatment with antipsychotic medications such as haloperidol or risperdal. Other treatments include establishing normal day-night circadian light pattern, and trying to mobilize the patient.

Original languageEnglish (US)
Title of host publicationEvidence-Based Neurology
Subtitle of host publicationManagement of Neurological Disorders: Second Edition
PublisherWiley Blackwell
Pages75-80
Number of pages6
ISBN (Electronic)9781119067344
ISBN (Print)9780470657782
DOIs
StatePublished - Dec 11 2015

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Keywords

  • Agitation
  • Confusion
  • Delirium
  • Encephalopathy
  • Mental status change

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Freeman, W. D. (2015). Delirium. In Evidence-Based Neurology: Management of Neurological Disorders: Second Edition (pp. 75-80). Wiley Blackwell. https://doi.org/10.1002/9781119067344.ch8