PPT-The Diagnosis, Treatment, and Prevention of Delirium

Theodore A Stern MD Chief Emeritus Avery D Weisman Psychiatry Consultation Service Director Thomas P Hackett Center for Scholarship in Psychosomatic Medicine Director Office for Clinical Careers . . Matt Russell,MD, MSc. Assistant Professor of Medicine. Boston University School of Medicine. Slide show courtesy of Drs. Lisa Caruso and Serena Chao. Objectives. To elicit key features of and define delirium . Dr Paul Brown. Consultant liaison psychiatrist for older adults . 22. nd. June 2017. Three aspects of pharmacological management . Treat the underlying cause. Delirium risk reduction . Active treatment of the delirium syndrome. Contents:. What is Delirium?. Why is it important?. How do we recognise it?. What causes it?. How do we prevent it?. How do we treat it?. Definition:. An acute state of confusion (NICE, 2010). Acute onset, fluctuating confusion. Project Presentation. Kate McCollough. Jennifer . Dulin. FuNdAmentals. of Epidemiology I. October 31, 2019. Background. Exposure: . Antibiotic treatment of asymptomatic bacteriuria (ASB). ASB: positive urine culture with ≥10. Project Presentation. Kate McCollough. Jennifer . Dulin. FuNdAmentals. of Epidemiology I. December 3, 2019. Study Question. Question:. Does antibiotic treatment of ASB decrease the incidence of discharge to a facility for hospitalized patients aged 70 or older admitted from home with a positive delirium screen (. . Susan Schumacher, MS, G-CNS. Objectives. Identify 3 differences in clinical presentation of delirium versus underlying dementia.. Explain how to perform the Confusion Assessment Method (CAM).. Identify at least 3 factors contributing to the development of delirium.. Amie Jo Digatono, PharmD, BCPP. October 26, 2017. Objectives. Describe the impact and pathophysiology of delirium. Identify patients who are at increased risk for delirium. Review the current evidence for medication use in the prevention and treatment of delirium. APM Resident Education Curriculum. Thomas W. Heinrich, M.D.. Associate Professor of Psychiatry & Family Medicine. Chief, Psychiatric Consult Service at . Froedtert. Hospital. Department of Psychiatry & Behavioral . Kathleen Pace Murphy, PhD, MS, GNP-BC. Assistant Professor, UTHealth Division of Geriatric and Palliative Medicine. Deputy Director, Consortium on Aging. Kathleen Pace Murphy, PhD, MS, . GNP-BC. Assistant Professor, UTHealth Medical School. Consultant old age psychiatrist. DEMENTIAS. What is dementia. Demographics. Clinical features. Types of dementia. Pathology. Diagnosis. Treatment. What is dementia. Dementia is a clinical term describing a symptom complex characterised by a decline from previously maintained intellectual function . Inpatient Medicine Clerkship. Ms. IM. 87 . yo. woman, Holocaust survivor. “Positive” cardiac stress test, elective catheterization, no intervention. Pre-meds: . diphenhydramine. 25 mg, diazepam 5 mg. state. acute brain failure. encephalopathy. global cognitive impairment. Hippocrates “. phrenitis. ”. Cognition. . is derived from Latin and means knowledge by experiencing and perceiving. . Cognitive . Why this topic, relevance?. Because we see delirium frequently in our patients.. Delirium is frequently missed.. When delirium is detected, it’s significance can be . undersestimated. .. We may diagnose delirium but not the underlying dementia.. Overview and Novel Approaches. John W. Devlin, PharmD, FCCM, FCCP, BCCCP. Professor of Pharmacy, . Northeastern University. Research Scientist and Critical Care Pharmacist,. Division of Pulmonary and Critical Care Medicine, .