PPT-Assessment and Management of Delirium in Older Adults

Dr Dallas Seitz and Dr Agata Szlanta Objectives Understand the differential diagnosis and presentation of delirium in older adults Review the risk factors and precipitants for delirium and Discuss delirium prevention and management strategies. Marlette B. Reed, . BEd. , MA. Annette M. Lane, RN, PhD. Sandra P. Hirst, RN, PhD, GCC. What does existential mean?. Pertaining to purpose and meaning. Personhood: what it means to be human. . -the bigger issues of life – and death – as they pertain to who one is: Who am I? What does life mean? Will I cease to exist after I die?. Outreach & Prevention. Jody Bechtold, LCSW, NCGC-II, BACC. Why Focus on . Older Adults?. Source: A Profile of Older Americans: 2003, Administration on Aging, HHS. Changing Demographics: . More . Elderly. Shawn M Lang, Director of Public Policy. CT AIDS Resource Coalition. HIV/AIDS and Older Adults. What are HIV and AIDS?. H. uman . I. mmunodeficiency . V. irus. A. cquired. . I. mmunodeficiency . D. Care of the Confused Hospitalised Older Persons Study. CHOPS. ACI in collaboration with CEC and GP NSW and funded through DVA. Aims to improve care and reduce harm for confused older people in hospital. IN ALAMEDA COUNTY. . March 2016. DEMOGRAPHICS &. SOCIAL DETERMINANTS . OF HEALTH. Age Distribution of Population . in Alameda County. Source: US Census Bureau, 1980 and 2010. Age Pyramid, 1980. UK Physical Activity Guidelines. UK-wide . Global evidence of the health benefits . Life course . Recommended amount for health benefit. Why do we need guidelines for older adults?. Physical . activity levels are . B. Renee Dugger, DNP, RN, . GCNS-BC*. *. Special acknowledgement and thanks to Meredith Wallace PhD, APRN, A/GNP-BC and the Geriatric Nursing Education Consortium (GNEC. ) for resources utilized for this presentation . . . Shannan . K. Hamlin, PhD, RN, ACNP-BC, AGACNP-BC, CCRN . Program Director, Nursing Research and EBP. Acute confusional state with decline in cognitive functioning. Fluctuating mental status, inattention, disorganized thinking . UNM Dept. of Psychiatry. Division of Behavioral Health Consultation and Integration. None. Disclosures. Delirium. Definition. Clinical Manifestation. Epidemiology. Mortality & Cost. Risk Factors. EXHIBIT 1. Note: Differences between US and all other surveyed countries except AUS were statistically significant at the p < 0.05 level.. Data: Commonwealth Fund 2021 International Health Policy Survey of Older Adults.. Tier 3. Psychosis. What is psychosis?. ‘Some loss of contact with reality’. This might involve hallucinations or delusions’ (NHS). Hallucinations – hearing voices/ seeing things/ sensation that someone is touching them/ experiencing smells that are not there. Jennifer M Hall, DO. Geriatric Psychiatrist. Assistant Professor of Psychiatry at Larner College of Medicine UVM. @JenniferMHallDO. 1. @JenniferMHallDO. 2. Learning Objectives. Recognize signs & symptoms of delirium, dementia and depression in older adults.. Action Card for administration of benzodiazepines . The use of sedatives and anti – psychotic medication should be kept to a minimum. . S. edation should only be considered once other strategies have failed to calm the patient such as distraction/diversion strategies, using 1:1 special to care for the patient. . Tier 2 . Eating disorder . An eating disorder is when the person has an unhealthy attitude to food which can over their life and make them ill.. It can involve eating too much or too little, and/ or becoming obsessed with their body and shape.