PPT-Delirium

A PatientCentered EvidenceBased Diagnostic and Treatment Process 12 Kendall L Stewart MD MBA DLFAPA April 19 2013 1 My aim is to offer practical clinical insights that you can use right away in caring for patients. rgency. (Developed 2006). Island Health. www.viha.ca/mhas/resources/delirium/ Delirium. Developed 2006; Revised: 8: 2014 1 DELIRIUM IN THE OLDER PERSON A MEDICAL EMERGENCY “Mad in patches full Dr Holly McGuigan. Specialty Doctor in Palliative Medicine. Strathcarron Hospice. Situation. Anne. ,. 73 year old lady, lung cancer. Admitted for symptom control of pain. “Previously delusional with opioids- not keen for same”. 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. Assistant Professor for Anesthesiology/Critical Care. UAMS. Disclosure/Declaration of Commercial Support. Today’s presenter did NOT receive financial support from nor have any commercial relationship with any drug or equipment product manufacturers or vendors that may be mentioned or displayed in the course of this presentation.. 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. ABCDE Protocol ICU Delirium and Cognitive Impairment Study Group www.icudelirium.org delirium@vanderbilt.edu Why the ABCDE Protocol? Need for Sedation and Analgesia Prevent pain and anxiety Decrease oxygen consumption . 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.. The . overall aim of the session is for the trainee to gain an overview of delirium. By . the end of the sessions the trainee should:. Understand . the epidemiology, the risk factors associated and the basic physiological and psychological changes associated with 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. UNM Dept. of Psychiatry. Division of Behavioral Health Consultation and Integration. None. Disclosures. Delirium. Definition. Clinical Manifestation. Epidemiology. Mortality & Cost. Risk Factors. Dr. Emma Ryland. To inform you about delirium. To help you DETECT delirium. To help you MANAGE delirium. To help you PREVENT delirium. Aims. What is Delirium?. https://. vimeo.com/31892402?lite=1. up to 04.23. 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..