PPT-Delirium in the Older Adult

Matt RussellMD 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 . A poorly defined, controversial term. aka Excited Delirium. Generally describes. Elevated blood pressure. Elevated heart rate. Paranoia. Hallucinations. Violent impulses. Associated with drug use, mental illness, or the two together. 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 A poorly defined, controversial term. aka Excited Delirium. Generally describes. Elevated blood pressure. Elevated heart rate. Paranoia. Hallucinations. Violent impulses. Associated with drug use, mental illness, or the two together. Underrecognized. , Undertreated and Deadly. Coleman Foundation Winter Workshop. February 28, 2013. Andrea . Bial. , MD. Joanna Martin, MD. Objectives. Learning Objectives. 1. . . Understand how to recognize delirium in the hospice and palliative setting.. 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. The Peer Teaching Society is not liable for false or misleading information…. Delirium. PATH. Acute . confusional. state (can be acute-on-chronic). Globally impaired cognition awareness/consciousness. Nora McPherson, APRN, CNS, Geriatrics. Jill Tusing MS, RN, BC Service Line: Behavioral Health. SBAR: Delirium Identifying high risk patients. Situation: . Delirium (acute confusion) a common, under recognized, post-operative complication in elective orthopaedic patients (10%-40%); manifests as acute impairment in cognition and attention.. 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. 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 (. 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 . UNM Dept. of Psychiatry. Division of Behavioral Health Consultation and Integration. None. Disclosures. Delirium. Definition. Clinical Manifestation. Epidemiology. Mortality & Cost. Risk Factors.