PPT-Delirium:

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. 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.. 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. Rose Buckingham MSN. Kelly Goetschkes MSN. Objectives. Describe what delirium is and common . risk factors. Identify common symptoms, and implications of delirium for the hospitalized adult. Summarize TNMC ICU Outcomes Study results and what we learned going forward. 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. 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. AHRQ Safety Program for . Mechanically Ventilated Patients. AHRQ Pub. No. 16(17)-0018-43-EF. January 2017. Learning Objectives. After . this session, you will be able . to—. Identify the objectives and benefits of using the . 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 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. Orientation Provide visual and hearing aidsEncourage communication and reorient patient Have familiar objects from patient’s home in the roomAllow television during day with daily newsNonverbal m Professor of Medicine, UCLA. Director, UCLA Geriatric Medicine Fellowship. Director, VA Special Advanced Fellowship in Geriatrics at GLA VA. Definition. Acute alteration of consciousness. Inattention.