PPT-Agitated 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. 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 Chief Resident. July 2014. Delirium . Goals. Understand the different presentations of delirium. Know the most common causes of delirium in the hospital. Learn a diagnostic approach to the delirious patient. July 2014. Delirium . Goals. Understand the different presentations of delirium. Know the most common causes of delirium in the hospital. Learn a diagnostic approach to the delirious patient. Obtain skills to minimize and manage delirium in your patients. 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. 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. 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. - A HOLISTIC APPROACH. 31yo male. Brought to ED by police. Tried to jump out of a window, poured methylated spirits over himself. Several presentations to ED in last few months after wandering the streets agitated and confused following cannabis use. 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.. Dr Anne Hounsell, Speciality Doctor, The Rowans Hospice. June 2019. Objectives. To consider when sedative medications might be appropriate….. -these as last resort…... Definition of agitation.. What this talk will cover. Definition of terminal agitation, how common is it. Symptoms and signs. Risk factors for more severe terminal agitation. Causes. General management. Management with medications.