PPT-Pharmacological management of delirium

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. 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 Patient-Centered, Evidence-Based Diagnostic and Treatment Process. 1,2. 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.. . Matt Russell,MD, 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 . 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. 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. 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 (. . 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.. 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 DEPT.OF PSYCHIATRY. . . . ORGANIC BRAIN SYNDROME. (DELIRIUM AND DEMENTIA). ORGANIC BRAIN SYNDROME. . Organic brain syndrome (OBS) is a general term used to describe decreased mental function due to a medical disease, other than a psychiatric illness. 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 . 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.