Delirium secondary prevention: Difference between revisions

Jump to navigation Jump to search
No edit summary
 
(9 intermediate revisions by 2 users not shown)
Line 1: Line 1:
__NOTOC__
__NOTOC__
{{Delirium}}
{{Delirium}}
{{CMG}}; {{AE}} [[User:Vishal Khurana|Vishal Khurana]], M.B.B.S., M.D. [mailto:vishdoc24@gmail.com]; {{PB}}
{{CMG}}; {{AE}} {{Sara.Zand}} {{PB}}; [[User:Vishal Khurana|Vishal Khurana]], M.B.B.S., M.D. [mailto:vishdoc24@gmail.com]


==Overview==
==Overview==
Delirium causes further complications that may worsen patient's condition.  Secondary prevention plays important role in management of the delirium.
[[Secondary prevention]] strategies following [[delirium]] include avoid [[anticholinergic]] drugs, attend to [[environmental factors]] (sensory input, [[orientation aids], reassuring [[human contact]], routine screening for finding high risk [[patients]], early recognition of any change or fluctuation of [[mental]] state or [[behaviour]].
 
==Secondary Prevention==
==Secondary Prevention==
The main complications of delirium are :
*[[Secondary prevention]] strategies following [[delirium]] include avoid [[anticholinergic]] drugs, attend to [[environmental factors]] (sensory input, [[orientation aids], reassuring [[human contact]]), routine screening for finding high risk [[patients]], early recognition of any change or fluctuation of [[mental]] state or [[behaviour]].<ref name="Anderson2005">{{cite journal|last1=Anderson|first1=David|title=Preventing delirium in older people|journal=British Medical Bulletin|volume=73-74|issue=1|year=2005|pages=25–34|issn=1471-8391|doi=10.1093/bmb/ldh048}}</ref>
* Falls,
 
* Pressure sores,
* Nosocomial infections,
* Functional impairment,
* Continence problems,
* Over sedation.
====Falls====
Restraints are not effective in preventing falls, but ironically restrain may increase the risk of injury.  The patient should be bedded on the floor or closer to the floor.
====Pressure Sores====
The following strategies may be utilized to prevent and manage pressure sores,
* Formal pressure sore risk assessment ( e.g. Norton score, or Waterlow score),
* Regular pressure area care, including special mattresses where necessary,
* Mobilization as soon as their illness allows.
====Functional Impairment====
Physiotherapist and occupational therapist consult is beneficial to maximize recovery.
====Continence====
Issues related to continence may be managed by following guidelines,
* Continence assessment,
* Regular toiletting,
* Prompt treatment of [[UTI]],
* Avoid catheters as it may elevate risks of trauma in confused patients, and also UTIs.
==References==
==References==
{{Reflist|2}}
{{Reflist|2}}

Latest revision as of 11:49, 22 April 2021

Delirium Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Delirium from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Criteria

History and Symptoms

Physical Examination

Laboratory Findings

CT

MRI

Other Diagnostic Studies

Treatment

Medical Therapy

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case #1

Delirium On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Delirium

All Images
X-rays
Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Delirium

CDC on Delirium

Delirium in the news

Blogs on Delirium

Directions to Hospitals Treating Delirium

Risk calculators and risk factors for Delirium

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sara Zand, M.D.[2] Pratik Bahekar, MBBS [3]; Vishal Khurana, M.B.B.S., M.D. [4]

Overview

Secondary prevention strategies following delirium include avoid anticholinergic drugs, attend to environmental factors (sensory input, [[orientation aids], reassuring human contact, routine screening for finding high risk patients, early recognition of any change or fluctuation of mental state or behaviour.

Secondary Prevention

References

  1. Anderson, David (2005). "Preventing delirium in older people". British Medical Bulletin. 73-74 (1): 25–34. doi:10.1093/bmb/ldh048. ISSN 1471-8391.

Template:WH Template:WS