Delirium secondary prevention: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Delirium}} | {{Delirium}} | ||
{{CMG}}; {{AE}} [[User:Vishal Khurana|Vishal Khurana]], M.B.B.S., M.D. [mailto:vishdoc24@gmail.com] | {{CMG}}; {{AE}} [[User:Vishal Khurana|Vishal Khurana]], M.B.B.S., M.D. [mailto:vishdoc24@gmail.com]; {{PB}} | ||
==Overview== | ==Overview== | ||
==Secondary Prevention== | |||
The main complications of delirium are : | The main complications of delirium are : | ||
* Falls | * Falls | ||
| Line 12: | Line 12: | ||
* Continence problems | * Continence problems | ||
* Over sedation | * Over sedation | ||
===Falls=== | ====Falls==== | ||
Restraints are not effective in preventing falls but ironically restrain may increase the risk of injury. | 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=== | ====Pressure sores==== | ||
The following strategies may be utilized to prevent and manage pressure sores, | The following strategies may be utilized to prevent and manage pressure sores, | ||
* Formal pressure sore risk assessment ( | * Formal pressure sore risk assessment ( e.g. Norton score, or Waterlow score) | ||
* Regular pressure area care, including special mattresses where necessary | * Regular pressure area care, including special mattresses where necessary | ||
* Mobilization as soon as their illness allows. | * Mobilization as soon as their illness allows. | ||
===Functional impairment=== | ====Functional impairment==== | ||
Physiotherapist and occupational therapist consult is beneficial to maximize recovery. | Physiotherapist and occupational therapist consult is beneficial to maximize recovery. | ||
===Continence=== | ====Continence==== | ||
Issues related to continence may be managed by following guidelines, | Issues related to continence may be managed by following guidelines, | ||
* Continence assessment | * Continence assessment | ||
Revision as of 05:48, 18 February 2014
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Vishal Khurana, M.B.B.S., M.D. [2]; Pratik Bahekar, MBBS [3]
Overview
Secondary Prevention
The main complications of delirium are :
- 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.