A Greener Oregon: Acute Inpatient Delirium

Evaluation of a multicomponent pathway to address inpatient delirium on a neurosciences ward

BACKGROUND Delirium is a frequent and detrimental complication of inpatient hospitalization. Multicomponent intervention in selected groups has been shown to prevent and treat delirium, though little data exists on the effect of intervention in neurological patients. We studied the efficacy of a multicomponent delirium care pathway implemented on a largely neurology and neurosurgery hospital wa...

Who needs a greener revolution?

How do we feed the nine billion people who are projected to inhabit the Earth by 2050? the issue is one of serious concern (ash et al, 2010; Butler, 2010), as an increase in food production of up to 40% will be needed to cope with the growing population. in response, many scientists, politicians and economists have proposed a second ‘green revolution’. their call references the first green revo...

Delirium prevalence, incidence, and implications for screening in specialist palliative care inpatient settings: a systematic review.

BACKGROUND Delirium is a serious neuropsychiatric syndrome frequently experienced by palliative care inpatients. This syndrome is under-recognized by clinicians. While screening increases recognition, it is not a routine practice. AIM AND DESIGN This systematic review aims to examine methods, quality, and results of delirium prevalence and incidence studies in palliative care inpatient popula...

Solutions for a Greener Planet

Acute Delirium due to Parenteral Tramadol

Tramadol is a widely used medication by physicians and is held to be a safe analgesic. It has been claimed to be helpful in the elderly and hepatic and renally compromised subjects. We would like to report a case of delirium in a middle-aged female with acute pain abdomen on tramadol while being treated in the surgical unit. The patient developed alteration in the level of consciousness and cog...