Post-Operative Acute Confusional O Delirium Syndrome in the Elderly

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Post-operative delirium in elderly patients

Delirium is a common, but an often underdiagnosed complication in the elderly following major surgery. Recognising delirium in early stages and diagnosing the condition based on established criteria can improve the outcome and management. Managing delirium with environmental, supportive and pharmacological interventions will possibly reduce the incidence and side-effects associated with post-op...

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Evaluation of two delirium screening tools for detecting post-operative delirium in the elderly.

BACKGROUND Postoperative delirium in the elderly is common and associated with poor outcomes, but often goes unrecognized. Delirium screening tools, validated in postoperative settings are lacking. This study compares two screening tools [Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) and Nursing Delirium Symptom Checklist (NuDESC)] with a DSM-IV-based diagnosis of delirium, ...

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Acute confusional States in the elderly--diagnosis and treatment.

BACKGROUND Delirium is common, has multiple causes and causes distress to numerous patients and their relatives. METHOD Selective review of the literature in PubMed and PsycINFO, with reference to selected national and international guidelines. RESULTS The hypoactive subtype of delirium is commoner than the hyperactive type, and often overlooked. Delirium in an elderly individual is associa...

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Prevention of Post-operative Delirium in the Elderly Using Pharmacological Agents

INTRODUCTION Post-operative delirium (POD) is a serious surgical complication that can cause significant morbidity and mortality. It is associated with prolonged hospital stay, delayed admission to rehabilitation programs, persistent cognitive deficits, marked health-care costs, and more. The pathophysiology is multi-factorial and not completely understood, which complicates the optimal managem...

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Risk of Pre-and Post-Operative Delirium and the Delirium Elderly At Risk (DEAR) Tool in Hip Fracture Patients

BACKGROUND AND PURPOSE Delirium is common after hip fracture. Previous work has shown that a simple delirium risk factor tool, the Delirium Elderly At Risk instrument (DEAR), has a high inter-rater reliability in this population. Little research has looked at the ability of risk factor screening tools to identify patients at high risk of pre-operative delirium. This study investigates the abili...

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ژورنال

عنوان ژورنال: Journal of Perioperative & Critical Intensive Care Nursing

سال: 2015

ISSN: 2471-9870

DOI: 10.4172/2471-9870.1000e101