News

Delirium Management Still Elusive, Studies Needed


 

Until more is known about medical interventions for delirium, other approaches are worthy of consideration, including the use of bright or blue light for circadian rhythm disturbances, complementary and alternative medicine, and minimizing the need for restraints by using clysis and by using intramuscular injections instead of intravenous injections, he said.

“Deemphasize the idea that you have to search for an underlying cause of delirium, such as [ordering] a CT scan to look for intra-abdominal abscesses,” he said. “Looking for the common things—the drugs, the [urinary tract infections]—suffices. If the patients aren't coughing, they're not short of breath, and their oxygen saturation is fine, they probably don't need a chest CT to look for occult pneumonia as the cause of their delirium.”

'Deemphasize the idea that you have to search for an underlying cause of delirium.' Look at drugs, UTIs instead. DR. LUXENBURG

Pages

Recommended Reading

Proton Pump Inhibitors Are Overused in the Elderly
MDedge Family Medicine
Previous Fall History and Age Over 80 Years Predict Future Falls
MDedge Family Medicine
Algorithm Cuts Hospitalizations For Pneumonia Among Elderly
MDedge Family Medicine
Hospital Discharge Rife For Adverse Drug Events
MDedge Family Medicine
Protein C Is Linked to Cognitive Impairment Following ICU Stay
MDedge Family Medicine
ACE Inhibitors May Slow Mental Decline, Early Data Show
MDedge Family Medicine
Malnutrition Missed in Hospitalized Elderly
MDedge Family Medicine
For Nausea at End of Life, Think Mechanistically
MDedge Family Medicine
Medicare update: What the latest changes will mean for you
MDedge Family Medicine
Should we use appetite stimulants for malnourished elderly patients?
MDedge Family Medicine