Diagnosis and Management of Delirium near the End of Life
Annals of Internal MedicinePublished 3 July 2001
David Casarett, Sharon K. Inouye
Citations238
SJR quartileQ1
SJR score3.38
SNIP3.27
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TL;DR
Strategies for the diagnosis and management of delirium are presented, beginning with a description of a patient with mental status changes and evaluating potential causes, and concluded by discussing strategies for prevention and treatment.
Abstract
Delirium is a common and distressing symptom that constitutes a significant challenge for end-of-life care. However, reliable techniques are available for the diagnosis of delirium, and effective therapies exist as well. This consensus paper uses a case-based format that begins with an overview of the definition and presentation of delirium. Next, strategies for diagnosis are suggested, with attention to the unique challenges that clinicians face in pursuing a diagnostic work-up for patients near the end of life. The paper concludes with a review of therapeutic options.
Keywords
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