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18 Cards in this Set
- Front
- Back
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4 DSM criteria for delirium |
1. acute onset (hours to days) and fluctuating course 2. disturbance of consciousness with reduced clarity of awareness and decreased ability to focus, sustain, or shift attention 3. cognitive change or perceptual disturbance, not better explained by a pre-existing or evolving dementia 4. caused by general medical condition |
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CAM criteria for Delirium and the confusion assessment method (AIDS) |
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common sx of delirium 7 (neuropsychiatric/behavioral) |
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common sx of delirium: cognitive |
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NB: delirium is significant in palliative care because ... 5 |
1. frequent occurrence 2. under-diagnosed 3. complicates assessment of symptoms 4. significant impact on patient, family, and staff 5. often reversible |
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d |
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what is the most common subtype of delirium out of 3 |
MIXED the other 2 subtypes are hyperactive and hypoactive |
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Factors that contribute to underdiagnosis of delirium |
1. fluctuating course 2. hypoactive/hypoalert subtype 3. failure to systematically assess cog function 4. overlap with other syndromes |
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problem with FOlstein MMSE in assessing delirium? |
assess cognition but not other aspects of delirium and can lead to false negatives |
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distinguishing pain from agitation (4) |
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% of episodes that are reversible |
50% , decreaes with subsequent episodes |
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DIMS: reversible causes of delirium |
drugs infection metabolic structural |
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what is responsible for most hyperCa of malignancy |
PTHrP , NOT bone mets bone mets account for 20% of cases |
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non pharm sx reduction in delirium |
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Pmcol management of severe agitation |
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what is palliative sedation? when do we use it? |
most common indications are delirium and dyspnea |
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