Developing guidelines on the assessment and treatment of delirium in older adults at the end of life.

Background And Purpose: Delirium at the end of life is common and can have serious consequences on an older person's quality of life and death. In spite of the importance of detecting, diagnosing, and managing delirium at the end of life, comprehensive clinical practice guidelines (CPG) are lacking. Our objective was to develop CPG for the assessment and treatment of delirium that would be applicable to seniors receiving end-of-life care in diverse settings.

Determinants of health-related quality of life in adults with congenital heart disease.

Objective: To examine health-related quality of life (HR-QoL) of adults with congenital heart disease (CHD).

Design: The HR-QoL of a large consecutive series of adults with CHD was prospectively studied using the Medical Outcome Study-Short Form 36.

Results: Except for very young men who report normal health, young adults describe poor health and exercise limitations relative to their peers in the community.