This article discusses the management of acute confusion and aggression in patients with infections of the central nervous system (CNS). The issues discussed are applicable to the management of acute confusion of any cause and the principles of care apply to all confused patients. The article addresses many of the challenges encountered by nurses caring for confused patients, including the recognition of acute confusion, use of screening tools, and the management and treatment of these patients.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.7748/ns2013.12.28.15.49.e7852 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Background: Delirium is an acute state of confusion associated with adverse postoperative outcomes. Delirium is diagnosed clinically using screening tools; most cases go undetected. Identifying a delirium biomarker would allow for accurate diagnosis, application of therapies, and insight into causal pathways.
View Article and Find Full Text PDFBackground: Delirium is a common neurological complication in older adults after a major illness or surgery and is characterized by acute dysfunction in cognition, attention, and awareness. Once diagnosed, it is associated with an increased risk for dementia. Frailty is an age-related syndrome and is associated with poorer postoperative outcomes, and is an emerging risk factor for delirium.
View Article and Find Full Text PDFPublic Health.
Alzheimers Dement
December 2024
Hospital Sírio-Libanês, São Paulo, São Paulo, Brazil.
Background: Although delirium is a powerful tool for identifying high-risk older patients at the emergency department (ED), the feasibility and importance of cognitive screening beyond delirium remain debated in fast-paced healthcare settings. We estimated the effect of comprehensive but pragmatic cognitive screening, capturing delirium and preexisting cognitive impairment, on predicting adverse outcomes within 90 days of admission in older adults at the ED.
Method: We conducted a prospective cohort study comprising patients aged ≥65 years who were consecutively admitted to the ED of a large general hospital in Sao Paulo, Brazil.
Dementia Care Practice.
Alzheimers Dement
December 2024
University of New South Wales, Sydney, NSW, Australia.
Background: One in four persons living with dementia are admitted to hospital, presenting challenges to them, their carers and staff. Despite global evidence demonstrating the clinical and cost-effectiveness of person-centered care (PCC), it is not yet business as usual across healthcare settings. We used multi-level stakeholder input to implement Kitwood's PCC model into a sub-acute setting.
View Article and Find Full Text PDFBackground: Hospitalized older adults, especially those with Alzheimer's Disease and Related Dementias (PwD), are at high risk for delirium and distressing behaviors. Using physical restraints leads to functional decline and increased mortality. Our project aims to reduce restraint use by implementing a 4Ms approach for enhanced delirium management.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!