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Characterizing Difficulties and Management of Sleep Disturbances in a Tertiary Palliative Care Unit-A Retrospective Review.
J Palliat Care
January 2025
Departments of Internal Medicine and Family Medicine, Section of Palliative Care Medicine, University of Manitoba, Winnipeg, Canada.
Difficulty sleeping is common in palliative care, however often unrecognized by palliative care physicians. This retrospective review aims to gain a better understanding of the causes and treatment of sleeping disturbances in a tertiary palliative care unit. This study included 200 palliative care inpatients admitted between January 1, 2015, and August 31, 2020.
View Article and Find Full Text PDFEvaluation of anticholinergic burden in elderly outpatients and the risk factors.
Zhong Nan Da Xue Xue Bao Yi Xue Ban
January 2023
Department of Pharmacy, Xiangya Hospital, Central South University, Changsha 410008.
Objectives: The use of anticholinergic drugs in the elderly may lead to negative events such as falls, delirium, urinary retention and cognitive decline, and the higher the number of anticholinergic drugs use, the more such negative events occur. This study aims to analyze the risk factors associated with the prescription of total anticholinergic drugs in elderly outpatients and evaluate the rationality of anticholinergic drugs, and to provide a reference for reducing the adverse effects of anticholinergic drugs.
Methods: A list of drugs with anticholinergic activity based on the Beers criteria was established.
Delirium associated with only one dose of zopiclone in an older adult.
Psychogeriatrics
July 2018
Unit for Aging Brain and Dementia, Department of Geriatric Medicine, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey.
Both insomnia and its treatment can lead to the development of delirium in older adults. In the present case, delirium occurred after a single dose of zopiclone was given for insomnia treatment in an 84-year-old patient. Considering the case, patients and caregivers should be informed about the rare complication when zopiclone is prescribed.
View Article and Find Full Text PDFDiagnostic and treatment practices of delirium in a general hospital.
Aging Clin Exp Res
December 2014
Medical Education, Sligo Medical Academy, NUI Galway, Galway, Ireland,
Background: Despite the increase in research on delirium, it remains underdiagnosed and difficult to manage, and the outcome is poor especially in older people.
Aims: To identify the clinically diagnosed rates of delirium, the possible aetiologies, to describe treatment, number and type of psychotropic medication used and to investigate the reasons for referral to a liaison psychiatric team.
Methods: Retrospective study of medical records of inpatients admitted to Sligo Regional Hospital during an 18-month period.
[A case of serotonin syndrome following minimum doses of sertraline].
Seishin Shinkeigaku Zasshi
January 2010
We report a 75-year-old woman developing serotonin syndrome following minimum doses of sertraline. She showed a depressed mood, insomnia, and general fatigue and was taking sulpiride at 300 mg/day, alprazolam at 1.2 mg/day, zopiclone at 7.
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