Clinical practice guidelines for the management of delirium in older people in Australia

Abstract

Delirium is a common and serious condition which is often overlooked or misdiagnosed in older people. In 2006, the first set of national clinical practice guidelines for the management of delirium in older people were developed. This paper provides an abbreviated version of the guideline document which includes recommendations for the detection of delirium (diagnosis and screening), assessment and prediction of risk factors for delirium, prevention of delirium and interventions to manage people with delirium. The guidelines reflect the available evidence base and highlight the limited high level research in delirium care, particularly in the areas of symptom management and screening for delirium.

Óráð eftir opna hjartaaðgerð: kerfisbundin samantekt á algengi, áhættuþáttum og afleiðingum

“…5,[11][12][13] Forvörn er árangursrík og sýnt hefur verið fram á að faekka megi tilfellum óráðs um þriðjung og draga úr alvarleika þeirra með réttum starfsháttum. 14,15 Með-ferð getur hins vegar verið vandasöm eftir að óráð hefur komið til.…”

“…5,22 Útsetjandi áhaettuþaettir eru þeir þaettir sem gera einstaklinginn viðkvaemari eða móttaekilegri fyrir ýmsum vandamálum. Þetta eru áhaettuþaettir sem oft eru til staðar við innlögn á sjúkrahús.…”

Delirium postoperatorio: una consecuencia del envejecimiento poblacional

“…Al parecer la efectividad de estas medidas tendría impacto en reducir la duración y severidad del delirium, así como los días de hospitalización [111][112][113] . Aunque no tengan respaldo suficiente basado en la evidencia, diversas guías clínicas las recomiendan 114,115 . Estas medidas son: descartar una complicación quirúrgica o médica, cuidado continuo de enfermería, asegurar nutrición e hidratación, movilización precoz, asegurar patrón de ciclo sueño-vigilia y manipulación del ambiente, reorientación (reloj, calendario, recordar el espacio-tiempo), evitar cambios excesivos de personal y minimizar alteraciones sensoriales (uso de lentes ópticos y audífonos) 116 .…”

Delirium: the invisible syndrome

“…The use of drugs is still recommended only for a short period (short-term treatment). 9 For short-term treatment we mean a pharmacological treatment of a duration of one week or less. However to date the evidence based on the use of drugs in delirium is limited to a small number of studies (Table 3).…”