Delirium prevention and management in hospitalized older adults

Abstract

Delirium is a common neurocognitive disorder among hospitalized older adults, and it can have devastating effects. The purpose of this article is to inform NPs in the hospital setting to recognize, prevent, and manage delirium in older adults. The roles of nonpharmacologic and pharmacologic interventions are described.

Casting shadows of perception

“…Symptoms of delirium usually have a quick onset, beginning over a few hours to a few days. 16 Delirium oft en presents with visual hallucinations, delusions, and signifi cant confusion. It can occur due to various underlying causes, such as urinary tract infections, sepsis, metabolic abnormalities, hospitalization, and adverse reactions of medications.…”