Delirium secondary prevention: Difference between revisions

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{{Delirium}}
{{Delirium}}
{{CMG}}; {{AE}} [[User:Vishal Khurana|Vishal Khurana]], M.B.B.S., M.D. [mailto:vishdoc24@gmail.com]; {{PB}}
{{CMG}}; {{AE}} {{Sara.Zand}} {{PB}}; [[User:Vishal Khurana|Vishal Khurana]], M.B.B.S., M.D. [mailto:vishdoc24@gmail.com]


==Overview==
==Overview==
Delirium causes further complications that may worsen patient's condition.  Secondary prevention plays important role in management of the delirium.
[[Secondary prevention]] strategies following [[delirium]] include avoid [[anticholinergic]] drugs, attend to [[environmental factors]] (sensory input, [[orientation aids], reassuring [[human contact]], routine screening for finding high risk [[patients]], early recognition of any change or fluctuation of [[mental]] state or [[behaviour]].
 
==Secondary Prevention==
==Secondary Prevention==
The main complications of delirium are :
*[[Secondary prevention]] strategies following [[delirium]] include avoid [[anticholinergic]] drugs, attend to [[environmental factors]] (sensory input, [[orientation aids], reassuring [[human contact]]), routine screening for finding high risk [[patients]], early recognition of any change or fluctuation of [[mental]] state or [[behaviour]].<ref name="Anderson2005">{{cite journal|last1=Anderson|first1=David|title=Preventing delirium in older people|journal=British Medical Bulletin|volume=73-74|issue=1|year=2005|pages=25–34|issn=1471-8391|doi=10.1093/bmb/ldh048}}</ref>
* Falls
 
* Pressure sores
* Nosocomial infections
* Functional impairment
* Continence problems
* Over sedation.
====Falls====
Restraints are not effective in preventing falls, but ironically restrain may increase the risk of injury.  The patient should be bedded on the floor or closer to the floor.
====Pressure Sores====
The following strategies may be utilized to prevent and manage pressure sores
* Formal pressure sore risk assessment ( e.g. Norton score, or Waterlow score)
* Regular pressure area care, including special mattresses where necessary
* Mobilization as soon as their illness allows.
====Functional Impairment====
Physiotherapist and occupational therapist consult is beneficial to maximize recovery.
====Continence====
Issues related to continence may be managed by following guidelines,
* Continence assessment
* Regular toiletting
* Prompt treatment of [[UTI]]
* Avoid catheters as it may elevate risks of trauma in confused patients, and also UTIs.<ref>{{Cite web  | last = | first = | title = http://www.bgs.org.uk/Word%20Downloads/delirium.doc | url = http://www.bgs.org.uk/Word%20Downloads/delirium.doc | publisher = | date = | accessdate =}}</ref>
==References==
==References==
{{Reflist|2}}
{{Reflist|2}}

Latest revision as of 11:49, 22 April 2021

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sara Zand, M.D.[2] Pratik Bahekar, MBBS [3]; Vishal Khurana, M.B.B.S., M.D. [4]

Overview

Secondary prevention strategies following delirium include avoid anticholinergic drugs, attend to environmental factors (sensory input, [[orientation aids], reassuring human contact, routine screening for finding high risk patients, early recognition of any change or fluctuation of mental state or behaviour.

Secondary Prevention

References

  1. Anderson, David (2005). "Preventing delirium in older people". British Medical Bulletin. 73-74 (1): 25–34. doi:10.1093/bmb/ldh048. ISSN 1471-8391.

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