{"title":"理清谵妄的脉络:综述谵妄的多面性和诊断的复杂性","authors":"Luisa Fernanda Montoya Arrieta","doi":"10.36106/gjra/1907898","DOIUrl":null,"url":null,"abstract":"Delirium prevention involves multifaceted strategies, targeting modiable risk factors through\nnonpharmacologic interventions. Orientation protocols, cognitive stimulation, sleep enhancement, early\nmobilization, and minimizing physical restraints are key components. Additionally, addressing medication-related risks and\nprompt management of medical complications are crucial preventive measures. In delirium management, identifying and\ntreating underlying conditions, providing supportive medical care, and managing agitation are essential. Antipsychotic\nmedications, benzodiazepines, and cholinesterase inhibitors have specic roles, with cautious consideration of potential risks.\nPain management, especially with nonopioid analgesics, plays a pivotal role. Ethical considerations, including informed\nconsent and respecting patient preferences, are integral to the treatment approach. Delirium outcomes are severe, impacting\nolder individuals with prolonged hospitalizations, functional and cognitive decline, elevated mortality rates, and an increased\nrisk of institutionalization. Mortality associated with delirium remains high even after adjusting for confounding factors, making\nit an independent marker for post-hospitalization mortality. Persistent cognitive dysfunction, particularly in those with\nunderlying dementia, is a concerning long-term outcome.","PeriodicalId":12664,"journal":{"name":"Global journal for research analysis","volume":"47 6","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2024-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"UNTANGLING THE THREADS OF DELIRIUM: A REVIEW ON ITS MULTIFACETED NATURE AND DIAGNOSTIC COMPLEXITIES\",\"authors\":\"Luisa Fernanda Montoya Arrieta\",\"doi\":\"10.36106/gjra/1907898\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Delirium prevention involves multifaceted strategies, targeting modiable risk factors through\\nnonpharmacologic interventions. Orientation protocols, cognitive stimulation, sleep enhancement, early\\nmobilization, and minimizing physical restraints are key components. Additionally, addressing medication-related risks and\\nprompt management of medical complications are crucial preventive measures. In delirium management, identifying and\\ntreating underlying conditions, providing supportive medical care, and managing agitation are essential. Antipsychotic\\nmedications, benzodiazepines, and cholinesterase inhibitors have specic roles, with cautious consideration of potential risks.\\nPain management, especially with nonopioid analgesics, plays a pivotal role. Ethical considerations, including informed\\nconsent and respecting patient preferences, are integral to the treatment approach. Delirium outcomes are severe, impacting\\nolder individuals with prolonged hospitalizations, functional and cognitive decline, elevated mortality rates, and an increased\\nrisk of institutionalization. Mortality associated with delirium remains high even after adjusting for confounding factors, making\\nit an independent marker for post-hospitalization mortality. Persistent cognitive dysfunction, particularly in those with\\nunderlying dementia, is a concerning long-term outcome.\",\"PeriodicalId\":12664,\"journal\":{\"name\":\"Global journal for research analysis\",\"volume\":\"47 6\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-01-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Global journal for research analysis\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.36106/gjra/1907898\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Global journal for research analysis","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.36106/gjra/1907898","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
UNTANGLING THE THREADS OF DELIRIUM: A REVIEW ON ITS MULTIFACETED NATURE AND DIAGNOSTIC COMPLEXITIES
Delirium prevention involves multifaceted strategies, targeting modiable risk factors through
nonpharmacologic interventions. Orientation protocols, cognitive stimulation, sleep enhancement, early
mobilization, and minimizing physical restraints are key components. Additionally, addressing medication-related risks and
prompt management of medical complications are crucial preventive measures. In delirium management, identifying and
treating underlying conditions, providing supportive medical care, and managing agitation are essential. Antipsychotic
medications, benzodiazepines, and cholinesterase inhibitors have specic roles, with cautious consideration of potential risks.
Pain management, especially with nonopioid analgesics, plays a pivotal role. Ethical considerations, including informed
consent and respecting patient preferences, are integral to the treatment approach. Delirium outcomes are severe, impacting
older individuals with prolonged hospitalizations, functional and cognitive decline, elevated mortality rates, and an increased
risk of institutionalization. Mortality associated with delirium remains high even after adjusting for confounding factors, making
it an independent marker for post-hospitalization mortality. Persistent cognitive dysfunction, particularly in those with
underlying dementia, is a concerning long-term outcome.