Newsletter

February 2012

Delirium

Delirium is an acute disturbance of consciousness and change in cognition (inattention) that is not accounted for by a pre-existing, established, or evolving dementia. The disturbance tends to fluctuate during the course of the day and is caused by the direct physiological consequences of a general medical condition.

Triggers

D- Dehydration, dementia, detoxification/intoxication, diarrhea/constipation

E- Electrolyte imbalance

L- Lungs, liver, heart, kidney, brain (TIA, stroke, tumour)

I- Infection (UTI, pneumonia)

R- Recent loss, restricted movement, recent surgery with anesthesia

I- Injury (fall, head injury, pain, hemorrhage, shock), improper fitting of hearing aid/glasses, improper sleep

U- Unfamiliar environment (hospitalized)

M- Medications: side effects, noncompliance, withdrawal (benzodiazepines, sedatives, hypnotics,), malnutrition, metabolic (blood sugars, thyroid, low vitamin B12, seizures)

Assessment can be done with the Confusion Assessment Method (CAM) and is supported by the Mini-Mental Status Examination (MMSE), Delirium symptom interview, Nu-Desc, or tools specific to physiological cause.

Delirium is a common and serious condition that needs quick identification and management.Delirium often can be prevented.

Delirium is often not recognized or is misdiagnosed as dementia or depression.

Delirium can often be reversed with proper assessment and treatment

COMING SOON!!

Webex Educational Sessions

Topics will be presented 3 times a month to focus on Palliative care assessments and interventions. Watch for your invitation in your e-mail for March topics

Want to know more? Do you have a Palliative care question? Contact your Palliative Care North Zone Team

Amy Regnier RN, BScN, BA- Jasper to Cold Lake amy.regnier@albertahealthservices.ca	780-826-8353
Verna Horney RN, BN- Grande Prairie and area verna.horney@albertahealthservices.ca	780-830-5061
Michael Wilson RN, MN, NP High Level& Peace River michael.w.wilson@albertahealthservices.ca	780-836-7366

Share|

Quick Links

February 2012

Want to know more? Do you have a Palliative care question? Contact your Palliative Care North Zone Team