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What is delirium?
acute confusional state, a decline from a previous baseline mental functioning that
develops over a short period of time (hours to days)
What are sxs of delirium?
ACUTE ONSET
short term confusion, excitement, disorientation, a clouding of consciousness,
hallucinations and illusions
What should you do to make the environment calm for delirium patients?
dim lights, turn off TV, IV alarm off, move them close to the nurses station, get a sitter
and close the door (always want eyes on them)
What are delirium factors?
infection, febrile illness, metabolic disorders, head trauma, seizures, migraine
headaches, brain abscess, stroke, electrolyte imbalance
Who are at a high risk for delirium?
people over 65, dementia, falls, elder abuse
what is substance induced delirium?
intoxication, medications, or withdrawals from substances
What is the tx for delirium?
, determine underlying cause
reassure and reorient patient with presence
minimize environmental stimuli
What are possible underlying causes of delirium?
electrolyte status, hypoxia, diabetic problems, infection
What is given for substance withdrawal?
benzo
What is given for agitation and aggression?
low dose anti psychotic
What is a neurocognitive disorder?
a clinically significant deficit in cognition or memory exists, representing a significant
change from a previous level of functioning
What is in the DSM5?
delirium, milk neurocognitive disorders, major cognitive disorders (dementia)
What is the objective of care for those with neurocognitive disorders?
provide with the dignity and quality of life they deserve, while offering guidance and
support to their families or primary caregivers
What is neurodegenerative?
ones that get worse over time, not all neurocognitive disorders are neurogenerative
What is mild neurocognitive impairment?
early identification and early intervention, critical because can prevent or slow
progression
What is major neurocognitive impairment?