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Delirium

Delirium is a common but under-recognized and poorly understood neuropsychiatric syndrome. It is often managed sub-optimally and causes distress, not only for patients but also for family members and supporting staff. It has a diverse multifactorial aetiology and results in cerebral dysfunction. The...

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Published in:Medicine (Abingdon. 1995, UK ed.) UK ed.), 2020-12, Vol.48 (12), p.779-783
Main Authors: Tahir, Tayyeb A., Khan, Rashid, Saxena, Ankit, Hasnain, Mehrul
Format: Article
Language:English
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Summary:Delirium is a common but under-recognized and poorly understood neuropsychiatric syndrome. It is often managed sub-optimally and causes distress, not only for patients but also for family members and supporting staff. It has a diverse multifactorial aetiology and results in cerebral dysfunction. The Diagnostic and Statistical Manual of Mental Disorders, 5th edition, and the International Classification of Diseases, 11th revision criteria show greater congruence in the neurocognitive symptom profile of disturbance of attention, acute change with fluctuation and impaired cognitions with a variety of symptoms of a non-cognitive nature, including changes in thought processes and perceptual dysfunction. Non-pharmacological interventions focused on staff training, early intervention with preventive measures, mobilization, review of medications and environmental adaptations are essential with judicious use of medications.
ISSN:1357-3039
1878-9390
DOI:10.1016/j.mpmed.2020.09.003