Clinical Approach to Delirium in Elderly Patients.
- Author:
Myeong Il HAN
1
Author Information
1. Department of Psychiatry, Nosong Jeonju Hospital, Jeonju, Korea. mihan49@hanmail.net
- Publication Type:Original Article
- Keywords:
Delirium;
Elderly;
Geriatric psychiatry
- MeSH:
Aged*;
Classification;
Delirium*;
Diagnosis;
Geriatric Psychiatry;
Humans
- From:Journal of Korean Geriatric Psychiatry
2004;8(2):96-101
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Delirium is not uncommon and is a devastating clinical syndrome. Elderly patients are vulnerable to delirium, especially demented or/and medically-surgically ill patients. Old age, comorbid psychiatric, medical and/or neurological diseases, medications, changed pharmacodynamics, sensory impairment and psychosocial stresses contribute to the development of delirium. Delirium in elderly patients is somewhat different from delirium in younger patients, sometimes under detected and/or poorly managed. This review discusses the diagnosis, classification, etiology and treatment, and presents 3 clinical cases of delirium in elderly patients. This review also focuses on a practical approach in assessing and managing delirium in elderly patients. The management of delirium consists of identifying and correcting the underlying problems, including prescribing suitable medication.
