Counselor Toolbox Podcast with DocSnipes 1081 - 10 Tools to Understand and Address Agitation, Delirium and Sundowning
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Nov 10, 2025 Explore the spectrum of cognitive impairment, from aging to dementia, and discover common misdiagnoses. Learn about reversible causes of cognitive changes, including hydration and medication side effects. The discussion highlights multi-component interventions versus relying on medications. Delirium types are defined, revealing critical distinctions between hypoactive presentations and sundowning. Engage with strategies to manage agitation and improve hydration for older adults. Practical tips abound, including addressing grief and anxiety, to enhance care and comfort.
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Spectrum Of Cognitive Impairment
- Cognitive impairment ranges from normal aging to advanced dementia and affects memory, attention, and communication.
- Assess hearing, B12, iron, vitamin D, and insulin resistance before assuming dementia.
Rule Out Reversible Causes First
- Check simple reversible causes first like hearing loss, dehydration, and vitamin deficiencies when cognition changes suddenly.
- Advocate for medical testing rather than assuming permanent decline.
Simple Home Checks For Cognitive Change
- Test hydration by skin tenting and inspect eyes, and ask about recent diarrhea or diuretic use.
- Consider hypothyroid and medication side effects as reversible cognitive causes.