The Intern At Work: Internal Medicine 49. When the Mind Plays Tricks - An Approach to Delirium
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Mar 8, 2020 Explore the intricacies of diagnosing and managing delirium in healthcare settings, focusing on types of delirium, diagnostic approaches, triggers, management strategies, and long-term effects. Learn about the impact of delirium on patients and medical professionals, along with the importance of collateral history, identifying triggers, and utilizing non-pharmacologic approaches for treatment.
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Types and Risks of Delirium
- Delirium includes hyperactive, hypoactive, or mixed types with distinct presentations.
- Hypoactive delirium is often missed but equally increases mortality risk.
Stressors and Vulnerability in Delirium
- Delirium triggers depend on stressors and patient vulnerabilities.
- Smaller insults can trigger delirium in more vulnerable individuals.
Complex Pathophysiology of Delirium
- Delirium results from multifactorial pathophysiology including neurotransmitter and inflammatory changes.
- Metabolic and genetic factors also contribute to cerebral dysfunction in delirium.