Managing Sleep, Delirium, Depression, Dementia in Geriatric Patients

Consider using LODOS melatonin or meltyon for sleep. Cholinesterase inhibitors are not recommended for delirium prevention but can be continued in dementia patients. Benzodiazepines are preferred for benzodiazepine or alcohol withdrawal. Educate family members about delirium symptoms that can fluctuate for weeks to months. Discuss with loved ones that patient may not return to cognitive baseline. Use screeners to differentiate depression, dementia, and delirium. Check labs for reversible causes in depression. Use geriatric depression scale, MMSE, MOCA, or SLUMS for screening. Use CAM or confusion assessment method for delirium assessment.