Diagnosis and management of delirium near the end of life

被引:100
作者
Casarett, DJ
Inouye, SK
机构
[1] Vet Affairs Med Ctr, Philadelphia, PA USA
[2] Univ Penn, Philadelphia, PA 19104 USA
[3] Yale Univ, Sch Med, New Haven, CT 06520 USA
关键词
D O I
10.7326/0003-4819-135-1-200107030-00011
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Delirium is a common and distressing symptom that constitutes a significant challenge for end-of-life care. However, reliable techniques are available for the diagnosis of delirium, and effective therapies exist as well. This consensus paper uses a case-based format that begins with an overview of the definition and presentation of delirium. Next, strategies for diagnosis are suggested, with attention to the unique challenges that clinicians face in pursuing a diagnostic work-up for patients near the end of life. The paper concludes with a review of therapeutic options.
引用
收藏
页码:32 / 40
页数:9
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