Show Dementia is a condition where a person’s memory, thinking, understanding or judgement can be affected. It gets worse with time. People who have dementia are at a higher risk of developing delirium. Delirium is a more sudden change in consciousness or thinking that can often be prevented or treated.
Delirium is where there is a recent change in a person's thinking and behaviour that can come and go. The person often has difficulty paying attention. They may be very sleepy or restless, or be thinking in a disorganised way. Delirium often occurs in older people in hospital. People who have delirium when they are in hospital are at a higher risk of developing further medical complications. What are the symptoms of delirium?A person with delirium may be confused and have problems with memory, They may be agitated or drowsy. Signs of delirium include:
What are the causes of delirium?Delirium can be caused by changes in a person's health, such as an infection or a medication change. It can also be caused by things such as constipation, dehydration and pain. Many people will have more than one problem leading to their delirium. Sometimes it is difficult to find the cause. People with dementia, cognitive impairment, or hearing or vision loss are at an increased risk of delirium. How is delirium diagnosed?To diagnose delirium, a health worker may talk to family, friends or carers about changes in the person's behaviour or mental state. If there have been changes over a short period of time, the person might have delirium. The health worker will also observe for changes in the person's consciousness and thought patterns. If someone is found to have delirium, further tests may be done to find the cause. Management of deliriumIt is important to try and find the cause of delirium and treat that. Always report increasing confusion in a hospitalised person to a health care worker. It can also be helpful to do simple things like removing excess noise and making sure the person:
If a person is a risk to themselves or others, medication is sometimes used. Learn more here about the development and quality assurance of healthdirect content. Last reviewed: May 2020 These trusted information partners have more on this topic.
Healthdirect Australia is not responsible for the content and advertising on the external website you are now entering.
Display options Format AbstractPubMedPMID
Older people can find hospital stays challenging and distressing. When their presenting symptoms make it challenging for healthcare professionals to differentiate between dementia, delirium and depression, their experience may be increasingly distressing, and can result in delays in diagnosis and treatment, as well as an increased risk of morbidity. This article considers each of the conditions of dementia, delirium and depression, their presenting features and how nurses can differentiate between them to enable comprehensive assessment, diagnosis and treatment in older people. Keywords: Alzheimer’s disease; delirium; dementia; depression; diagnosis; differential diagnosis; mental health; neurology; nursing care; older people. © 2019 RCN Publishing Company Ltd. All rights reserved. Not to be copied, transmitted or recorded in any way, in whole or part, without prior permission of the publishers.
MeSH termsLinkOut - more resources
Cite
Format: AMA APA MLA NLM |