Prevention of delirium in the medical wards
Calvin H Hirsch
General Medicine, Geriatrics, and Bioethics
Delirium complicates the hospitalization of up to 54% of medical inpatients, but up to 40% of incident delirium is preventable. Primary prevention of delirium in medical wards can be achieved through protocolized, interdisciplinary, multicomponent nonpharmacologic interventions that involve the bedside nurse, often an advance-practice nurse, the family, and, where available, trained volunteers, in addition to the medical team. The physician's role is to assess and (whenever possible) correct risk factors through a careful history, physical examination, and screening laboratory tests. These assessments include cognitive and functional assessment and a careful review of medications, eliminating or reducing the doses of those known to contribute to delirium. At present, there are no proven pharmacologic delirium-prevention measures, although melatonin holds promise as an adjunct in prevention. Once delirium has occurred, secondary and tertiary prevention take over to prevent delirium-associated complications.
Prevention, Symptoms and Treatment
Fingerprint Dive into the research topics of 'Prevention of delirium in the medical wards'. Together they form a unique fingerprint.
Delirium Medicine & Life Sciences
Tertiary Prevention Medicine & Life Sciences
Nurses Medicine & Life Sciences
Physician's Role Medicine & Life Sciences
Family Practice Medicine & Life Sciences
Melatonin Medicine & Life Sciences
Primary Prevention Medicine & Life Sciences
Secondary Prevention Medicine & Life Sciences
Hirsch, C. H. (2017). Prevention of delirium in the medical wards. In Delirium: Prevention, Symptoms and Treatment (pp. 49-69). Nova Science Publishers, Inc..
Prevention of delirium in the medical wards. / Hirsch, Calvin H.
Delirium: Prevention, Symptoms and Treatment. Nova Science Publishers, Inc., 2017. p. 49-69.
Hirsch, CH 2017, Prevention of delirium in the medical wards. in Delirium: Prevention, Symptoms and Treatment. Nova Science Publishers, Inc., pp. 49-69.
Hirsch CH. Prevention of delirium in the medical wards. In Delirium: Prevention, Symptoms and Treatment. Nova Science Publishers, Inc. 2017. p. 49-69
Hirsch, Calvin H. / Prevention of delirium in the medical wards. Delirium: Prevention, Symptoms and Treatment. Nova Science Publishers, Inc., 2017. pp. 49-69
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title = "Prevention of delirium in the medical wards",
abstract = "Delirium complicates the hospitalization of up to 54% of medical inpatients, but up to 40% of incident delirium is preventable. Primary prevention of delirium in medical wards can be achieved through protocolized, interdisciplinary, multicomponent nonpharmacologic interventions that involve the bedside nurse, often an advance-practice nurse, the family, and, where available, trained volunteers, in addition to the medical team. The physician{\textquoteright}s role is to assess and (whenever possible) correct risk factors through a careful history, physical examination, and screening laboratory tests. These assessments include cognitive and functional assessment and a careful review of medications, eliminating or reducing the doses of those known to contribute to delirium. At present, there are no proven pharmacologic delirium-prevention measures, although melatonin holds promise as an adjunct in prevention. Once delirium has occurred, secondary and tertiary prevention take over to prevent delirium-associated complications.",
author = "Hirsch, {Calvin H}",
booktitle = "Delirium",
T1 - Prevention of delirium in the medical wards
AU - Hirsch, Calvin H
N2 - Delirium complicates the hospitalization of up to 54% of medical inpatients, but up to 40% of incident delirium is preventable. Primary prevention of delirium in medical wards can be achieved through protocolized, interdisciplinary, multicomponent nonpharmacologic interventions that involve the bedside nurse, often an advance-practice nurse, the family, and, where available, trained volunteers, in addition to the medical team. The physician's role is to assess and (whenever possible) correct risk factors through a careful history, physical examination, and screening laboratory tests. These assessments include cognitive and functional assessment and a careful review of medications, eliminating or reducing the doses of those known to contribute to delirium. At present, there are no proven pharmacologic delirium-prevention measures, although melatonin holds promise as an adjunct in prevention. Once delirium has occurred, secondary and tertiary prevention take over to prevent delirium-associated complications.
AB - Delirium complicates the hospitalization of up to 54% of medical inpatients, but up to 40% of incident delirium is preventable. Primary prevention of delirium in medical wards can be achieved through protocolized, interdisciplinary, multicomponent nonpharmacologic interventions that involve the bedside nurse, often an advance-practice nurse, the family, and, where available, trained volunteers, in addition to the medical team. The physician's role is to assess and (whenever possible) correct risk factors through a careful history, physical examination, and screening laboratory tests. These assessments include cognitive and functional assessment and a careful review of medications, eliminating or reducing the doses of those known to contribute to delirium. At present, there are no proven pharmacologic delirium-prevention measures, although melatonin holds promise as an adjunct in prevention. Once delirium has occurred, secondary and tertiary prevention take over to prevent delirium-associated complications.
BT - Delirium