Refractory delirium in palliative care sitting

Cite this:
[1]
Igbal Abdelati MD, Sami Ayed Alshammary, MD*, Savithiri Ratnapalan MBBS,PhD, “Refractory delirium in palliative care sitting”, ijmhs, vol. 10, no. 01, pp. 777–784, Jan. 2020.
© 2022 Interactive Protocols
RIGHTS & PERMISSIONS
Article Views
335
Altmetric
1
Citations
-
LEARN ABOUT THESE METRICS
   PDF  

Abstract

This paper describes the management of a 65 years old male patient
transferred to the palliative care ward from the Intensive Care Unit, with
brain metastasis and infarction admission, epilepsy, neurological dysfunction,
cognitive impairment and a history of previous delirium episodes. We
discuss four delirium assessment methods and possible collaborative
multidisciplinary approaches to manage persistent delirium in palliative care
patients.1.Agar M, Alici Y, and Breitbart (2015)W.17.5 Delirium. In In Oxford Textbook
of Palliative Medicine 5th edition. Cherny N, Fallon M, Kaasa S, Portenoy R, Currow D. Oxford University Press . pp 1092-1100
2.Hosker CM and Bennet MI. Delirium andagitation at the end of life. BMJ2016;353:i3085 doi: 10.1136/bmj.i3085
3.Cherny N, Fallon M, Kaasa S, PortenoyR, Currow D. Oxford Textbook of Palliative Medicine 5th edition. Oxford.Oxford University Press. 2015
4.Ryan K, Leonard M, Guerin S, et al.Validation of the confusion assessmentmethod in the palliative care setting.Palliat Med 2009;23(1):40-5
5.Wong CL, Holroyd-Leduc J, Simel DL,et al. Does this patient have delirium?:

KEYWORDS:

 Special Issue

References

1.Agar M, Alici Y, and Breitbart (2015)W.17.5 Delirium. In In Oxford Textbook of Palliative Medicine 5th edition. Cherny N, Fallon M, Kaasa S, Portenoy R, Currow D. Oxford University Press . pp 1092-1100 2.Hosker CM and Bennet MI. Delirium andagitation at the end of life. BMJ2016;353:i3085 doi: 10.1136/bmj.i3085 3.Cherny N, Fallon M, Kaasa S, PortenoyR, Currow D. Oxford Textbook of Palliative Medicine 5th edition. Oxford.Oxford University Press. 2015 4.Ryan K, Leonard M, Guerin S, et al.Validation of the confusion assessmentmethod in the palliative care setting.Palliat Med 2009;23(1):40-5 5.Wong CL, Holroyd-Leduc J, Simel DL,et al. Does this patient have delirium?:value of bedside instruments. (review) JAMA 2010;304(7):779-86 6.Leonard MM, Nekolaichuk C, MeagherDJ, et al. Practical assessment of deliriumin palliative care. J Pain SymptomManage 2014;48:176-90.doi:10.1016/j.jpainsymman. 2013.10.024pmid:24766745. 7.Inouye SK, Charpentier PA.Precipitating factors for delirium inhospitalized elderly persons. Predictivemodel and interrelationship with baselinevulnerability. JAMA 1996;275:852-7.doi:10.1001/jama.1996.03530350034031pmid:8596223. 8.National Institute for Health and CareExcellence. Delirium: prevention,diagnosis and management. NICEguideline103. 2010. https://www.nice.org.uk/guidance/CG103?UNLID=71857637201581742332access date 16/2/2018 9.Cobb JL, Glantz MJ, Nicholas PK, et al.Delirium in patients with cancer at theend of life.Cancer Pract 2000;8:172-7.doi:10.1046/j.1523-5394.2000.84006.xpmid:11898256. 10.Twycross R and Wilcock A. Introducingpalliative care. 5th edition. Nottingham:palliativedrugs.com; 2016. 11.Adult Network Guidelineswww.book.pallcare.info (convulsions andseizures; anxiety, depression) date ofaccess 18/2/2018. 12.British Geriatrics Society and RoyalCollege of Physician(2006). Theprevention, diagnosis and management ofdelirium in older people. NationalGuidelines Available fromwww.rcplondon.au,uk date of access1.3.2018.

Article Metrics Graph

Chart Graph | Range Graph

Content

Section

References

1.Agar M, Alici Y, and Breitbart (2015)W.17.5 Delirium. In In Oxford Textbook
of Palliative Medicine 5th edition. Cherny N, Fallon M, Kaasa S, Portenoy R, Currow D. Oxford University Press . pp 1092-1100
2.Hosker CM and Bennet MI. Delirium andagitation at the end of life. BMJ2016;353:i3085 doi: 10.1136/bmj.i3085
3.Cherny N, Fallon M, Kaasa S, PortenoyR, Currow D. Oxford Textbook of Palliative Medicine 5th edition. Oxford.Oxford University Press. 2015
4.Ryan K, Leonard M, Guerin S, et al.Validation of the confusion assessmentmethod in the palliative care setting.Palliat Med 2009;23(1):40-5
5.Wong CL, Holroyd-Leduc J, Simel DL,et al. Does this patient have delirium?:value of bedside instruments. (review) JAMA 2010;304(7):779-86
6.Leonard MM, Nekolaichuk C, MeagherDJ, et al. Practical assessment of deliriumin palliative care. J Pain SymptomManage 2014;48:176-90.doi:10.1016/j.jpainsymman. 2013.10.024pmid:24766745.
7.Inouye SK, Charpentier PA.Precipitating factors for delirium inhospitalized elderly persons. Predictivemodel and interrelationship with baselinevulnerability. JAMA 1996;275:852-7.doi:10.1001/jama.1996.03530350034031pmid:8596223.
8.National Institute for Health and CareExcellence. Delirium: prevention,diagnosis and management. NICEguideline103. 2010. https://www.nice.org.uk/guidance/CG103?UNLID=71857637201581742332access date 16/2/2018
9.Cobb JL, Glantz MJ, Nicholas PK, et al.Delirium in patients with cancer at theend of life.Cancer Pract 2000;8:172-7.doi:10.1046/j.1523-5394.2000.84006.xpmid:11898256.
10.Twycross R and Wilcock A. Introducingpalliative care. 5th edition. Nottingham:palliativedrugs.com; 2016.
11.Adult Network Guidelineswww.book.pallcare.info (convulsions andseizures; anxiety, depression) date ofaccess 18/2/2018.
12.British Geriatrics Society and RoyalCollege of Physician(2006). Theprevention, diagnosis and management ofdelirium in older people. NationalGuidelines Available fromwww.rcplondon.au,uk date of access1.3.2018.

Source

License

All paper submissions must carry the following duly signed by all the authors:
“I certify that I have participated sufficiently in the conception and design of this work and the analysis of the data (wherever applicable), as well as the writing of the manuscript, to take public responsibility for it. I believe the manuscript represents valid work. I have reviewed the final version of the manuscript and approve it for publication. Neither has the manuscript nor one with substantially similar content under my authorship been published nor is being considered for publication elsewhere, except as described in an attachment. Furthermore I attest that I shall produce the data upon which the manuscript is based for examination by the editors or their assignees, if requested.”