Technical Note/Case Study · %812 %e, %2020 · DOI: 10.15520/ijmhs.v10i01.2786

Refractory delirium in palliative care sitting

Igbal Abdelati MD, Sami Ayed Alshammary, MD*, Savithiri Ratnapalan MBBS,PhD

##submission.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?: