Delirium Superimposed on Dementia

被引:3
作者
Apold, Susan [1 ]
机构
[1] NYU, Meyers Coll Nursing, Nursing, New York, NY 10010 USA
来源
JNP-JOURNAL FOR NURSE PRACTITIONERS | 2018年 / 14卷 / 03期
关键词
delirium; delirium superimposed on dementia; dementia; geriatrics; CLINICAL-PRACTICE; POSTOPERATIVE DELIRIUM; HOSPITALIZED ADULTS; CARE; REHABILITATION; PATHOPHYSIOLOGY; PREVALENCE; PREVENTION; OUTCOMES; TOOLS;
D O I
10.1016/j.nurpra.2017.12.010
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Delirium and dementia are 2 different pathophysiologic processes, each manifesting signs that so overlap that they are often indistinguishable to the practicing clinician. Delirium superimposed on dementia is an underdiagnosed disease process associated with increased mortality and morbidity, longer recovery rates, higher cost, increased risk for falls, and long-term care placement. This article presents an overview of this disease with a focus on early recognition and prevention. Recommendations for treatment strategies, derived from evidence, are presented for consideration by family and adult and geriatric acute care nurse practitioners.
引用
收藏
页码:183 / 189
页数:7
相关论文
共 44 条
[41]  
Waszynki CM, CONFUSION ASSESSMENT
[42]   Guidelines Diagnosis, prevention, and management of delirium: summary of NICE guidance [J].
Young, John ;
Murthy, Lakshmi ;
Westby, Maggie ;
Akunne, Anayo ;
O'Mahony, Rachel .
BMJ-BRITISH MEDICAL JOURNAL, 2010, 341 :247-248
[43]   Delirium in Critically Ill Patients Epidemiology, Pathophysiology, Diagnosis and Management [J].
Zaal, Irene J. ;
Slooter, Arjen J. C. .
DRUGS, 2012, 72 (11) :1457-1471
[44]   A Prospective Comparison of Informant-based and Performance-based Dementia Screening Tools to Predict In-Hospital Delirium [J].
Zeng, Lily ;
Josephson, S. Andrew ;
Fukuda, Keiko A. ;
Neuhaus, John ;
Douglas, Vanja C. .
ALZHEIMER DISEASE & ASSOCIATED DISORDERS, 2015, 29 (04) :312-316