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Delirium management
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Patients with cognitive deficits are 3 times more likely to suffer a hip fracture than geriatric patients of the same age group without cognitive deficits. The persistence of perioperative pain following hip fracture is a risk factor for the occurrence of delirium, poor functional prognosis, and the development of secondary chronic pain.
9p
vinobelprisen
26-03-2022
16
5
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Early identification of older cardiac patients at high risk of readmission or mortality facilitates targeted deployment of preventive interventions. In the Netherlands, the frailty tool of the Dutch Safety Management System (DSMS-tool) consists of (the risk of) delirium, falling, functional impairment, and malnutrition and is currently used in all older hospitalised patients. However, its predictive performance in older cardiac patients is unknown.
10p
vinobelprisen
26-03-2022
22
5
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Delirium is one of the most frequent complications in hospitalized elderly patients with additional costs such as prolongation of hospital stays and institutionalization, with risk of reduced functional recovery, longterm cognitive impairment, and increased morbidity and mortality. We analyzed the effect of individual pharmaco‑ therapy management (IPM) in the University Hospital Halle in geriatric trauma patients on complicating delirium and aimed to identify associated factors.
18p
vinobelprisen
26-03-2022
14
4
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Pain, agitation-sedation and delirium management are crucial elements in the care of critically ill patients. In the present study, we aimed to present the current practice of pain, agitation-sedation and delirium assessments in Chinese intensive care units (ICUs) and investigate the gap between physicians’ perception and actual clinical performance.
11p
vidietmarhopp
29-12-2021
7
0
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Delirium is a common complication of hip surgery patients. It is necessary to investigate the epidemiological characteristics and related risk factors of delirium after hip fracture surgery, to provide evidence supports for the prevention and management of delirium.
7p
vianttinic2711
20-04-2021
13
2
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part 1 book “essentials of clinical geriatrics” has contents: clinical implications of the aging process, the geriatric patient - demography, epidemiology, and health services utilization, evaluating the geriatric patient, chronic disease management, prevention, delirium and dementia, diagnosis and management of depression.
247p
tieu_vu13
06-08-2018
34
2
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(BQ) Part 1 of the document Evidence-based critical care presents the following contents: Evidence based critical care, critical care medicine, admission discharge criteria, fluid responsiveness and fluid resuscitation, assessment of cardiac function and cardiac output, management of pain, agitation and delirium,...
351p
thangnamvoiva4
01-07-2016
49
3
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Delirium tremens is defined here as withdrawal symptoms complicated by disorientation, hallucinations or delusions. Autonomic overactivity is a potentially fatal aspect of this condition. A Clinical Resource and Audit Group (now part of NHS Quality Improvement Scotland) good practice statement on delirium tremens recognises the serious medical aspects of this syndrome and recommends that local protocols for admitting patients with delirium tremens are used.
49p
seketnoi
26-04-2013
50
1
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A comparison between community and inpatient detoxification of alcohol dependent patients found no difference in the number of patients remaining sober six months later.82 At least three out of four such patients can be detoxified successfully in the community.82 No studies of outpatient detoxification using medication were identified where fits occurred but studies had, appropriately, excluded patients with a history of withdrawal seizures or with impending delirium.83 Home detoxification does not appear to have any clinical advantages but may offer cost savings.
20p
seketnoi
26-04-2013
44
6
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Calling the family members, the relexing exercises, musical therapy, masaj and sitting exercises are important in control of anxiety and ajitation of patients. Safe and effective management of the pain and anxiety needs a delicate balance for analgesia and sedation protocols while managing delirium status. The weaning of patients from mechanical ventilation is often hampered by the sedation that they receive.
168p
wqwqwqwqwq
21-07-2012
90
9
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Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Clinical review: Agitation and delirium in the critically ill – significance and management...
5p
coxanh_3
25-10-2011
47
3
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Delirium: Treatment Management of delirium begins with treatment of the underlying inciting factor (e.g., patients with systemic infections should be given appropriate antibiotics and underlying electrolyte disturbances judiciously corrected). These treatments often lead to prompt resolution of delirium. Blindly targeting the symptoms of delirium pharmacologically only serves to prolong the time patients remain in the confused state and may mask important diagnostic information. Relatively simple methods of supportive care can be highly effective in treating patients with delirium.
5p
ongxaemnumber1
29-11-2010
65
3
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