Elderly-Delirium Flashcards
1
Q
what is delirium
A
disturbed conciousness change in cognitionn acute onset disturbed sleep emotional disturbance
2
Q
what causes it
A
infection dehydration pain drugs hypoxia polypharmacy
3
Q
why do we care
A
massive morbidity
increased risks of death
persistent functional decline
4
Q
what is the 4AT
A
alertness /4 AMT4-location, age, DOB and year /2 attention /2 acutee change /4 above 4 is possible delirium
5
Q
what do you do once you find it
A
treat the underlying cause
explain to the patient
6
Q
what are non pharmacological treatment
A
reorientate reassure encourage mobility correction of sensory impairment sleep avoid catheterisatio
7
Q
what is pharmacological treatment
A
quetiapine daily
8
Q
how do you prevent delirum
A
orientation
promoting sleep
early mobilisation
pain control
9
Q
what is the association with deleiruma nd falls
A
4.5x more likely to fall
overdiagmsois of UTI - do not dipstick old people
10
Q
what happens if they loose capacity
A
POA
