Peer Reviewed
Feature Article Neurology
Investigation of acute confusion in the elderly
Abstract
Delirium is common in elderly patients. It is often underdiagnosed and mismanaged leading to significant morbidity and mortality.
Key Points
- Presume that every elderly patient with confusion has delirium until proven otherwise.
- Early detection can be improved with the use of the Confusion Assessment Method and detailed history taking from family or carers.
- Formulate individual nonpharmacological management plans, and reserve antipsychotic or sedative medication for those with the most distressing symptoms.
- Education and support of families, carers and residential home staff is essential.
- Ensure close follow up in the community and good communication between carers and primary care practitioners.
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