Delirium at home: Strategies for home health clinicians

Home Healthcare Nurse

Volumn 27, Issue 1, 2009, Pages 24-34

  Bond, Stewart M ^a,b  

^a VANDERBILT UNIVERSITY   (United States)

^b 505 Godchaux Hall ^*  (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AGED; CAREGIVER; CASE REPORT; COMMUNITY HEALTH NURSING; DELIRIUM; DIFFERENTIAL DIAGNOSIS; EARLY DIAGNOSIS; EDUCATION; FAMILY; GERIATRIC ASSESSMENT; HOME CARE; HUMAN; INCIDENCE; MALE; MASS SCREENING; NURSE ATTITUDE; NURSING ASSESSMENT; ORGANIZATION AND MANAGEMENT; PATIENT EDUCATION; PREVALENCE; PSYCHOLOGICAL ASPECT; REVIEW; RISK ASSESSMENT; RISK FACTOR; SOCIAL SUPPORT;

AGED; CAREGIVERS; COMMUNITY HEALTH NURSING; DELIRIUM; DIAGNOSIS, DIFFERENTIAL; EARLY DIAGNOSIS; FAMILY; GERIATRIC ASSESSMENT; HOME CARE SERVICES; HUMANS; INCIDENCE; MALE; MASS SCREENING; NURSE'S ROLE; NURSING ASSESSMENT; PATIENT EDUCATION AS TOPIC; PREVALENCE; RISK ASSESSMENT; RISK FACTORS; SOCIAL SUPPORT;

EID: 65849095988     PISSN: 0884741X     EISSN: 15390713     Source Type: Journal    
DOI: 10.1097/01.NHH.0000343782.11723.ea     Document Type: Article

References (44)

1. Adamis, D., Treloar, A., Martin, F. C., & Macdonald, A. J. D. (2006). Recovery and outcome of delirium in elderly medical inpatients. Archives of Gerontology and Geriatrics, 43, 289-298. (Pubitemid 44251228)
2. Amella, E. J. (2004). Presentation of illness in older adults. American Journal of Nursing, 104, 40-51.
3. American Psychiatric Association. (1999). Practice guideline for the treatment of patients with delirium. Retrieved June 24, 2008 from http://www.psychiatryon-line.com/pracGuide/loadGuidelinePdf.aspx?file=Deliri umPG-05-15-106
4. American Psychiatric Association. (2000). Delirium, dementia, and amnestic and other cognitive disorders. Diagnostic and statistical manual of mental disorders (4th ed., text revision, pp. 135-180). Washington, DC: Author.
5. Boettger, S., & Breitbart, W. (2005). Atypical antipsy-chotics in the management of delirium: A review of the empirical literature. Palliative & Supportive Care, 3, 227-237.
6. Borson, W., Scanlan, J. M., Brush, M., Vitallano, P., & Dok-mak, A. (2000). The Mini-Cog: A cognitive "vital signs" measure for dementia screening in multilingual elderly. International Journal of Geriatric Psychiatry, 15, 1021-1027.
7. Brajtman, S. (2003). The impact on the family of terminal restlessness and its management. Palliative Medicine, 17, 454-460.
8. Breitbart, W., Gibson, C., & Tremblay, A. (2002). The delirium experience: Delirium recall and delirium-related distress in hospitalized patients with cancer, their spouses/caregivers, and their nurses. Psycho-somatics, 43, 183-191.
9. Breitbart, W., Marotta, R., Platt, M. M., Weisman, H., Derevenco, M., Grau, C., et al. (1996). A double-blind trial of haloperidol, chlorpromazine, and lorazepam in the treatment of delirium in hospitalized AIDS patients. American Journal of Psychiatry, 153, 231-237.
10. Breitbart, W., Rosenfield, B., Roth, A., Smith, M. J., Cohen, K., & Passik, S. (1997). The Memorial Delir-ium Assessment Scale. Journal of Pain and Symptom Management, 13, 128-137.
11. de Jonghe, J. F. M., Kalisvaart, K. J., Dijkstra, M., van Dis, H., Vreeswijk, R., Kat, M. G., et al. (2007). Early symptoms in the prodromal phase of delirium: A prospective cohort study in elderly patients undergoing hip surgery. American Journal of Geriatric Psychiatry, 15, 112-121.
12. de Jonghe, J. F., Kalsvaart, K. J., Timmers, J. F., Kat, M. G., & Jackson, J. C. (2005). Delirium-O-Meter: A nurses' rating scale for monitoring delirium severity in geriatric patients. International Journal of Geriatric Psychiatry, 20, 1158-1166.
13. Duppils-Sorenson, G., & Wikblad, K. (2004). Delirium: Behavioural changes before and during the prodro-mal phase. Journal of Clinical Nursing, 13, 609-616.
14. Fann, J. (2000). The epidemiology of delirium: A review of studies and methodological issues. Seminars in Clinical Neuropsychiatry, 5, 64-74.
15. Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). Mini-Mental State: A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189-198.
16. Foreman, M. D., Mion, L. C., Trygstad, L., & Fletcher, K. (2003). Delirium: Strategies for assessing and treating. In M. Mezey, T. Fulmer, I. Abraham, & D. A. Zwicker (Eds.), Geriatric nursing protocols for best practice (2nd ed., pp. 116-140). New York: Springer Publishing Company.
17. Gagnon, B., Low, G., & Schreier, G. (2005). Mehtylphenidate hydrochloride improves cognitive function in patients with advanced cancer and hy-poactive delirium: A prospective clinical study. Journal of Psychiatry and Neuroscience, 30, 100-107.
18. Gagnon, P., Charbonneau, C., Allard, P., Soulard, C., Du-mont, S., & Fillion, L. (2002). Delirium in advanced cancer: A psychoeducational intervention for family caregivers. Journal of Palliative Care, 18, 253-261.
19. Gaudreau, J. D., Gagnon, P., Harel, F., Tremblay, A., & Roy, M. A. (2005). Fast, systematic, and continuous delirium assessment in hospitalized patients: The nursing delirium screening scale. Journal of Pain and Symptom Management, 29, 368-375.
20. Inouye, S. K. (1998). Delirium in hospitalized older patients: Recognition and risk factors. Journal of Geriatric Psychiatry and Neurology, 11, 118-125.
21. Inouye, S. K. (2006). Delirium in older patients. New England Journal of Medicine, 354, 1157-1165.
22. Inouye, S. K., Bogardus, S. T, Charpentier, P. A., Leo-Summers, L., Acampora, D., Holford, T. R., et al. (1999). A multicomponent intervention to prevent delirium in hospitalized older patients. New England Journal of Medicine, 340, 669-676.
23. Inouye, S. K., & Charpentier, P. A. (1996). Precipitating factors for delirium in hospitalized elderly persons: Predictive model and interrelationship with baseline vulnerability. JAMA, 275, 852-857.
24. Inouye, S. K., Foreman, M. D, Mion, L. C., Katz, K. H., & Cooney, L. M. (2001). Nurses' recognition of delirium and its symptoms: Comparison of nurse and research ratings. Archives of Internal Medicine, 161, 2467-2473.
25. Inouye, S. K., Rushing, J. T., Foreman, M. D., Palmer, R. M., & Pompei, P. (1998). Does delirium contribute to poor hospital outcomes? A three-site epidemiologic study. Journal of General Internal Medicine, 13, 234-242.
26. Inouye, S. K., van Dyck, C. H., Alessi, C. A., Balkin, S., Siegal, A. P., & Horwitz, R. I. (1990). Clarifying confusion: The confusion assessment method. A new method for detection of delirium. Annals of Internal Medicine, 113, 941-948.
27. Inouye, S. K., Viscoli, C. M., Horwitz, R. I., Hurst, L. D, & Tinetti, M. E. (1993). A predictive model for delirium in hospitalized elderly medical patients based on admission characteristics. Annals of Internal Medicine, 119, 74-481.
28. Insel, K. C., & Badger, T. A. (2002). Deciphering the 4 D's: Cognitive decline, delirium, depression and dementia: A review. Journal of Advanced Nursing, 38, 360-368.
29. Jeste, D. V., Blazer, D., Casey, D., Meeks, T., Salzman, C., Schneider, L., et al. (2008). ACNP White Paper: Update on use of antipsychotic drugs in elderly persons with dementia. Neuropsychopharmacology, 33, 957-970.
30. Katzman, R., Brown, T., Fuld, P., Peck, A., Schechter, R., & Schimmel, H. (1983). Validation of a short Orientation-Memory-Concentration Test of cognitive impairment. American Journal of Psychiatry, 140, 734-739.
31. Keen, J. C., & Brown, D. (2004). Psychostimulants and delirium in patients receiving palliative care. Palliative & Supportive Care, 2, 199-202.
32. Kennedy, G. J. (2003). Dementia. In C. K. Cassel, R. M. Leipzig, H. J. Cohen, E. B. Larson, & D. E. Meier (Eds.), Geriatric medicine: An evidence-based approach (4th ed., pp. 1079-1093). New York: Springer Publishing.
33. Kiely, D. K., Bergmann, M. A., Murphy, K. M., Jones, R. N., Orav, E. J., & Marcantonio, E. R. (2003). Delirium among newly admitted postacute facility patients: Prevalence, symptoms, and severity. Journal of Gerontology A: Biological Sciences and Medical Sciences, 58, M441-M445.
34. Lipowski, Z. J. (1990). Delirium: Acute confusional states. New York: Oxford University Press.
35. Liptzin, B., & Levkoff, S. E. (1992). An empirical study of delirium subtypes. British Journal of Psychiatry, 161, 843-845.
36. McCusker, J., Cole, M., Dendukuri, N., Han, L., & Belzile, E. (2003). The course of delirium in older medical inpatients: A prospective study. Journal of General Internal Medicine, 18, 696-704.
37. Meagher, D. (2001). Delirium: Optimizing management. British Medical Journal, 322, 144-149.
38. Morita, T., Otani, H., Tsunoda, J., Inoue, S., & Chihara, S. (2000). Successful palliation of hypoactive delirium due to multi-organ failure by oral methylphenidate. Supportive Care in Cancer, 8, 134-137.
39. Neelon, V. J., Champagne, M. T., Carlson, J. R., & Funk, S. G. (1996). The NEECHAM Confusion Scale: Con- struction, validation, and clinical testing. Nursing Research, 45, 324-330.
40. Rozans, M., Dreibach, A., Lertora, J. J. L., & Kahn, M. J. (2002). Palliative uses of methylphenidate in patients with cancer: A review. Journal of Clinical Oncology, 20, 335-339.
41. Schwartz, T. L., & Masand, P. S. (2002). The role of atypical antipsychotics in the treatment of delirium. Psy-chosomatics, 43, 171-174.
42. Siddiqi, N., House, A. O., & Holmes, J. D. (2006). Occurrence and outcome of delirium in medical in-patients: A systematic literature review. Age and Age-ing, 35, 350-364.
43. Stagno, D., Gibson, C., & Breitbart, W. (2004). The delirium subtypes: A review of prevalence, phenomenol-ogy, pathophysiology, and treatment response. Palliative and Supportive Care, 2, 171-179.
44. Waszynski, C. M. (2007). Detecting delirium. American Journal of Nursing, 107, 50-59.