Underlying Science: Related to changes in metabolism, CNS changes, neurotransmitter function, and medication pharmacokinetics/interactions.
Underlying Etiologies for Delirium: acute cardiac/pulmonary events, bed rest, sedative or alcohol withdrawal, fluid/lyte abnormalities, infections, intracranial events, medications, anemia, uncontrolled pain, urinary retention or fecal impaction, indwelling devices, and restraints.
ACGME Competencies: Patient Care, Medical Knowledge
- [i] Inouye SK. The dilemma of delirium: Clinical and research controversies regarding diagnosis and evaluation of delirium in hospitalized elderly patients. Am J Med 1994; 97(3): 278-88.
Author Affiliation: Medical College of Wisconsin, Milwaukee, Wisconsin.
Fast Facts and Concepts are edited by the faculty of the Geriatric Education Teams (GETS) program funded by the Reynolds Foundation, Kathryn Denson, MD, Steven Denson, MD, & Edmund Duthie, MD from the Division of Geriatrics, Medical College of Wisconsin, and are published by the Geriatric Fast Facts Website at the Medical College of Wisconsin. For more information write Kathryn Denson, MD. More information, as well as the complete set of Fast Facts, available at www.mcw.edu/Geriatric-Fast-Facts.htm
Copyright/Referencing Information: Users are free to download and distribute Geriatric Fast Facts for educational purposes only. Citation: Yana Thaker, Steven Denson MD, Kathryn Denson MD, Bambi Wessel - Fast Fact #14: Assessing Delirium. February 2012
Geriatric Fast Facts, available at www.mcw.edu/Geriatric-Fast-Facts.htm
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