Delirious: You Or The Patient?

Delirious: You Or The Patient?
University of North Carolina at Chapel Hill School of Medicine
Your rating: None (2 votes)


Product ID: 18928

Abstract: 
This presentation is a PowerPoint on delirium in older adults. It includes an evidence-based review on the evaluation and management of an older patient with delirium targeted at medical students and residents.

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Educational objectives: 
To understand the underlying causes of and the risk factors contributing to a state of delirium in older patients. To explore the different treatment options for delirium. Learners should be able to: 1). list the risk factors for delirium, 2). understand the different clinical features of delirium, 3). screen for and assess patients suffering from delirium, and 4). develop and appropriate treatment plan for a patient suffering from delirium.
Additional information/Special implementation requirements or guidelines: 
This presentation can be used in an inpatient attending rounds setting and core lectures for residents.
Date posted: 
Mon, 12/04/2006
Date last updated: 
Mon, 12/04/2006
CME credits available: 
No
Has this product been peer reviewed?: 
No
ACGME competency checklist: 
Learning resource types: 
Contact person/corresponding author: 
Debra Bynum (bynumdl@med.unc.edu)
Authors: 
Debra Bynum
NLM Citation:
Bynum, D. Delirious: You Or The Patient? . POGOe - Portal of Geriatric Online Education; 2006 Available from: http://www.pogoe.org/productid/18928
APA Citation:
Bynum, D. (2006). Delirious: You Or The Patient? . POGOe - Portal of Geriatric Online Education. Retrieved February 10, 2012 from http://www.pogoe.org/productid/18928

Comments

Fri, 02/13/2009 - 3:11pm

This Power Point presentation presents a very nice balance of screening, work-up, prevention and pharmacological treatment. Slide 18 alone is worth the price of admission> Labeled "Preventing Delirium," this slide is also a nice summary of non-pharmacological treatment options.

Sun, 02/22/2009 - 4:54pm

Addresses the significance of delirium, with definition, and discussion of diagnosis, work up and management.

There is more emphasis on pharmacological management of delirium, perhaps less relevant in setting of recent data regarding cardiac death and anti-psychotic use. The slides addressing differential diagnosis do not provide comparative weighting (ie, which are the most common) - and would be a challenge for med students and less experienced clinicians to understand the relative frequency of particular diagnoses - e.g., urosepsis vs. West Nile.

However, there is a very nice slide on non-pharmacologic means of prevention - excellent discussion of Inouye's work - and, if the lecturer expanded to discuss it as non-pharma based treatment in addition to prevention, would balance out the discussion of treatment nicely.