REASONS FOR SUDDEN DEMENTIA – DELIRIUM AND DEMENTIA Part III

As stated in Part I of this series on Sudden Dementia, the key here is to have the diagnosis, of delirium. Once the patient has the diagnosis, the nursing home is mandated by Medicare to investigate all of the previously mentioned  probable causes. The nurse or nursing assistant may be very concerned, and listen to the story of how rapid this change came over this patient, but there will be little follow though with this information. Only physicians, and nurse practitioners are able to write a diagnosis,and the delirium diagnosis is what drives the investigation.

As well as the previously mentioned possible causes in part I and part II, there will be attention given to the circulatory system, the respiratory system and metabolism. Circulatory – did the patient possibly have a stroke, are they in congestive heart failure, have they had a heart attack, or are they possibly suffering from severe anemia?  Respiratory – does the patient have asthma, emphysema, or is in respiratory failure? Lack of oxygen to the brain caused by a circulatory or respiratory condition can cause confusion.

Does the patient have a metabolic problem – diabetes, or thyroid disease? Anyone familiar with and experiencing these disease processes knows how they can impact so many other areas of the patient’s health. Ruling out these very significant  disease states is extremely important.

The center for Medicare Services has created this special focus for delirium showing how seriously this condition is viewed. When a patient in a nursing home, covered by Medicare, the patient’s power of attorney for healthcare is able to ask to see the patient’s diagnosis. Reviewing the diagnoses and making sure that someone who doesn’t know the patient’s history has called this sudden confusion, Alzheimer’s disease, is very important. Once the patient has the diagnosis of Alzheimer’s , the healthcare community finds no need to look any further.

Virginia Garberding RN

Certified in Gerontology and Restorative Nursing