Delirium

REASONS FOR SUDDEN DEMENTIA – DELIRIUM AND DEMENTIA Part II

The Center for Medicare requires healthcare professionals to investigate causes and reasons for sudden dementia including these changes: SIGNS OF POSSIBLE DEHYDRATION recent decrease in volume of urine, more concentrated urine or a darker color recent decrease in eating habits, skipping meals, leaving food uneaten, weight loss nausea, vomiting, diarrhea, or blood loss receiving IV […]

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REASONS FOR SUDDEN DEMENTIA – DELIRIUM AND DEMENTIA – Part I

The increase number of people experiencing sudden dementia has caused delirium to be a focus of Medicare. As with everything else the way to capture attention is to create a monetary connection. In this case, Medicare reimbursement for sudden dementia is tied to identifying the cause of the patient’s delirium. The list of possible reasons, […]

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WHEN THE ELDERLY HAVE HALLUCINATIONS AND SEE BUGS – IT CAN BE DELIRIUM

One of the signs and symptoms of delirium can be hallucinating. Hallucinating does not mean that you have dementia but most likely a form of delirium. Signs of delirium are: Sudden confusion /acute change in mental condition inattention hallucinations disorganized thinking altered level of consciousness I very well remember sitting with my Dad in the […]

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SUDDEN CONFUSION – GO TO EMERGENCY ROOM

While it is easily seen when a person has a dramatic change in consciousness and they are in a stupor or coma, delirium is not that easy to identify. The emergency department is usually the point of entry into the hospital for the confused elder. The ER runs at a high speed and it is […]

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SUDDEN CONFUSION – CAN THE PERSON WITH DEMENTIA GET DELIRIUM?

Many people, including those in healthcare use the terms dementia and delirium interchangeably. Even tho they are not the same, patients can have both conditions at the same time. A person with dementia can certainly develop delirium, they are even more inclined under certain circumstances, to develop delirium. The person with several disease processes as […]

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SUDDEN INCREASE IN CONFUSION IN ALZHEIMER’S PATIENT – IS THAT EVEN POSSIBLE?

Harold came into the skilled nursing facility, admitted from the local hospital. Harold lives at Pleasant Meadows, an assisted living community where he has been independent. The problem arises when the nurse from the skilled facility  calls the nurse from Pleasant Meadows. The Harold that the nurse now describes in not the man the Pleasant […]

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DELIRIUM AND HIP FRACTURE – SUDDEN CONFUSION FOLLOWING SURGERY

Mr. Frank is a 76 year old man who has been admitted to the hospital for a hip fracture. Mr. Frank had fallen at home and when he was admitted he was very alert, friendly, quiet and pleasant. Yes, he was in some pain before his surgery, but it was well controlled with medication. Now […]

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WHEN DEMENTIA AND CONFUSION AREN’T PERMANENT – SUDDEN DELIRIUM

I receive emails from families who can’t understand what has happened to Mom, Dad, Uncle Charlie and so on. You see this person was just fine a couple of weeks age, driving, shopping, living alone, balancing their check book, and now the doctor says Mom has Alzheimer’s disease and needs to live in a nursing […]

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DRUGS AND DELIRIUM

Anti-psychotic medications are routinely prescribed for delirium. However if the delirium is due to anesthesia, a drug, an electrolyte imbalance or infection and the effects will wear off relatively soon. It would be much wiser given the side effects, to just have someone stay with the individual. Non-drug support works much more effectively especially with […]

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DEMENTIA AND DELIRIUM INCREASE CHANCE OF FALLS

Confusion due to dementia and delirium are known risk factors for falls in healthcare. Researches have noted that persons with confusion have a risk of falling 1.8 times that of the elderly without dementia. Falls in the elderly are predictable when the elder has; balance problems, problems with dizziness or fainting, cardiac problems, arthritis, osteoporosis, […]

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