Delirium and cognitive impairment Book Section
| Authors: | Alici, Y.; Boettger, S.; Breitbart, W. S. |
| Editors: | Kissane, D. W.; Watson. M.; Breitbart, W. S. |
| Article/Chapter Title: | Delirium and cognitive impairment |
| Abstract: | This chapter describes the epidemiology, common clinical features, differential diagnosis, and assessment of delirium in cancer patients in palliative care settings. It differentiates acute from chronic cognitive changes and understand their clinical implications. The chapter also differentiates reversible delirium from terminal delirium at the end of life. It demonstrates the key management principles in responding to delirium and other cognitive disorders in the palliative care setting. The chapter also describes ethical, cultural, legal, and professional issues that may arise in the clinical care of patients with delirium and other cognitive disorders in the palliative care setting. Delirium is a sign of significant physiologic disturbance, usually involving multiple medical etiologies, such as infection, organ failure, and medication adverse effects. The clinical features of delirium include a variety of neuropsychiatry symptoms. It is important to note that the degree of cognitive impairment and the domains affected may vary; therefore, the testing of a single domain of cognition, such as orientation, may lead to underrecognition of delirium. The cognitive assessment of patients at risk for delirium should include testing of multiple domains, at the very least, orientation, attention, recall, and language functioning. (PsycInfo Database Record (c) 2023 APA, all rights reserved) |
| Keywords: | palliative care; delirium; cancer patients; cognitive impairment; neuropsychiatry; antipsychotic medications; cognitive assessment |
| Book Title: | Psycho-Oncology in Palliative and End of Life Care |
| ISBN: | 9780197615935 |
| Publisher: | Oxford University Press |
| Publication Place: | New York, NY |
| Date Published: | 2023-01-01 |
| Start Page: | 94 |
| End Page: | 115 |
| Language: | English |
| ACCESSION: | 2023-58341-005 |
| PROVIDER: | Ovid Technologies |
| PROVIDER: | psycinfo |
| DOI: | 10.1093/med/9780197615935.003.0005 |
| DOI/URL: | |
| Notes: | Chapter: 5 -- Source: APA PsycInfo |
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