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Case 27 - “Get out of My House”

Medication-Induced Delirium

Published online by Cambridge University Press:  31 October 2024

Matthew Gibfried
Affiliation:
Saint Louis University School of Medicine, Missouri
George T. Grossberg
Affiliation:
Saint Louis University School of Medicine, Missouri
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Summary

Delirium is more common in older adults, especially those with major neurocognitive disorders. Always do a thorough review of medications when considering any mental status changes in older adults. Medications and infections are the most common causes of delirium in older adults. Delirium is a medical emergency and warrants immediate medical evaluation and treatment.

Type
Chapter
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Clinical Case Studies in Long-Term Care Psychiatry
Navigating Common Mental Health Challenges in Geriatric Care
, pp. 130 - 134
Publisher: Cambridge University Press
Print publication year: 2024

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References

References

Woodhouse, R., Burton, J. K., Rana, N., Pang, Y. L., Lister, J. E., & Siddiqi, N. (2018). Interventions for preventing delirium in older people in institutional long‐term care. The Cochrane Database of Systematic Reviews, 2019 (4). https://doi.org/10.1002/14651858.CD009537.pub3Google Scholar
Yang, F. M., Marcantonio, E. R., Inouye, S. K., Kiely, D. K., Rudolph, J. L., Fearing, M. A., & Jones, R. N. (2009). Phenomenological subtypes of delirium in older persons: Patterns, prevalence, and prognosis. Psychosomatics, 50 (3), 248254.CrossRefGoogle ScholarPubMed
Bahr, J., Lackner, T., & Pacala, J. T. (2008). Amiodarone-induced central nervous system toxicity in the frail geriatric patient: A case report and review of the literature. Annals of Long-Term Care, 16 (8), 3740.Google Scholar
Sharma, R., Singh, R., & Sharma, M. (2022). Use of haloperidol in amiodarone-induced delirium. Annals of Indian Psychiatry, 6 (4), 390392. | DOI: 10.4103/aip.aip_72_21CrossRefGoogle Scholar

Further Reading

Fong, T. G., & Inouye, S. K. (2022). The inter-relationship between delirium and dementia: The importance of delirium prevention. Nature Reviews. Neurology, 18 (10), 579596. www.nature.com/articles/s41582-022-00698-7CrossRefGoogle ScholarPubMed
Oh-Park, M., Chen, P., Romel-Nichols, V., Hreha, K., Boukrina, O., & Barrett, A. M. (2018). Delirium screening and management in inpatient rehabilitation facilities. American Journal of Physical Medicine & Rehabilitation, 97 (10), 754. https://doi.org/10.1097/PHM.0000000000000962CrossRefGoogle ScholarPubMed
Ormseth, C. H., LaHue, S. C., Oldham, M. A., Josephson, S. A., Whitaker, E., & Douglas, V. C. (2023). Predisposing and precipitating factors associated with delirium: A systematic review. JAMA Network Open, 6 (1). https://doi.org/10.1001/jamanetworkopen.2022.49950CrossRefGoogle ScholarPubMed
Wilson, J. E., Mart, M., Cunningham, C., Shehabi, Y., Girard, T. D., MacLullich, M. J., Slooter, J. C., & Ely, E. W. (2020). Delirium. Nature Reviews. Disease Primers, 6 (1), 90. www.nature.com/articles/s41572-020-00223-4CrossRefGoogle ScholarPubMed

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  • “Get out of My House”
  • Matthew Gibfried, Saint Louis University School of Medicine, Missouri, George T. Grossberg, Saint Louis University School of Medicine, Missouri
  • Book: Clinical Case Studies in Long-Term Care Psychiatry
  • Online publication: 31 October 2024
  • Chapter DOI: https://doi.org/10.1017/9781108630344.028
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Save book to Dropbox

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  • “Get out of My House”
  • Matthew Gibfried, Saint Louis University School of Medicine, Missouri, George T. Grossberg, Saint Louis University School of Medicine, Missouri
  • Book: Clinical Case Studies in Long-Term Care Psychiatry
  • Online publication: 31 October 2024
  • Chapter DOI: https://doi.org/10.1017/9781108630344.028
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • “Get out of My House”
  • Matthew Gibfried, Saint Louis University School of Medicine, Missouri, George T. Grossberg, Saint Louis University School of Medicine, Missouri
  • Book: Clinical Case Studies in Long-Term Care Psychiatry
  • Online publication: 31 October 2024
  • Chapter DOI: https://doi.org/10.1017/9781108630344.028
Available formats
×