Book contents
- Seminars in Old Age Psychiatry
- College Seminars Series
- Seminars in Old Age Psychiatry
- Copyright page
- Contents
- Contributors
- Preface
- Note
- Chapter 1 Healthy Ageing
- Chapter 2 Clinical Assessment
- Chapter 3 Cognitive Assessment
- Chapter 4 Imaging
- Chapter 5 Delirium
- Chapter 6 Alzheimer’s Disease
- Chapter 7 Vascular Dementia
- Chapter 8 Dementia with Lewy Bodies
- Chapter 9 Frontotemporal Dementia
- Chapter 10 Depression
- Chapter 11 Bipolar Disorder
- Chapter 12 Psychosis
- Chapter 13 Anxiety Disorders
- Chapter 14 Drug and Alcohol Misuse
- Chapter 15 Attention Deficit Hyperactivity Disorder
- Chapter 16 Medications
- Chapter 17 Electroconvulsive Therapy and Neurostimulation
- Chapter 18 Psychological Therapies
- Chapter 19 Role of an Old Age Psychiatrist
- Chapter 20 Consultation-Liaison
- Chapter 21 Palliative Care
- Chapter 22 Care Homes
- Chapter 23 Carers
- Chapter 24 Law, Capacity and Ethics
- Chapter 25 Migrants, Refugees and Asylum Seekers
- Chapter 26 Clinical Scenarios
- Index
- References
Chapter 5 - Delirium
Published online by Cambridge University Press: 21 June 2019
- Seminars in Old Age Psychiatry
- College Seminars Series
- Seminars in Old Age Psychiatry
- Copyright page
- Contents
- Contributors
- Preface
- Note
- Chapter 1 Healthy Ageing
- Chapter 2 Clinical Assessment
- Chapter 3 Cognitive Assessment
- Chapter 4 Imaging
- Chapter 5 Delirium
- Chapter 6 Alzheimer’s Disease
- Chapter 7 Vascular Dementia
- Chapter 8 Dementia with Lewy Bodies
- Chapter 9 Frontotemporal Dementia
- Chapter 10 Depression
- Chapter 11 Bipolar Disorder
- Chapter 12 Psychosis
- Chapter 13 Anxiety Disorders
- Chapter 14 Drug and Alcohol Misuse
- Chapter 15 Attention Deficit Hyperactivity Disorder
- Chapter 16 Medications
- Chapter 17 Electroconvulsive Therapy and Neurostimulation
- Chapter 18 Psychological Therapies
- Chapter 19 Role of an Old Age Psychiatrist
- Chapter 20 Consultation-Liaison
- Chapter 21 Palliative Care
- Chapter 22 Care Homes
- Chapter 23 Carers
- Chapter 24 Law, Capacity and Ethics
- Chapter 25 Migrants, Refugees and Asylum Seekers
- Chapter 26 Clinical Scenarios
- Index
- References
Summary
Disturbed brain function in the context of physical or bodily illness has been recognised in the medical literature for over two millennia. The actual term delirium was not introduced until the first century AD, when Aulus Cornelius Celsus, a Roman, described it in his medical encyclopedia De Medicina. The word is thought to originate from the Latin de (meaning ‘out of’) and lira (meaning ‘furrow’). In his work, Celsus used the term delirium to describe the acute confusional states that could occur after wound infections or head injuries. However, more than 400 years before that, Hippocrates used about 16 different words to describe to the clinical syndrome that we now call delirium, with the terms lethargus and phrenitis largely consistent with the present-day concepts of hypoactive and hyperactive clinical presentations [1]. These early descriptions emphasised the occurrence of psychosis and impaired arousal in patients with morbidity that was often distant from the brain (typically infectious). They thus include an awareness of the connection between body wellness and brain function that has been somewhat downplayed until relatively recent times with the greater recognition of the inherent connectivity of mind and body – an interface that is exemplified by the delirious state where pathology often very peripheral to the central nervous system (CNS) can cause globalised cognitive and neuropsychiatric disturbances.
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- Seminars in Old Age Psychiatry , pp. 54 - 66Publisher: Cambridge University PressPrint publication year: 2019