Delirium: Acute Confusional States in Palliative Medicine

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Overview


Delirium is a complex syndrome with a multifactorial aetiology and it is characterized by marked disturbances of consciousness, attention, memory, perception, thought, sleep-wake cycle, and by fluctuation of symptoms. Its assessment and management must be individualised based on both a biomedical understanding of the disease and its comorbidities, and an understanding of prognosis, risks and benefits of treatment. Every intervention must be informed by a critical understanding of the changng goals of care. These complexities are all explored in this book.

This book outlines the historical basis of delirium, provides a clear clinical definition of the syndrome, discusses the pathophysiology, reviews the assessment techniques and examines the opportunities for management. It aims to provide palliative care physicians and specialist nurses, neurologists, psychiatrists, and other health professionals treating terminally ill patients with a clear account of how to recognise and deal with the syndrome.

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Editorial Reviews

From the Publisher

"This is a very well illustrated volume dealing with clinical and research challenges related to delirium." -Clinical Neurology and Neurosurgery, Vol. 106, 2004

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Product Details

  • ISBN-13: 9780192631992
  • Publisher: Oxford University Press, USA
  • Publication date: 8/1/2003
  • Pages: 280
  • Product dimensions: 9.20 (w) x 6.10 (h) x 0.60 (d)

Meet the Author

Rehabilitation and Palliative Care Unit, National Cancer Institute of Milan, Milan, Italy

University of Ferrara, Ferrara, Italy

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Table of Contents

List of abbreviations
1 Delirium: historical concepts and current definitions 1
2 Pathophysiology 21
3 Epidemiology 32
4 Clinical phenomenology 42
5 Differential diagnosis 61
6 Frequent aetiologies 71
7 Frequent clinical subtypes - delirium in special populations 98
8 Diagnostic assessment 119
9 Management 131
10 Family issues 158
References 183
App. 1 The Mini-Mental State Examination (MMSE) 219
App. 2 The Confusion Assessment Method (CAM) 220
App. 3 The Confusion Assessment Method ICU (CAM-ICU) 223
App. 4 The Delirium Rating Scale (DRS) 225
App. 5 The Delirium Rating Scale, revised, 1998 (DRS-R-98) 229
App. 6 The Memorial Delirium Assessment Scale (MDAS) 236
App. 7 The Confusion State Evaluation (CSE) Rating scale for assessment of delirium 240
Index 253
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