On The Wards: On The Pods Medical Podcast for Doctors Delirium
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Apr 24, 2018 Dr. Scott Murray, a Geriatrician at RPA and Director of Pre-Vocational Education and Training, dives deep into the complexities of delirium in elderly patients. He highlights the prevalence and distinctions between hyperactive and hypoactive delirium, stressing the need for early identification. The conversation explores prevention strategies and essential diagnostic tests, including urinalysis and imaging. Dr. Murray also discusses the impact of medications on delirium management and advocates for comprehensive reviews to ensure patient safety and effective treatment.
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Delirium Prevalence
- Delirium is common in hospitalized patients, affecting 20-30% of older adults on medical wards.
- This rate increases to 50% for orthogeriatric patients and 85% for ICU patients.
Delirium Types
- Delirium can manifest in two forms: hyperactive and hypoactive.
- Hyperactive delirium involves restlessness and agitation, while hypoactive delirium presents as reduced motor activity and sedation.
Preventing Delirium
- Early intervention can prevent delirium. Focus on preventative measures, as treating established delirium is more challenging.