Acute Delirium Discussion
NSG 6440 Week 6 Acute Delirium Discussion
NSG 6440 Week 6 Acute Delirium Discussion
NSG 6440 Week 6
Discussion:
This week’s content discussed common psychiatric disorders in the Adult and Older Adult client. Often times a secondary diagnosis is masked due to their psychiatric disorder. Review the following case study and answer the following questions.
Mr. White is a 72-year-old man, with a history of hypertension, COPD and moderate dementia, who presents with 4 days of increased confusion, nighttime restlessness, visual hallucinations, and urinary incontinence. His physical exam is unremarkable except for tachypnea, a mildly enlarged prostate, inattentiveness, and a worsening of his MMSE score from a baseline of 18 to 12 today.
Mr. White’s presentation is most consistent with an acute delirium (acute change in cognition, perceptual derangement, waxing and waning consciousness, and inattention).
- What is the most likely diagnosis to frequently cause acute delirium in patients with dementia?
- What additional testing should you consider if any?
- What are treatment options to consider with this patient?
Submission Details:
- Post your response to the Discussion Area by the due date assigned. Respond to atleast two posts by the end of the week.
NSG 6440 Week 7 Discussion Assignment
This week’s content addressed common techniques and testing that can be prescribed by the Nurse Practitioner. Review ONE of the following videos and post for the class what you have learned this week:
Watch the following video on suturing
Suture Skills Course – Learn Best Suture Techniques
Watch the following video on EKG rhythms
Submission Details:
- Post your response to the Discussion Area by the due date assigned. Respond to atleast two posts by the end of the week.
Complete The Growth and Development APEA module. Pick one of the following topics that were reviewed: Newborn assessment, Nutrition, Child, Adolescent, or Immunization. Please choose on that has not been previously covered by a peer.
- What is an area that you may have forgotten?
- Explain the specific growth and development concept in detail and describe strategies that you will undertake to assist in retaining that information?
NSG 6440 Week 9 Discussion
This week’s content addressed professional and legal issues, state boards of nursing, advanced practice licensure, regulations, scope of practice, and national certification as an advanced practice nurse. It is your responsibility to look at your individual board of nursing and remain up to date with the changes that are carried out in your state. For this week’s discussion review your states scope of practice and address 3 areas that you were not aware you can do as a licensed provider in your state
ADDITIONAL DETAILS
Acute Delirium
Introduction
Delirium is a medical condition that can occur in people with or without dementia. It’s characterized by changes in behavior, memory, and thinking that affect how a person relates to their surroundings. Delirium occurs most often in people who have brain injuries or other health problems that cause confusion and disorientation, but it can also occur as the result of taking certain medications (such as sedatives or antipsychotics) or due to physical illness such as heart disease or diabetes—even cancer-treatment drugs sometimes cause delirium.
What is Delirium?
Delirium is a change in mental status. It can be short or long term, with or without psychotic symptoms (such as hallucinations).
Delirium is reversible and often occurs as part of an acute illness or injury. For example, delirium may occur following surgery to the abdomen or head, brain injury due to trauma or head trauma, stroke, heart attack and other serious medical conditions such as diabetes mellitus (insulin dependent diabetes) that lead to poor blood sugar control; kidney disease with hypertension; liver disease with liver failure; seizure disorders such as epilepsy/seizures associated with alcohol use disorder – see below for more information on seizures caused by alcohol abuse), Parkinson’s disease etc..
What causes Delirium?
Delirium is a condition that affects the brain and body. It can be caused by a medical condition, medication, or alcohol. Delirium can also be caused by an illness or injury.
Some of the causes of delirium include:
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Strokes
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Brain tumors
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Alcohol withdrawal syndrome (AWS)
What are the symptoms of Delirium?
Delirium is a medical term for a sudden change in cognitive function, awareness, or behavior. The symptoms of delirium can be mild to severe and may include:
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Change in cognition (memory loss)
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Change in consciousness (hallucinations)
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Change in sleep pattern (insomnia or excessive sleeping)
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Changes in personality such as irritability and agitation
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Level of consciousness changes
How is it diagnosed?
Acute delirium is usually diagnosed based on the patient’s symptoms, medical history and physical exam. The doctor will ask questions about your symptoms and medical history. If you are experiencing hallucinations, delusions or other unusual behavior that can be caused by acute delirium (such as depression), this may help confirm a diagnosis of acute delirium.
The doctor may also perform a physical examination to check for any signs of high blood pressure or kidney problems that could cause symptoms such as confusion.
Is delirium linked to other medical problems?
Delirium is not a disease, but it’s often a symptom of other medical problems. For example, delirium can be caused by:
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Head injury or brain injury (injury to the head)
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Seizure disorder or seizure activity. If your loved one has had any seizures in the past year, you should talk to their doctor about this possibility as well.
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Blood pressure issues that cause high blood pressure and/or low blood volume and/or low oxygen levels in the body. This can lead to an increase in intracellular calcium levels in cells throughout your body, which causes them all over again!
How is it treated?
The treatment of delirium can be divided into two main categories: pharmacological and non-pharmacological. Pharmacological treatments include anti-psychotics, antidepressants, benzodiazepines (such as lorazepam or diazepam) and anticonvulsants (e.g., gabapentin). Non-pharmacological treatments include physical therapy; rehabilitation programs that focus on helping people learn how to care for themselves again after an illness or injury; cognitive behavioral therapy programs that aim to change the patterns of behavior associated with delirium symptoms; and social support from family members or friends who have been affected by dementia as well.
Takeaway:
As you can see, delirium is a condition that can be treated. It’s important to get medical attention if you think you are experiencing delirium—this will help your loved one get the treatment they need and minimize the risk of permanent brain damage or death.
Conclusion
Remember, delirium is a serious condition that can quickly get worse. Because it’s so easy to confuse symptoms and diagnosis, you should always be on the lookout for signs of delirium. If you think someone may be experiencing this medical emergency, contact an emergency room immediately.
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