Monthly posts on new topics in delirium research
NIDUS Blog
Studying the Delirious Brain: Neuroimaging
Contributed by Madeline D’Aquila, BS, Clinical Research Associate II & Annie Racine, PhD, MPA, both of the Institute for Aging Research, Harvard Medical School, Boston, MA. Although successful programs to prevent delirium have been developed and implemented, advances in new prevention or treatment approaches have been stymied by a poor understanding of delirium pathophysiology. Neuroimaging […]
Patient Family Perspective on the Delirium Experience
Contributed by Namrata Patil, MD MPH of Brigham & Women’s Hospital and Faculty at Harvard Medical School, Boston. “Doctor, is he still like that? If he is still the same I am not coming in….,” her voice cracks as she breaks into sobs on the other side of the phone. My patient’s wife does […]
World Delirium Awareness Day (#WDAD2018)
This post was contributed by Heidi Lindroth, PhD Candidate, RN, University of Wisconsin-Madison, School of Medicine and Public Health, Department of Anesthesiology School of Nursing. “…My eyes were open, but what they saw was not real. My delirium was filled with paranoia, fright and joy. In the ICU, I just knew I heard my […]
2017 in Review: Progress toward Delirium Prevention
This post was contributed by Heidi Lindroth, PhD Candidate, RN, University of Wisconsin-Madison, School of Medicine and Public Health, Department of Anesthesiology School of Nursing. Let’s ring in the New Year 2018 with a review of research from 2017 focused on delirium prevention. Often, when I talk to others about the confusion and distress experienced by […]
Long-term Cognitive Impairment after ICU Delirium: Common but Under-Recognized
Case example Sandra, a 75 year old single female, was found lying on the floor of her home by her long-time neighbor. She was not oriented to who she was, where she lived, or the year. She was brought to the emergency room and found to have a urinary tract infection, sepsis (a blood infection), […]
Challenges and barriers to identifying delirium in stroke patients
Post contributed by A.M. Barrett, Kessler Foundation Bill hasn’t been himself, and his family is very concerned. A retired professor, Bill seemed to do very well after his stroke, and was in good spirits and clearly on the road to recovery during the first two days of his hospitalization on a stroke unit. On the […]
Delirium and Hospital Quality
This post was contributed by Vanja Douglas, MD, and Stephanie Rogers, MD, both of the University of California San Francisco School of Medicine. Delirium is increasingly being recognized as a potential area of hospital quality measurement. In several ways, delirium represents an ideal quality metric because standardization of care in this area is likely to […]
When Confusion is Confusing: Family Caregivers and Delirium among Older Adults
Mary’s 86-year-old mother Eileen has been living with her and her family for the past two years. Eileen is a widow with mild dementia. She is pleasant, communicative, and able to perform simple ADLs. Mary’s husband and her adult children help provide support, while Mary provides most of the caregiving tasks. Last week Eileen […]
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