Contributed by Heidi Lindroth, PhD, RN, Postdoctoral Fellow at Indiana University School of Nursing and Indiana University School of Medicine, Center for Aging Research Envision this future for those hospitalized with an acute illness. Early mobilization is the standard of care. Patients use in-bed cycling and play interactive Wii games to maintain strength and recover […]
This post was contributed by Deborah D’Avolio, Ph.D., BC-ACNP, ANP, Associate Professor, Florida Atlantic University The following case study illustrates an example of how delirium can occur in a hospitalized older adult. Mrs. R is a 68-year-old, Italian speaking woman. She was admitted to the oncology unit for ongoing treatment of advanced uterine cancer. Mrs. R lives […]
Contributed by Heidi Lindroth, BSN, RN, PhD Candidate, School of Nursing, Program Assistant, School of Medicine and Public Health, Department of Anesthesiology at The University of Wisconsin-Madison The American Delirium Society (ADS) annual conference was held in June 2018 to share the latest advancements in delirium science. A wide variety of topics from delirium training […]
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 programs¹ 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 […]
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 […]
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 […]
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 […]
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), […]
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 […]
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 […]