NURSING 2PF3 Lecture Notes - Lecture 10: Psychomotor Agitation, Dsm-5, Language Disorder
8 Mar 2018
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Document Summary
Common, life-threatening and potentially preventable clinical syndrome induced by a variety of causes; strongly associated with hospitalized patients 65+; linked to poor clinical outcomes, and should be a marker for severe illness and mortality. Often defined as an acute decline in the cognitive processes of the brain attention and cognition. May exhibit signs of inattention, disorganized thinking, changes in loc, disorientation, delusions, perceptual disturbances, and impaired memory, speech, and psychomotor activity. In na, delirium complicates the hospital stay of approx. 20% of patients 65+; one-year mortality rate in the elderly is 35-40% Only 40% of clinicians routinely screen for delirium in hospitalized, elderly patients. Fluctuating course: symptoms come and go or increase/decrease in severity over 24-hrs; characteristic lucid intervals. Inattention: difficulty focusing, sustaining, and shifting attention; difficulty maintaining conversation or following commands. Acute onset: occurs abruptly, over a period of hours or days need reliable source of information to ascertain the time course of onset.
