Early recognition of delirium: review of the literature
This review focuses on delirium and early recognition of symptoms by nurses. Delirium is a transient organic mental syndrome characterized by disturbances in consciousness, thinking and memory. The incidence in older hospitalized patients is about 25%. The causes of delirium are multi-factorial; ris...
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| Veröffentlicht in: | Journal of clinical nursing 2001-11, Vol.10 (6), p.721-729 |
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| container_title | Journal of clinical nursing |
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| creator | SCHUURMANS, Marieke J DUURSMA, Sijmen A SHORTRIDGE-BAGGETT, Lillie M |
| description | This review focuses on delirium and early recognition of symptoms by nurses. Delirium is a transient organic mental syndrome characterized by disturbances in consciousness, thinking and memory. The incidence in older hospitalized patients is about 25%. The causes of delirium are multi-factorial; risk factors include high age, cognitive impairment and severity of illness. The consequences of delirium include high morbidity and mortality, lengthened hospital stay and nursing home placement. Delirium develops in a short period and symptoms fluctuate, therefore nurses are in a key position to recognize symptoms. Delirium is often overlooked or misdiagnosed due to lack of knowledge and awareness in nurses and doctors. To improve early recognition of delirium, emphasis should be given to terminology, vision and knowledge regarding health in ageing and delirium as a potential medical emergency, and to instruments for systematic screening of symptoms. |
| doi_str_mv | 10.1046/j.1365-2702.2001.00548.x |
| format | Article |
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Delirium is a transient organic mental syndrome characterized by disturbances in consciousness, thinking and memory. The incidence in older hospitalized patients is about 25%. The causes of delirium are multi-factorial; risk factors include high age, cognitive impairment and severity of illness. The consequences of delirium include high morbidity and mortality, lengthened hospital stay and nursing home placement. Delirium develops in a short period and symptoms fluctuate, therefore nurses are in a key position to recognize symptoms. Delirium is often overlooked or misdiagnosed due to lack of knowledge and awareness in nurses and doctors. To improve early recognition of delirium, emphasis should be given to terminology, vision and knowledge regarding health in ageing and delirium as a potential medical emergency, and to instruments for systematic screening of symptoms.</description><identifier>ISSN: 0962-1067</identifier><identifier>EISSN: 1365-2702</identifier><identifier>DOI: 10.1046/j.1365-2702.2001.00548.x</identifier><identifier>PMID: 11822843</identifier><language>eng</language><publisher>Oxford: Blackwell</publisher><subject>Age Distribution ; Aged ; Biological and medical sciences ; Delirium ; Delirium - diagnosis ; Delirium - epidemiology ; Delirium - etiology ; Delirium - nursing ; Diagnosis, Differential ; Emergencies ; Geriatric Assessment ; Geriatrics ; Humans ; Incidence ; Literature reviews ; Mass Screening - methods ; Mass Screening - standards ; Medical sciences ; Nursing ; Nursing Assessment - methods ; Nursing Assessment - standards ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Risk Factors ; Time Factors ; Total Quality Management</subject><ispartof>Journal of clinical nursing, 2001-11, Vol.10 (6), p.721-729</ispartof><rights>2002 INIST-CNRS</rights><rights>Copyright Blackwell Science Ltd. 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Delirium is a transient organic mental syndrome characterized by disturbances in consciousness, thinking and memory. The incidence in older hospitalized patients is about 25%. The causes of delirium are multi-factorial; risk factors include high age, cognitive impairment and severity of illness. The consequences of delirium include high morbidity and mortality, lengthened hospital stay and nursing home placement. Delirium develops in a short period and symptoms fluctuate, therefore nurses are in a key position to recognize symptoms. Delirium is often overlooked or misdiagnosed due to lack of knowledge and awareness in nurses and doctors. To improve early recognition of delirium, emphasis should be given to terminology, vision and knowledge regarding health in ageing and delirium as a potential medical emergency, and to instruments for systematic screening of symptoms.</description><subject>Age Distribution</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Delirium</subject><subject>Delirium - diagnosis</subject><subject>Delirium - epidemiology</subject><subject>Delirium - etiology</subject><subject>Delirium - nursing</subject><subject>Diagnosis, Differential</subject><subject>Emergencies</subject><subject>Geriatric Assessment</subject><subject>Geriatrics</subject><subject>Humans</subject><subject>Incidence</subject><subject>Literature reviews</subject><subject>Mass Screening - methods</subject><subject>Mass Screening - standards</subject><subject>Medical sciences</subject><subject>Nursing</subject><subject>Nursing Assessment - methods</subject><subject>Nursing Assessment - standards</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Risk Factors</subject><subject>Time Factors</subject><subject>Total Quality Management</subject><issn>0962-1067</issn><issn>1365-2702</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkctKxDAUhoMoznh5BSmCumo9ubRJ3Yl4A8GN-5BJTzVDpx2T1svbmzqDAy50Fcj_nR_O-QhJKGQURHE-zygv8pRJYBkDoBlALlT2sUWmP8E2mUJZsJRCISdkL4R5BDljfJdMKFWMKcGnRF4b33wmHm333LredW3S1UmFjfNuWFzE4M3h-_jXv2DSuB696QePB2SnNk3Aw_W7T55urp-u7tKHx9v7q8uH1ArO-1SAqlVtjSyA18BKFKrKFRMcYmJljjirlIwrIJuVAhHQWKtkXlQCyrzm--RsVbv03euAodcLFyw2jWmxG4KWhaBcCl5E8vRvkglGY-m_YC6lpMDzCB7_Aufd4Nu4rWZclKWQbGxTK8j6LgSPtV56tzD-U1PQoys916MSPSrRoyv97Up_xNGjdf8wW2C1GVzLicDJGjDBmqb2prUubLi4eknjYb8AinuahA</recordid><startdate>20011101</startdate><enddate>20011101</enddate><creator>SCHUURMANS, Marieke J</creator><creator>DUURSMA, Sijmen A</creator><creator>SHORTRIDGE-BAGGETT, Lillie M</creator><general>Blackwell</general><general>Wiley Subscription Services, Inc</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>20011101</creationdate><title>Early recognition of delirium: review of the literature</title><author>SCHUURMANS, Marieke J ; DUURSMA, Sijmen A ; SHORTRIDGE-BAGGETT, Lillie M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c433t-408f8fca7603f029e48d582430408c75eebd87200e2b94ee0eacc8756d4095f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Age Distribution</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Delirium</topic><topic>Delirium - diagnosis</topic><topic>Delirium - epidemiology</topic><topic>Delirium - etiology</topic><topic>Delirium - nursing</topic><topic>Diagnosis, Differential</topic><topic>Emergencies</topic><topic>Geriatric Assessment</topic><topic>Geriatrics</topic><topic>Humans</topic><topic>Incidence</topic><topic>Literature reviews</topic><topic>Mass Screening - methods</topic><topic>Mass Screening - standards</topic><topic>Medical sciences</topic><topic>Nursing</topic><topic>Nursing Assessment - methods</topic><topic>Nursing Assessment - standards</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Risk Factors</topic><topic>Time Factors</topic><topic>Total Quality Management</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SCHUURMANS, Marieke J</creatorcontrib><creatorcontrib>DUURSMA, Sijmen A</creatorcontrib><creatorcontrib>SHORTRIDGE-BAGGETT, Lillie M</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>SCHUURMANS, Marieke J</au><au>DUURSMA, Sijmen A</au><au>SHORTRIDGE-BAGGETT, Lillie M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Early recognition of delirium: review of the literature</atitle><jtitle>Journal of clinical nursing</jtitle><addtitle>J Clin Nurs</addtitle><date>2001-11-01</date><risdate>2001</risdate><volume>10</volume><issue>6</issue><spage>721</spage><epage>729</epage><pages>721-729</pages><issn>0962-1067</issn><eissn>1365-2702</eissn><abstract>This review focuses on delirium and early recognition of symptoms by nurses. Delirium is a transient organic mental syndrome characterized by disturbances in consciousness, thinking and memory. The incidence in older hospitalized patients is about 25%. The causes of delirium are multi-factorial; risk factors include high age, cognitive impairment and severity of illness. The consequences of delirium include high morbidity and mortality, lengthened hospital stay and nursing home placement. Delirium develops in a short period and symptoms fluctuate, therefore nurses are in a key position to recognize symptoms. Delirium is often overlooked or misdiagnosed due to lack of knowledge and awareness in nurses and doctors. To improve early recognition of delirium, emphasis should be given to terminology, vision and knowledge regarding health in ageing and delirium as a potential medical emergency, and to instruments for systematic screening of symptoms.</abstract><cop>Oxford</cop><pub>Blackwell</pub><pmid>11822843</pmid><doi>10.1046/j.1365-2702.2001.00548.x</doi><tpages>9</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0962-1067 |
| ispartof | Journal of clinical nursing, 2001-11, Vol.10 (6), p.721-729 |
| issn | 0962-1067 1365-2702 |
| language | eng |
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| source | MEDLINE; Access via Wiley Online Library; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Age Distribution Aged Biological and medical sciences Delirium Delirium - diagnosis Delirium - epidemiology Delirium - etiology Delirium - nursing Diagnosis, Differential Emergencies Geriatric Assessment Geriatrics Humans Incidence Literature reviews Mass Screening - methods Mass Screening - standards Medical sciences Nursing Nursing Assessment - methods Nursing Assessment - standards Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Risk Factors Time Factors Total Quality Management |
| title | Early recognition of delirium: review of the literature |
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