J Clin Outcomes Manage
Postoperative delirium: overview and opportunities to optimize outcomes
Rudolph JL, Schreiber K, Harrington MB
Abstract: Delirium is a common, morbid, and costly condition in older patients. Delirium places patients at risk for complications of hospitalization. Patients with delirium are more likely to have iatrogenic infection, pressure ulcers, deconditioning, falls, incontinence, polypharmacy, and malnutrition. Ultimately, these conditions further limit independent functioning leading to potential nursing home placement, frailty, and death. The past 10 years have brought important developments in the identification, treatment, and prevention of delirium. It is essential that clinicians understand the principles of delirium prevention and management and apply these principles to all patients at risk for delirium. Educational Objectives After participating in this CME activity, primary care physicians should be able to 1. Know how to diagnose and perform a workup for delirium 2. Describe the treatment of delirium 3. Understand medical system barriers to care of patients with delirium 4. Describe strategies to prevent delirium
Case-Based Review, CME
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