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Delirium

Delirium

This CME article reviews the pathophysiology and epidemiology of delirium and provides strategies for assessment, prevention, and management of this syndrome.

Vascular surgeons, internists, and neurologists all exist—but why aren’t there any vascular psychiatrists? There certainly is a need.

Of the 3 informative articles included in this special geriatric collection, 1 offers a perspective on the treatment of depression that does not focus on somatotherapy. The others remind us of 2 additional geriatric Ds of importance: drugs and driving.

Depression, anxiety, and delirium are 3 examples of common but frequently challenging areas of distress in pediatric palliative care patients.

I teach doctors and nurses how to assess, treat, and prevent delirium—an acute confusional disorder caused by multiple medical problems that mimics mental illness—but is actually a medical emergency.

Delirium

Delirium has been recognized and described since antiquity. It is a brain disturbance manifested by a syndrome of diverse neuro­­psychiatric symptoms. Various terms have been used for delirium, such as acute brain disorder, metabolic enceph­alopathy, organic brain syndrome, and ICU psychosis.

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