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NR603 / NR-603 Week 1 Reading (Latest): Advanced Clinical Diagnosis and Practice Across the Lifespan Practicum - Chamberlain
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NR-603 Advanced Clinical Diagnosis and Practice Across the Lifespan Practicum Week 1 Reading NR-603 Advanced Clinical Diagnosis and Practice Across the Lifespan Practicum Week 1 Reading D... elirium Chapter 192 • Delirium is a serious and significant health problem for older adults and others and one that requires prompt recognition and treatment. • Delirium is often the first and only indicator in older adults of underlying physical illness, such as infection, myocardial infarction, or drug toxicity, and it is the leading complication of hospitalization for older adults. • Delirium persists in up to 25% of patients and is associated with worse clinical outcomes including higher in-hospital and post-discharge mortality, longer lengths of stay, greater probability of placement in a nursing facility, and the possibility of permanent cognitive impairment Box 192-1 Diagnostic Criteria for Delirium A. A disturbance in attention (i.e., reduced ability to direct, focus, sustain, and shift attention) and awareness (reduced orientation to the environment). B. The disturbance develops over a short period of time (usually hours to a few days), represents a change from baseline attention and awareness, and tends to fluctuate in severity during the course of a day. C. An additional disturbance in cognition (e.g., memory deficit, disorientation, language, visuospatial ability, or perception). D. The disturbances in Criteria A and C are not better explained by another preexisting, established, or evolving neurocognitive disorder and do not occur in the context of a severely reduced level of arousal, such as coma. E. There is evidence from the history, physical examination, or laboratory findings that the disturbance is a direct physiologic consequence of another medical condition, substance [Show More]
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