By switaschek, 14 September, 2020 Inpt: Multidisciplinary intervention reduces delirium, incl fluid repletion, feeding support, mobilization/therapeutic activity, vision/hearing adaptation, sleep enhancement (not sleep meds), infxn prevention; managing pain, constipation, hypoxia, etc
By switaschek, 14 September, 2020 Risks: polypharmacy/predisposing meds, pain, dehydration, illness (eg, UTI, fecal impaction), sensory impairment, environment change
By switaschek, 14 September, 2020 For delirium, address risks/exacerbators. Use non-drug tx; antipsychotics, BZDs linked to ↑morbidity/mortality4
By switaschek, 14 September, 2020 For apathy: A review found a small benefit for methylphenidate on 1 (but not all) apathy scales4
By switaschek, 14 September, 2020 Actions that might prevent/delay dementia:3 SBP ≤130 mmHg for ages ≥40 yo; hearing aid if warranted; limited EtOH (
By switaschek, 14 September, 2020 Actions that might prevent/delay dementia:3 SBP ≤130 mmHg for ages ≥40yo; hearing aid if warranted; limited EtOH (
By switaschek, 14 September, 2020 Actions that might prevent/delay dementia:3 SBP ≤130 mmHg for ages ≥40yo; hearing aid if warranted; limited EtOH (
