A Complex Case of Delirium: From Theory to Clinical Management
Delirium is a common, serious, and life-threatening condition that is often missed and poorly managed. The diagnosis is a clinical one without a lab test or imaging to confirm it. We present here a case of delirium that is both complex because of the number of potential etiologies present and also because of the challenging nature of the patient’s course in the hospital. The case is an example of delirium in a patient with Parkinson’s disease who is on pro-dopaminergic medications who develops an infection and becomes confused. Both supportive therapy and pharmacological interventions were key to this patient’s treatment. The case will be used as an example to illustrate a methodical approach to identifying and managing delirium which can have multiple etiologies and, although theoretically reversible, does not always seem to be so.
KeywordsDelirium Confusion Assessment Method (CAM) Haloperidol Restraints
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