Delirium in hospitalized older patients
Autor(a) principal: | |
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Data de Publicação: | 1999 |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://revista.spmi.pt/index.php/rpmi/article/view/2042 |
Resumo: | Many older patients who were lucid previously to hospital admission will soon develop a mental state of confusion or delirium, and this is common in the first night at the ward. The author discusses the severa! designations of the syndrome, its presentation and symptoms. Being the physiopathology poorly studied and understood, the more consensual causalities are outlined: abrupt change of residence with consequent loss of orienting references; vulnerability induced by physical illness, namely by fever, pain and dehydration; iatrogenic mechanisms, invasive procedures and some medicines included. The treatment of delirium in hospitalized older patients is not yet established. Nevertheless, there are some interesting results of preventing protocols. The benefits obtained in a recent prophylactic intervention, carried on in Yale (USA) are shortly commented. ln conclusion, the more feasible and useful prevention measures suggested here in are: to minimize the time of hospitalization of the elder; to avoid aggressive procedures; and to restrain the use of psychoactive compounds. |
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Delirium in hospitalized older patientsA síndrome de desorientação hospitalardoentes idosos internadosestados confusionais agudoshospitalized older patientsacute deliriumMany older patients who were lucid previously to hospital admission will soon develop a mental state of confusion or delirium, and this is common in the first night at the ward. The author discusses the severa! designations of the syndrome, its presentation and symptoms. Being the physiopathology poorly studied and understood, the more consensual causalities are outlined: abrupt change of residence with consequent loss of orienting references; vulnerability induced by physical illness, namely by fever, pain and dehydration; iatrogenic mechanisms, invasive procedures and some medicines included. The treatment of delirium in hospitalized older patients is not yet established. Nevertheless, there are some interesting results of preventing protocols. The benefits obtained in a recent prophylactic intervention, carried on in Yale (USA) are shortly commented. ln conclusion, the more feasible and useful prevention measures suggested here in are: to minimize the time of hospitalization of the elder; to avoid aggressive procedures; and to restrain the use of psychoactive compounds.Muitos doentes idosos que estavam lúcidos quando da admissão no hospital vêm a entrar em estado de desorientação ou delírio,frequentemente na primeira noite. O autor discute de forma breve as várias designações desta síndrome, a sua apresentação e sintomas. Sobre a pouco estudada fisiopatologia, expõe as causalidades mais consensuais: mudança abrupta de residência e perda consequente de referências orientadoras; factores relacionados com a doença física, nomeadamente, febre, dor e desidratação; factores iatrogénicos, incluindo manobras invasivas e certos fármacos. O tratamento da desorientação hospitalar do idoso está por definir, mas há alguns resultados interessantes de protocolos preventivos. São comentados os benefícios conseguidos num recente estudo de prevenção realizado em Yale (EUA). Concluiu-se, preconizando encurtamento do tempo de, hospitalização do idoso, limitação de técnicas agressivas e restrição das prescrições de psicofármacos, como as medidas eventualmente mais úteis e exequíveis, a título de profilaxia.Sociedade Portuguesa de Medicina Interna1999-03-31info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://revista.spmi.pt/index.php/rpmi/article/view/2042Internal Medicine; Vol. 6 No. 1 (1999): Janeiro/ Março; 69-71Medicina Interna; Vol. 6 N.º 1 (1999): Janeiro/ Março; 69-712183-99800872-671Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://revista.spmi.pt/index.php/rpmi/article/view/2042https://revista.spmi.pt/index.php/rpmi/article/view/2042/1434de Oliveira Soares, A.info:eu-repo/semantics/openAccess2023-07-01T06:11:24Zoai:oai.revista.spmi.pt:article/2042Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T18:02:07.479058Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Delirium in hospitalized older patients A síndrome de desorientação hospitalar |
title |
Delirium in hospitalized older patients |
spellingShingle |
Delirium in hospitalized older patients de Oliveira Soares, A. doentes idosos internados estados confusionais agudos hospitalized older patients acute delirium |
title_short |
Delirium in hospitalized older patients |
title_full |
Delirium in hospitalized older patients |
title_fullStr |
Delirium in hospitalized older patients |
title_full_unstemmed |
Delirium in hospitalized older patients |
title_sort |
Delirium in hospitalized older patients |
author |
de Oliveira Soares, A. |
author_facet |
de Oliveira Soares, A. |
author_role |
author |
dc.contributor.author.fl_str_mv |
de Oliveira Soares, A. |
dc.subject.por.fl_str_mv |
doentes idosos internados estados confusionais agudos hospitalized older patients acute delirium |
topic |
doentes idosos internados estados confusionais agudos hospitalized older patients acute delirium |
description |
Many older patients who were lucid previously to hospital admission will soon develop a mental state of confusion or delirium, and this is common in the first night at the ward. The author discusses the severa! designations of the syndrome, its presentation and symptoms. Being the physiopathology poorly studied and understood, the more consensual causalities are outlined: abrupt change of residence with consequent loss of orienting references; vulnerability induced by physical illness, namely by fever, pain and dehydration; iatrogenic mechanisms, invasive procedures and some medicines included. The treatment of delirium in hospitalized older patients is not yet established. Nevertheless, there are some interesting results of preventing protocols. The benefits obtained in a recent prophylactic intervention, carried on in Yale (USA) are shortly commented. ln conclusion, the more feasible and useful prevention measures suggested here in are: to minimize the time of hospitalization of the elder; to avoid aggressive procedures; and to restrain the use of psychoactive compounds. |
publishDate |
1999 |
dc.date.none.fl_str_mv |
1999-03-31 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://revista.spmi.pt/index.php/rpmi/article/view/2042 |
url |
https://revista.spmi.pt/index.php/rpmi/article/view/2042 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://revista.spmi.pt/index.php/rpmi/article/view/2042 https://revista.spmi.pt/index.php/rpmi/article/view/2042/1434 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Medicina Interna |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Medicina Interna |
dc.source.none.fl_str_mv |
Internal Medicine; Vol. 6 No. 1 (1999): Janeiro/ Março; 69-71 Medicina Interna; Vol. 6 N.º 1 (1999): Janeiro/ Março; 69-71 2183-9980 0872-671X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799131687511130112 |