Challenges for the family physician in managing delirium in patients with palliative care needs
Year: 2025
Type: article
Abstract: Delirium is an acute mental state characterized by confusion and disorientation, frequently observed in elderly patients, especially in palliative care. The etiology of delirium is multifactorial, including metabolic imbalances, adverse drug effects, infections and organ failure. The predominant symptoms are attention deficits, memory and sleep disturbances, hallucinations and affective changes. Delirium increases mortality and presents challenges for caregivers and family physicians involved in the home care of terminal patients. The diagnosis is made using the Confusion Assessment Method (CAM), which evaluates cognitive disturbances. The treatment involves identifying and addressing the underlying cause and using haloperidol as the first-line therapeutic option, sometimes in combination with benzodiazepines in specific cases. Preventive strategies, such as avoiding unnecessary hospitalizations, correcting hydroelectrolytic imbalances and maintaining a familiar environment, are recommended, reducing the risk of delirium by approximately 30%. Effective management requires clear protocols and prompt intervention in palliative care.
Source: Medic ro
Authors: Rodica-Sorina Pop, Marius-Dorin Colceriu, Andreea-Cristina Macovei, Delia-Georgiana Ciuca
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W4412781834