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Postgraduate Medical Journal 2007;83:525-528; doi:10.1136/pgmj.2006.052431
© 2007 BMJ Publishing Group Ltd and The Fellowship of Postgraduate Medicine.

PALLIATIVE CARE

Delirium in advanced disease

Dylan Harris

Correspondence to:
Correspondence to:
Dr Dylan Harris
Specialist Registrar in Palliative Medicine, Ty Olwen, Morriston Hospital, Swansea SA6 6NL, UK; dgharris{at}doctors.org.uk

ABSTRACT

Delirium in advanced disease, while common, is often not recognised or poorly treated. The aim of management of delirium is to assess and treat reversible causes in combination with environmental, psychological and pharmacological intervention to control symptoms. Delirium presents significant distress and impedes communication between patients and their families at the end of life. A structured approach to recognise, assess and manage delirium is essential for all clinicians caring for patients with terminal illness.

Abbreviations: DRS, Delirium Rating Scale; MDAS, Memorial Delirium Assessment Scale; MMSE, Mini Mental State Examination


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This article has been cited by other articles:

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Delirum in older terminal illness
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Postgrad Med J Online, 13 Sep 2007 [Full text]

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