Refractory delirium in palliative care sitting

Abstract

This paper describes the management of a 65 years old male patienttransferred to the palliative care ward from the Intensive Care Unit, withbrain metastasis and infarction admission, epilepsy, neurological dysfunction,cognitive impairment and a history of previous delirium episodes. Wediscuss four delirium assessment methods and possible collaborativemultidisciplinary approaches to manage persistent delirium in palliative carepatients.1.Agar M, Alici Y, and Breitbart (2015)W.17.5 Delirium. In In Oxford Textbookof Palliative Medicine 5th edition. Cherny N, Fallon M, Kaasa S, Portenoy R, Currow D. Oxford University Press . pp 1092-11002.Hosker CM and Bennet MI. Delirium andagitation at the end of life. BMJ2016;353:i3085 doi: 10.1136/bmj.i30853.Cherny N, Fallon M, Kaasa S, PortenoyR, Currow D. Oxford Textbook of Palliative Medicine 5th edition. Oxford.Oxford University Press. 20154.Ryan K, Leonard M, Guerin S, et al.Validation of the confusion assessmentmethod in the palliative care setting.Palliat Med 2009;23(1):40-55.Wong CL, Holroyd-Leduc J, Simel DL,et al. Does this patient have delirium?: