A healthcare professional can identify delirium by analyzing a patient’s medical history and the results of mental state exams. During the diagnosis, the provider also considers potential factors that could have contributed to the development of the disorder. Tests conducted may include:
Old patients who have meningitis, an infection affecting the central nervous system, the symptoms they exhibit may differ from those seen in younger individuals and can resemble delirium. In such cases, a lumbar puncture is a valuable diagnostic tool that can assist in confirming or excluding the presence of meningitis.
The primary objective of delirium treatment is to identify and address the underlying causes or triggers, which may involve discontinuing certain medications, treating infections, or correcting imbalances in the body. Additionally, the focus shifts towards creating an optimal environment for healing the body and soothing the brain. While there is no specific medication or treatment exclusively for delirium, healthcare providers prioritize addressing the identified causes and contributing factors. Measures such as promoting mobility and activity, removing restraints, and closely monitoring and adjusting medications can aid in the improvement of delirium symptoms alongside the treatment of underlying conditions.
Supportive care focuses on minimizing complications and promoting well-being. The following measures can be taken:
When caring for someone with delirium, it is essential to discuss potential medications that may trigger their symptoms with the healthcare provider. They may recommend avoiding or adjusting the dosage of these medications. While some medications may be necessary to alleviate pain contributing to delirium, others can help calm agitation, confusion, or address specific symptoms such as fear or hallucinations. The decision to use medications is based on factors such as their impact on medical examinations or treatment, the safety of the individual and others, and the effectiveness of other treatments. Once the delirium symptoms improve, the medications are usually tapered off or stopped altogether. It is important to note that there are no medications specifically targeting delirium itself, but rather they focus on addressing underlying causes or specific symptoms. Therefore, consulting with a healthcare provider is crucial as they can provide personalized recommendations based on the individual’s unique circumstances and needs.
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