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The Beers Criteria for Potentially Inappropriate Medication Use in Older Adults, commonly called the Beers List, [1] are guidelines published by the American Geriatrics Society (AGS) for healthcare professionals to help improve the safety of prescribing medications for adults 65 years and older in all except palliative settings.
The Confusion Assessment Method (CAM) is a diagnostic tool developed to allow physicians and nurses to identify delirium in the healthcare setting. [1] It was designed to be brief (less than 5 minutes to perform) and based on criteria from the third edition-revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III-R).
Interventions for preventing delirium in long-term care or hospital. The current evidence suggests that software-based interventions to identify medications that could contribute to delirium risk and recommend a pharmacist's medication review probably reduces incidence of delirium in older adults in long-term care. [93]
The rationale for allowing untestability to trigger an outcome of possible delirium is that many people with delirium are too drowsy or inattentive to undergo cognitive testing or interview. [ 31 ] [ 30 ] These scoring options additionally allow the 4AT to be completed in patients who are unable to provide verbal responses.
Interventions for preventing delirium in older people in institutional long-term care. The current evidence suggests that software-based interventions to identify medications that could contribute to delirium risk and recommend a pharmacist's medication review probably reduces incidence of delirium in older adults in long-term care. [41]
ISBN 9780198701590 (chapters 16 - Comprehensive Geriatric Assessment: Evidence, & 17 - Comprehensive Geriatric Assessment: The Specific Assessment Technology of InterRAI) Sinclair AJ, Morley JE, Vellas B. (eds) (2012, 5th ed.) Pathy's Principles and Practice of Geriatric Medicine ISBN 9780470683934 (chapter 112 - Multidimensional Geriatric ...
In hospitals, the elderly face the very real problem of ageism. For example, doctors and nurses often mistake symptoms of delirium for normal elderly behavior. Delirium is a condition that has hyperactive and hypoactive stages. In the hypoactive stages, elderly patients can just seem like they are sleeping or irritable. [15]
[46] 15% of older adults are potentially at risk for a major drug-drug interaction. [47] Older adults are at a higher risk for a drug-drug interaction due to the increased number of medications prescribed and metabolic changes that occur with aging. [48] When a new drug is prescribed, the risk of interactions increases exponentially.