PONDawareness

Raising awareness for over-looked post-surgical complications of #delirium, #psychosis & #anesthesia that affect mental health through news & recent studies

[PONDawareness @PONDawareness]

“We’re talking about things that happen immediately after operations, like #delirium, to things that happen perhaps a decade after an operation like #dementia or #Alzheimer’s,”
PBS article - Will surgery and anesthesia will harm your memory?
https://t.co/6jQZoXV4ev

[PONDawareness @PONDawareness]

Interesting article on why Anesthesia May Not Work the Way We Thought It Did
https://t.co/kshsHoEyMV

[Delirium Care Network @DeliriumCare]

Differentiation of #delirium (or delirium with dementia) and #dementia alone will likely depend on collection of collateral history and vigilance to acute changes in baseline.

[Delirium Care Network @DeliriumCare]

Be sure to consider unmet needs and triggers to explain and properly address responsive behaviours in #dementia or #delirium

[Hebrew SeniorLife @H_SeniorLife]

"#Delirium in Older Persons: Advances in Diagnosis & Treatment," @sharon_inouye's research in @JAMA_current https://t.co/v4WcUE4Aow #IFAR

[PONDawareness @PONDawareness]

A Case Series: Dexmedetomidine as a Rescue Therapy for Emergence Delirium in Adults in the postanesthesia care unit (PACU). https://t.co/SVCyZQK6jF #delirium

[PONDawareness @PONDawareness]

"Less is more." - The health risks of over-prescribing medication including #delirium and our need to #deprescribe https://t.co/eNXSS86Lf6 #geriatrics

[PONDawareness @PONDawareness]

Researchers link post-right stroke #delirium and spatial neglect to common brain mechanism
https://t.co/GkUCObAtOL

[PONDawareness @PONDawareness]

News research suggests that those who displayed the highest severity of (post-op) delirium later developed the most severe cognitive decline. https://t.co/ziiIrkgygW #delirium #deliriumresearch https://t.co/DRS1AfHCrL

[PONDawareness @PONDawareness]

@A_MacLullich: #Delirium treatment is complex & demanding.

Basic initial steps:
- Exclude life-threatening acute illness
- Identify possible causes
- Optimise brain (eg. O2, fluids, psych support)
- Rx distress
- Prevent complications, eg. falls
- Communicate to patient & family

[PONDawareness @PONDawareness]

Disturbances in Oxygen Balance During Cardiopulmonary Bypass: A Risk Factor for #postoperative #delirium
https://t.co/PZrhQoZ8ii

[PONDawareness @PONDawareness]

New & open access: AVATAR therapy for auditory verbal hallucinations in people with #psychosis: a single-blind, randomised controlled trial. https://t.co/XV4HQgFzdz

[Alasdair MacLullich @A_MacLullich]

World Delirium Awareness Day is on 14 March 2018 :)

Can you help? Organise local teaching events, set up stalls, print posters and leaflets, etc. You can search #WDD2017 to see what people did this year.

Follow @iDelirium_Aware & #WDAD2018

iDelirium: https://t.co/Pxoi69oGSG

[Alasdair MacLullich @A_MacLullich]

Diagnostic criteria for #delirium focus on cognitive change. So that's what we spend our time assessing. But people with delirium are very often distressed - by psychosis, disorientation, anxiety, untreated pain, etc.

We need to make assessment of distress in delirium routine.

[Alasdair MacLullich @A_MacLullich]

What questions to patients with #delirium do you use to see if they may have delusions? Let's get a list going.

Eg.

- Are you worried about anything just now?

- Has anything frightened you in the last day or so?

- Do you feel that you are being well-treated here?

[PONDawareness @PONDawareness]

#EDAOslo2017 @A_MacLullich Many things to think about in #delirium research beyond searching for causes: attention to nutrition, constipation, urine retention, deprescribing? 1/3 doctors use drugs to treat hypoactive delirium
https://t.co/oWwy7xWCo1

[Deliriumist @ICUdelirium]

ICU delirium patients don't just have 'nightmares.' They have highly experiential usually terrifying delusions, the morbidity of which exceeds that of typical dreams.

[Ingrid Wiig @ingridwk]

Delirium in elderly has same 12 Mo mortality as acute MI and sepsis. Julie Mardon puts delirium on the agenda in the ED #EDAOslo2017

[PONDawareness @PONDawareness]

Neufeld "There are more systematic reviews of drugs to prevent #delirium than there are primary studies" #EDAOslo2017 @iDelirium_Aware

[PONDawareness @PONDawareness]

As part of #PatientSafetyWeek & #choosingwisely Think carefully before prescribing medicines for #Delirium https://t.co/1ypMh4xq81