0

The full content of Annals is available to subscribers

Subscribe/Learn More  >
Academia and the Profession |

Diagnosis and Management of Delirium near the End of Life

David J. Casarett, MD, MA; Sharon K. Inouye, MD, MPH, American College of Physicians–American Society of Internal Medicine End-of-Life Care Consensus Panel*
[+] Article and Author Information

From the Philadelphia Veterans Affairs Medical Center and University of Pennsylvania, Philadelphia, Pennsylvania; and Yale University School of Medicine, New Haven, Connecticut.


*This paper was written by David J. Casarett, MD, MA, and Sharon K. Inouye, MD, MPH, for the American College of Physicians–American Society of Internal Medicine (ACP–ASIM) End-of-Life Care Consensus Panel. Members of the ACP–ASIM End-of-Life Care Consensus Panel were Bernard Lo, MD (Chair); Janet Abrahm, MD; Susan Block, MD; William Breitbart, MD; Ira R. Byock, MD; Kathy Faber-Langendoen, MD; Diane Meier, MD; Timothy E. Quill, MD; George Thibault, MD; and James Tulsky, MD. Primary staff to the Panel were Lois Snyder, JD (Project Director), and Jason Karlawish, MD. This paper was reviewed and approved by the Ethics and Human Rights Committee, although it does not represent official College policy. Members of the Ethics and Human Rights Committee were Risa Lavizzo-Mourey, MD (Chair); Susan Door Gould, MD; Joanne Lynn, MD; David A. Fleming, MD; William E. Golden, MD; Jay A. Jacobson, MD; David W. Potts, MD; Daniel P. Sulmasy, OFM, MD, PhD; Vincent Herrin, MD; and Lee J. Dunn Jr., JD, LLM.

Grant Support: Dr. Casarett is a recipient of a Research Career Development Award in Health Services Research from the Department of Veterans Affairs and is supported by grants from the Commonwealth Fund, the Greenwall Foundation, and the VistaCare Foundation. Dr. Inouye is a recipient of a Midcareer Award (#K24 AG00949) from the National Institute on Aging and a Donaghue Investigator Award (#DF98-105) from the Patrick and Catherine Weldon Donaghue Medical Research Foundation.

Requests for Single Reprints: Lois Snyder, JD, American College of Physicians–American Society of Internal Medicine, 190 N. Independence Mall West, Philadelphia PA 19106.

Current Author Addresses: Dr. Casarett: University of Pennsylvania, 3615 Chestnut Street, Philadelphia, PA 19104.

Dr. Inouye: Yale University School of Medicine, PO Box 208096, 333 Cedar Street, New Haven, CT 06520-8096.


Ann Intern Med. 2001;135(1):32-40. doi:10.7326/0003-4819-135-1-200107030-00011
Text Size: A A A

Delirium is a common and distressing symptom that constitutes a significant challenge for end-of-life care. However, reliable techniques are available for the diagnosis of delirium, and effective therapies exist as well. This consensus paper uses a case-based format that begins with an overview of the definition and presentation of delirium. Next, strategies for diagnosis are suggested, with attention to the unique challenges that clinicians face in pursuing a diagnostic work-up for patients near the end of life. The paper concludes with a review of therapeutic options.

Figures

Tables

References

Letters

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Comments

Submit a Comment
Submit a Comment

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.

Toolkit

Buy Now

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Advertisement
Related Articles
Related Point of Care
Topic Collections
PubMed Articles

Buy Now

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.
(Required)
(Required)