Catégories : Tous - factores - diagnóstico - mortalidad - tratamiento

par Valeria Espín Il y a 4 années

1719

Delirium

El delirium es un trastorno neuropsiquiátrico de inicio agudo, caracterizado por un curso fluctuante y una alta mortalidad, especialmente en adultos mayores. Los síntomas incluyen alteraciones en la atención, el nivel de conciencia y el ciclo del sueño, así como alucinaciones y cambios en la cognición.

Delirium

Elaborado por:Valeria Espín

Bibliografía

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Mulkey, MA, Hardin, SR, Olson, DM, Munro, CL y Everhart, E. (2019). Considerando las causas del delirium hipoactivo. Australasian Journal of Neuroscience , 29 (1).

Merel, SE, Lee, TY y White, AA (2020). Delirium postoperatorio. En The Perioperative Medicine Consult Handbook (págs. 413-422). Springer, Cham.

Heeren, P., Detroyer, E. y Milisen, K. (2020). Delirium, uso de restricciones y caídas. En caídas y cognición en personas mayores (pp. 229-243). Springer, Cham.

Delirium

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Diagnóstico

How ambitious are you?

Escala

Where and how do you see yourself in 5 years time?


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CAM, CAM-UCI
Exámenes

What are your long-term goals ?


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Laboratorio e imagen
Valoración geriátrica integral

What are your short-term goals ?


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Historia clínica (cuidador, familiar, paciente)

Tratamiento

Farmacológico

Describe a typical work day in your previous/current position.

Tratar las causas como el dolor, disnea, etc
Fármacos mientras dure el proceso agudo

Quetiapina

Risperidona

Haloperidol

No farmacológico

Why will/did you leave your existing/last job?

Mantener una buena higiene del sueño
Recomendar el acompañamiento durante la estancia hospitalaria.
Informar a familiares y cuidadores para que colaboren
Asegurar una movilización temprana, evitar restricciones físicas y retirando catéteres lo antes posible.
Vigilar el ritmo de diuresis y deposición.
Correcta nutrición e hidratación

Prevención

Do you fully understand what this position implies?

After you've made some research on the company, read the job description thoroughly, and try to fully understand what your responsibilities will be.

Capacitar al personal de salud para identificar este síndrome.

What would you do on the first day?
What about the first week(s)? Fill in some of the actions that you are planning to take.

Step
Evitar complicaciones
Controles médicos periodicos

What do you think the main challenges will be?


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Educación

What will be your main tasks?


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Familiares y cuidadores

Cuadro clínico

Alteración del sueño
Alucinaciones
Alteración de la cognición

How would you describe yourself?


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Alteración del nivel de conciencia

What are your hobbies?


What do you like to do in your free time? What was the last film you saw or the last book you read? Think of the activities that relax you the most. Fill in several hobbies.

Presentación clínica

Are you qualified for this position?


Interviewers will want to know whether or not you are able to do the job.

Answer the questions from this section and see if you are the right person for this position.

Subsindrómico

What is the most compelling reason you should be hired?

Síntomas a nivel cognitivo, circadiano y del pensamiento de orden superior.
Mixto

Which qualities were easily observed by your colleagues and/or your former/existing boss?

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Combinación de hiperactivo e hipoactivo
Hipoactivo

What are your weaknesses?


Examples:

stubbornoverly critical, can't accept authoritytoo demandingtoo talkativetoo quiettoo sensitivelacking assertivenesslacking social tact
Somnoliento, poco activo

Frecuente

How do you work on overcoming these weaknesses?


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Hiperactivo

What strengths qualify you for this job?



Example:

ambitiousgood communicatorfocuseddeterminedadaptablecuriousoptimisthard workerhonestpoliteco-operativeself motivatedenthusiasticgood leaderstrategic thinkerquick learnerflexiblegood problem solver
Agitación psicomotriz, agresividad

Trastorno neuropsiquiátrico

Research the company

You should find and learn as much as you can about the company where you are having an interview.

The interviewer will want to see what you know about them and why you chose the company.

Doing your homework will show that you are really interested.

Alta mortalidad

What do you know about the company's main goal and vision?


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Adultos mayores
Factores
Precipitantes

What products does this company have?


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Factores ambientales: restriccines físicas, estrés , procedimintos invasivos, privación del seño, etc.

Retención urinaria y fecal

Trastorno metabólico

Fármacos de novo como los psicoactivos

Síntomas no controlados: dolor, fiebre, disnea

Hospitalización

Cirugía

Enfermedades agudas

Predisponentes

What is the size of this company?

Desequilibrio hidroelectrolítico

Dismovilidad, caídas

Polifarmacia

Abuso de sustancias

Comorbilidades

Antecedentes de delirium

Demencia previa, deterioro cognitivo

Sexo masculino

Edad avanzada

Alteración de la atención

What can you do for this company that someone else can't?


Type in several unique traits that will turn you into the perfect candidate for the position.

Curso fluctuante

What do you know about the company?


Type a short description of the company's background.

Inicio agudo

Why do you want to work for this company?


Think of what you can do for them, not of what they can do for you.

Horas o días