Journal
PALLIATIVE & SUPPORTIVE CARE
Volume 14, Issue 3, Pages 307-310Publisher
CAMBRIDGE UNIV PRESS
DOI: 10.1017/S147895151500098X
Keywords
Delirium; Terminal delirium; Depression; Dementia; End-of-life care
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Background: Delirium is a neuropsychiatric condition characterized by acute change in cognition and disturbance of consciousness. A similar state during the final days of life is termed terminal delirium. Method: We present three cases with end-stage chronic medical problems without any significant psychiatric history who were admitted to an inpatient psychiatric unit or a locked dementia unit for management of depression, dementia, or psychosis. Conclusions: Early diagnosis of terminal delirium helps prevent patients, family members, and staff from undergoing severe emotional distress and facilitates appropriate end-of-life care.
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