Delirium: Acute confusional states in palliative medicine

Paperback | February 6, 2011

byAugusto Caraceni, Luigi Grassi

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Delirium is a complex syndrome with a multifactorial aetiology and is characterized by marked disturbances of consciousness, attention, memory, perception, thought, sleep-wake cycle, and by fluctuation of symptoms. This book covers in detail the pathophysiology, epidemiology, clinical aspects,differential diagnosis, and management of the syndrome.Due to the special characteristics of the syndrome, specific chapters deal with different aetiologies and populations at risk, with emphasis on the critically ill and palliative care patients. As delirium often announces or anticipates the proximity of death, family issues are considered in acomprehensive final chapter, covering the impact of terminal illness on the family and the process of bereavement. The book emphasises the need for assessing and diagnosing delirium with reliable instruments, and a chapter on assessment is reinforced by including appendices of many of the mostrelevant instruments reported in recent literature. The evidence from the literature is always distinguished from the authors' opinions and most chapters are integrated by the presentation of case examples. Updated for the second edition this book contains new material on topics includingclassification systems, more data on populations at risk, and significant new material on the family and bereavement.Delirium: Acute confusional states in palliative medicine, Second Edition demonstrates that only an interdisciplinary treatment of delirium between neurology, psychiatry and palliative medicine can develop knowledge of the syndrome and improve patient and family care. This book has been written forpalliative care physicians and specialist nurses, neurologists, psychiatrists, and other health professionals treating terminally ill patients, offering them a clear account of how to recognize and deal with the syndrome.

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From the Publisher

Delirium is a complex syndrome with a multifactorial aetiology and is characterized by marked disturbances of consciousness, attention, memory, perception, thought, sleep-wake cycle, and by fluctuation of symptoms. This book covers in detail the pathophysiology, epidemiology, clinical aspects,differential diagnosis, and management of t...

After graduating from medical school at the Universita degli Studi di Milano, Augusto Caraceni was board certified in Neurology and in Clinical Neurophysiology from the Universita di Pavia. While training in pain therapy and in palliative care at the National Cancer Institute of Milan in 1986 he participated in the WHO program to test...

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Format:PaperbackDimensions:320 pages, 9.21 × 6.14 × 0.01 inPublished:February 6, 2011Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0199572054

ISBN - 13:9780199572052

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Table of Contents

List of abbreviations1. From history to present definitions2. From history to present definitions3. Epidemiology4. Clinical phenomenology5. Differential diagnosis6. Frequent aetiologies7. Delirium in special populations8. Diagnostic assessment9. Management10. Family issuesAppendices

Editorial Reviews

"This is a useful and stimulating book that takes our thinking about the meaning and management of delirium one step further. A worthy addition to the Palliative Care Service library." --IAHPC website