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Early detection and prevention of delirium in older patients with cancer

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Abstract
Delirium poses a common and multifactorial complication in older patients with cancer. Delirium independently contributes to poorer clinical outcomes and impedes communication between patients with cancer, their family and health care providers. Because of its clinical impact and potential reversibility, efforts for prevention, early recognition or prompt treatment are critical. However, nurses and other health care providers often fail to recognize delirium or misattribute its symptoms to dementia, depression or old age. Yet, failure to determine an individual's risk for delirium can initiate the cascade of negative events causing additional distress for patients, family and health care providers alike. Therefore, parameters for determining an individual's risk for delirium and guidelines for the routine and systematic assessment of cognitive functioning are provided to form a basis for the prompt and accurate diagnosis of delirium. Guidelines for the prevention and treatment of delirium are also discussed.
Keywords
ELDERLY PATIENTS, INTERVENTION, MEDICAL PATIENTS, PREDICTIVE MODEL, ACUTE CONFUSION, MENTAL STATUS, HIP-FRACTURE, delirium, cancer, older persons, screening, prevention, treatment, ADULTS, MANAGEMENT, NURSES

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Citation

Please use this url to cite or link to this publication:

MLA
Milisen, K, Els Steeman, and MD Foreman. “Early Detection and Prevention of Delirium in Older Patients with Cancer.” EUROPEAN JOURNAL OF CANCER CARE 13.5 (2004): 494–500. Print.
APA
Milisen, K, Steeman, E., & Foreman, M. (2004). Early detection and prevention of delirium in older patients with cancer. EUROPEAN JOURNAL OF CANCER CARE, 13(5), 494–500.
Chicago author-date
Milisen, K, Els Steeman, and MD Foreman. 2004. “Early Detection and Prevention of Delirium in Older Patients with Cancer.” European Journal of Cancer Care 13 (5): 494–500.
Chicago author-date (all authors)
Milisen, K, Els Steeman, and MD Foreman. 2004. “Early Detection and Prevention of Delirium in Older Patients with Cancer.” European Journal of Cancer Care 13 (5): 494–500.
Vancouver
1.
Milisen K, Steeman E, Foreman M. Early detection and prevention of delirium in older patients with cancer. EUROPEAN JOURNAL OF CANCER CARE. 2004;13(5):494–500.
IEEE
[1]
K. Milisen, E. Steeman, and M. Foreman, “Early detection and prevention of delirium in older patients with cancer,” EUROPEAN JOURNAL OF CANCER CARE, vol. 13, no. 5, pp. 494–500, 2004.
@article{1935070,
  abstract     = {Delirium poses a common and multifactorial complication in older patients with cancer. Delirium independently contributes to poorer clinical outcomes and impedes communication between patients with cancer, their family and health care providers. Because of its clinical impact and potential reversibility, efforts for prevention, early recognition or prompt treatment are critical. However, nurses and other health care providers often fail to recognize delirium or misattribute its symptoms to dementia, depression or old age. Yet, failure to determine an individual's risk for delirium can initiate the cascade of negative events causing additional distress for patients, family and health care providers alike. Therefore, parameters for determining an individual's risk for delirium and guidelines for the routine and systematic assessment of cognitive functioning are provided to form a basis for the prompt and accurate diagnosis of delirium. Guidelines for the prevention and treatment of delirium are also discussed.},
  author       = {Milisen, K and Steeman, Els and Foreman, MD},
  issn         = {0961-5423},
  journal      = {EUROPEAN JOURNAL OF CANCER CARE},
  keywords     = {ELDERLY PATIENTS,INTERVENTION,MEDICAL PATIENTS,PREDICTIVE MODEL,ACUTE CONFUSION,MENTAL STATUS,HIP-FRACTURE,delirium,cancer,older persons,screening,prevention,treatment,ADULTS,MANAGEMENT,NURSES},
  language     = {eng},
  number       = {5},
  pages        = {494--500},
  title        = {Early detection and prevention of delirium in older patients with cancer},
  url          = {http://dx.doi.org/10.1111/j.1365-2354.2004.00545.x},
  volume       = {13},
  year         = {2004},
}

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