Caring for Elderly Patients Article Review

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[. . .] Slide 4: How are the 3 Ds alike?

Delirium is a confused state caused by a psychological or physiological condition (Peacock et al. 2012:26). It is not a permanent mental state. Persons of all ages can experience delirium. However, the elderly are particularly apt to manifest it, given that the conditions which can cause it such as over-medication, a lack of sleep, and physical stressors are more likely to be suffered by aging patients (Peacock et al. 2012:26). Likewise, depression is also manifested in an estimated 40% of all elderly patients in resident care even though it is not an elder-specific disease (Peacock et al. 2012:26). All three -- dementia, delirium, and depression -- can manifest themselves as sharp changes of mood; shifts in eating and sleeping patterns; confusion; irrational behavior; and physical acting out.

Slide 5: How are they different

However, from the point-of-view of the clinician, the most important difference between all of these conditions is their cause. A patient experiencing delirium can potentially be returned to a coherent state if the underlying physical cause of the delirium can be addressed. A person with depression may not be irrational and unable to be reasoned with even though his or her mood is deflated and he or she may manifest a lack of affect: counseling and antidepressants are potentially beneficial treatments for a mood imbalance. In contrast, these forms of psychological counseling will not help someone with delirium and no pharmaceutical or therapy has been found to eradicate dementia.

References

Joosse, L, Palmer, D. & Lang, N. (2013). Caring for elderly patients with dementia: nursing

Interventions. Nursing Research and Reviews, 3: 107 -- 117

Peacock R., Hopton A., Featherstone I., & Edwards J.…

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Caring for Elderly Patients.  (2013, September 20).  Retrieved December 13, 2019, from https://www.essaytown.com/subjects/paper/caring-elderly-patients/7200146

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