Navigation Links
Elderly With Dementia, Delirium Confused by ER Visits: Study

TUESDAY, Jan. 25 (HealthDay News) -- Elderly patients with dementia and delirium who are taken to a hospital emergency department often do not comprehend why they are there and do not understand discharge instructions from doctors or nurses, a new study finds.

U.S. researchers interviewed 202 elderly patients about why they were in an emergency department and found that those with cognitive impairment (dementia and delirium) were less likely than those with no cognitive impairment to agree with the person who brought them to the emergency department about why they were there.

The study authors also interviewed 115 elderly patients about their discharge and found that those with cognitive impairment were much less likely than non-impaired patients to understand their discharge instructions.

The study results were published online Jan. 21 in the journal Annals of Emergency Medicine.

"Emergency physicians miss delirium and dementia in the majority of cases because emergency patients are not routinely screened for them. Our study suggests screening for these forms of cognitive impairment in the emergency department is warranted," lead author Dr. Jin H. Han, of Vanderbilt University in Nashville, Tenn., said in a journal news release.

Dementia and delirium affect about 25 percent of elderly patients seen in emergency departments, according to the researchers. Communication problems with these patients "affects our ability to adequately provide quality care for these vulnerable patients," Han said.

"We need to do a better job in identifying older patients with cognitive impairment, but this can be challenging in the chaotic emergency department environment. For this reason, we and several other research groups are trying to develop brief screening tools to help the busy emergency physician better identify delirium and dementia," Han concluded.

More information

The U.S. National Institute of Neurological Disorders and Stroke has more about dementia.

-- Robert Preidt

SOURCE: Annals of Emergency Medicine, news release, Jan. 21, 2011

Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Falls as Serious for Elderly as Stroke, Heart Attack: Experts
2. New guidelines for preventing falls in the elderly include: start tai chi, cut-back on meds
3. Elderly Patients Who Get on Feet Leave Hospital Sooner
4. Elderly Often Disabled After Mechanical Ventilation
5. Non-invasive SRT as good as surgery for elderly patients with early lung cancer
6. Hearing Loss in Elderly May Be Linked to Folate Deficiency
7. Practicing Moving to Music May Help Elderly Avoid Falls
8. Perceptual training improves vision of the elderly
9. New brief tool to screen for cognitive impairment in elderly patients
10. Real-time physician electronic alerts reduce unnecessary blood testing in elderly patients
11. Elderly women at higher risk for unnecessary urinary catheterization, study reports
Post Your Comments:
Related Image:
Elderly With Dementia, Delirium Confused by ER Visits: Study
(Date:11/24/2015)... ... November 24, 2015 , ... Sir ... customer service: the TrustDale certification. The award recognizes good companies for excellence in ... , tile and grout, and hard surface restoration company earned this recognition after ...
(Date:11/24/2015)... ... 2015 , ... Autism Speaks, the world’s leading autism science and advocacy organization, ... the generosity of people around the world. On December 1, supporters can make an ... and share the personal stories behind those gifts. , Just as Black Friday ...
(Date:11/24/2015)... ... ... Don Peck’s mother wondered if she was a descendant of Samuel Fuller, a passenger on ... search for information, Don and his aunt discovered that she was not, in fact, related ... was Don’s father who was descended from not one, but four passengers on the famed ...
(Date:11/24/2015)... ... November 24, 2015 , ... Dehydration, defined as a loss ... to perspiration in the hot sun, and heat stroke and death will quickly follow. ... radio host Sharon Kleyne. Every cell, system and structure requires water to function properly. ...
(Date:11/24/2015)... ... November 24, 2015 , ... The ... OSHA Training Institute Education Center in Northern California, is calling on retail employers ... sales events. As the volume of sales and shoppers rapidly expands, retailers ...
Breaking Medicine News(10 mins):
(Date:11/24/2015)... , November 24, 2015 F1000Workspace ... for scientists - since it was launched just six months ... reference management and authoring platform for scientists - since it ... million references have been loaded on to F1000Workspace ... scientists - since it was launched just six months ago. ...
(Date:11/24/2015)... 24, 2015  Family Rentals, a South ... launch of their newly designed, mobile-responsive website. ... --> Logo - ... --> Now, renting essential items for ... just got a whole lot easier through the ...
(Date:11/24/2015)... NEWTOWN, Pa. , Nov. 24, 2015  NuShield, Inc., an industry leader in LCD screen ... mobile and stationary computer technology as part of their patient monitoring or electronic documentation system. ... ... ... ...
Breaking Medicine Technology: