Book contents
- Behavioral Emergencies for the Emergency Physician
- Behavioral Emergencies for the Emergency Physician
- Copyright page
- Contents
- Contributors
- Preface
- Section 1. General considerations for psychiatric care in the emergency department
- Section 2. Evaluation of the psychiatric patient
- Section 3. Psychiatric illnesses
- Chapter 8 The patient withdepression in the emergency department
- Chapter 9 Assessment of the suicidal patient in the emergency department
- Chapter 10 The patient with somatoform disorders in the emergency department
- Chapter 11 The patient with anxiety disorders in the emergency department
- Chapter 12 The patient with post-traumatic stress disorder in the emergency department
- Chapter 13 The patient with psychosis in the emergency department
- Chapter 14 Personality disorders in the acute setting
- Chapter 15 The patient with factitious disorders or malingering in the emergency department
- Chapter 16 The patient with delirium and dementia in the emergency department
- Chapter 17 The patient with excited delirium in the emergency department
- Chapter 18 Medical illness in psychiatric patients in the emergency department
- Chapter 19 Acute care ofeating disorders
- Chapter 20 Management of the emergency department patient with co-occurringsubstance abuse disorder
- Section 4. Treatment of the psychiatric patient
- Section 5. Special populations
- Section 6. Administration of psychiatric care
- Index
Chapter 16 - The patient with delirium and dementia in the emergency department
from Section 3. - Psychiatric illnesses
Published online by Cambridge University Press: 05 April 2013
Edited by
Book contents
- Behavioral Emergencies for the Emergency Physician
- Behavioral Emergencies for the Emergency Physician
- Copyright page
- Contents
- Contributors
- Preface
- Section 1. General considerations for psychiatric care in the emergency department
- Section 2. Evaluation of the psychiatric patient
- Section 3. Psychiatric illnesses
- Chapter 8 The patient withdepression in the emergency department
- Chapter 9 Assessment of the suicidal patient in the emergency department
- Chapter 10 The patient with somatoform disorders in the emergency department
- Chapter 11 The patient with anxiety disorders in the emergency department
- Chapter 12 The patient with post-traumatic stress disorder in the emergency department
- Chapter 13 The patient with psychosis in the emergency department
- Chapter 14 Personality disorders in the acute setting
- Chapter 15 The patient with factitious disorders or malingering in the emergency department
- Chapter 16 The patient with delirium and dementia in the emergency department
- Chapter 17 The patient with excited delirium in the emergency department
- Chapter 18 Medical illness in psychiatric patients in the emergency department
- Chapter 19 Acute care ofeating disorders
- Chapter 20 Management of the emergency department patient with co-occurringsubstance abuse disorder
- Section 4. Treatment of the psychiatric patient
- Section 5. Special populations
- Section 6. Administration of psychiatric care
- Index
Summary
Patients with delirium, dementia, and those with both delirium and dementia can be the most challenging patients in the emergency department (ED). Integration of psychiatric emergency services into the ED can help with cognitive assessment and management. Patients can also have delirium superimposed on dementia, making diagnosis and management more challenging. Although delirium can occur in patients across the lifespan, most studies have focused on older adults, as does this chapter. The most popular instruments for efficient screening of patients have been the Mini-Mental State Examination (MMSE), Confusion Assessment Method (CAM), CAM-ICU, Six-Item Screener (SIS), and the Mini-Cog. Treatment strategies for managing delirium are divided into non-pharmacologic and pharmacologic interventions and can definitely be implemented in the ED. Alzheimer's disease is the most common form of dementia, accounting for 50-80% of cases. The neuropsychiatric sequelae of dementia can make the diagnosis of a presenting patient more challenging.
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- Behavioral Emergencies for the Emergency Physician , pp. 117 - 124Publisher: Cambridge University PressPrint publication year: 2013