Fainsinger R L, Tapper M, Bruera E
Palliative Care Program, Edmonton General Hospital, Alberta, Canada.
J Palliat Care. 1993 Autumn;9(3):4-8.
This article outlines the approach to the management of delirium developed by the staff of the palliative care unit at the Edmonton General Hospital. Delirium occurs commonly in the terminally ill and is associated with a poor prognosis. Management requires a clear understanding of what delirium is, how to assess it, investigations for reversible causes, and the medical treatments that are most useful. If not well managed, delirium can be a very distressing symptom for the patient and family as well as having a very destructive impact on the functioning of a palliative care unit.
本文概述了埃德蒙顿总医院姑息治疗科工作人员制定的谵妄管理方法。谵妄在晚期患者中很常见，且与预后不良相关。管理谵妄需要清楚了解谵妄是什么、如何评估、对可逆病因的检查以及最有效的医学治疗方法。如果管理不善，谵妄对患者及其家属来说可能是一个非常痛苦的症状，并且对姑息治疗科的运作也会产生极具破坏性的影响。
