PMID: 11915156Mar 28, 2002Paper

Acute confusion in terminally ill hospitalized patients

Journal of Gerontological Nursing
Bonnie Wakefield, J A Johnson

Abstract

Knowledge about acute confusion (AC) has grown rapidly during the past decade, but very few studies have focused specifically on AC episodes associated with the end of life. Although experienced oncology clinicians accept that AC is common near the end of life, little is known about the frequency, nature, course, and timing of AC during this critical stage of life in patients with terminal cancer. Data suggest patients with advanced cancer have reversible causes of delirium, where appropriate treatment can result in improved outcomes. The data for this article are drawn from a larger study investigating the incidence, prevalence, behaviors, and outcomes of AC in acutely ill medical patients. The diagnosis of AC was ascertained using the NEECHAM Confusion Scale. Of the 117 participants included in the larger study, 16 developed delirium (cumulative incidence estimate, 14%) and 10 died within 1 year of the index hospitalization. These 10 cases were categorized in two groups: those with a cancer-related diagnosis (n = 6) and those without cancer (n = 4). To further describe the nature of AC near the end of life, two case studies are presented. Because all previous studies were conducted using samples consisting of patients with ca...Continue Reading

References

Nov 1, 1975·Journal of Psychiatric Research·M F FolsteinP R McHugh
May 1, 1992·Journal of Pain and Symptom Management·E BrueraJ Hanson
Jun 1, 1992·Journal of the American Geriatrics Society·J Francis, W N Kapoor
Oct 1, 1991·Journal of Pain and Symptom Management·R Fainsinger, E Bruera
Feb 23, 1990·JAMA : the Journal of the American Medical Association·J FrancisW N Kapoor
Feb 1, 1989·Research in Nursing & Health·M D Foreman
Feb 1, 1985·Journal of Gerontological Nursing·L M Palmateer, J R McCartney
Mar 1, 1985·Research in Nursing & Health·M A WilliamsL F Crane
Jul 1, 1985·Journal of the American Geriatrics Society·J R McCartney, L M Palmateer
Aug 1, 1983·The American Journal of Psychiatry·M J MassieE Glass
Feb 1, 1982·Journal of Gerontological Nursing·S E ChisholmA J Barbus
Apr 1, 1995·Journal of Pain and Symptom Management·N D de StoutzR L Fainsinger
Aug 1, 1994·Journal of the American Geriatrics Society·P PompeiC K Cassel
Sep 1, 1996·Journal of Pain and Symptom Management·I MaddocksD Parker
Apr 1, 1997·The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses·K CulpM Kundradt
Nov 15, 1997·Journal of the American Geriatrics Society·L C HansonJ Garrett
Feb 4, 1998·Archives of Internal Medicine·M S Donaldson, M J Field
Sep 15, 1998·Journal of the American Geriatrics Society·J M Teno
Mar 9, 1999·Journal of Pain and Symptom Management·F J FowlerJ M Teno
May 18, 1999·JAMA : the Journal of the American Medical Association·G J IzaksD L Knook
May 20, 1999·Journal of the American Dietetic Association·R L Duyff
May 20, 1999·The American Journal of Nursing·L Cook
Dec 22, 1999·Age and Ageing·K RockwoodJ Fisk
Mar 4, 2000·Applied Nursing Research : ANR·C G RappL L Onega

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Citations

Feb 14, 2006·Oncology Nursing Forum·Deborah A Boyle

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