Delirium issues in palliative care settings

Journal of Psychosomatic Research
Maeve LeonardPeter Lawlor

Abstract

The objective of this study is to provide an expert review of delirium in the context of palliative care. Based on a primary selection criterion, firstly, studies were included for review if the population studied either had a diagnosis of advanced cancer or was receiving palliative care; alternatively, in the absence of data derived from these populations, studies conducted in other populations were included. Secondly, from the studies meeting the primary selection criterion, we selected those that examined specific standard outcome measures. Thirdly, we selected studies and literature reviews that identified delirium research issues. Delirium occurs commonly in the context of palliative care where it is likely to cause heightened distress for patients, carers, and families alike, and make interpretation of pain and other symptoms extremely difficult. There is a profound dearth of rigorous studies on delirium in this setting. Ambiguous terminology, varying definitions in internationally recognized classification systems, and failure to use validated assessment tools lead to wide-ranging incidence and prevalence of delirium episodes in such populations. Episodes are usually multifactorial in origin and may portend poor prognosi...Continue Reading

References

May 1, 1992·Journal of Pain and Symptom Management·E BrueraJ Hanson
Jan 1, 1992·Journal of Geriatric Psychiatry and Neurology·M S AlbertJ W Rowe
Apr 1, 1991·The American Journal of Psychiatry·B LiptzinT T Wetle
Dec 15, 1990·Annals of Internal Medicine·S K InouyeR I Horwitz
Aug 1, 1983·The American Journal of Psychiatry·M J MassieE Glass
Jul 1, 1995·Journal of Pain and Symptom Management·N D de StoutzM Suarez-Almazor
Jan 1, 1995·Journal of Pain and Symptom Management·M J SmithM M Platt
Feb 1, 1995·Journal of Pain and Symptom Management·W BreitbartM Lynch
Nov 1, 1996·Psychosomatics·R P HartL E Rutherford
Mar 1, 1997·Journal of Pain and Symptom Management·W BreitbartS Passik
Dec 11, 1997·Journal of Pain and Symptom Management·D OneschukE Bruera
Mar 4, 1999·The New England Journal of Medicine·S K InouyeL M Cooney
Mar 29, 2000·Archives of Internal Medicine·P G LawlorE D Bruera
May 20, 2000·Annals of Internal Medicine·K E SteinhauserJ A Tulsky
Nov 14, 2000·JAMA : the Journal of the American Medical Association·P G LawlorE D Bruera
Nov 14, 2000·JAMA : the Journal of the American Medical Association·K E SteinhauserJ A Tulsky
May 31, 2001·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·J M Flacker, J Y Wei
Jul 4, 2001·Annals of Internal Medicine·D J CasarettUNKNOWN American College of Physicians-American Society of Internal Medicine End-of-Life Care Consensus Panel
Jul 13, 2001·The Journal of Neuropsychiatry and Clinical Neurosciences·P T TrzepaczN Jimerson
Sep 29, 2001·Journal of Pain and Symptom Management·B GagnonE D Bruera
Feb 1, 2002·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Tatsuya MoritaYosuke Uchitomi
Aug 13, 2002·Hematology/oncology Clinics of North America·Peter G Lawlor, Eduardo D Bruera
Apr 19, 2003·Palliative Medicine·Durkin ItaL O'Slorain
May 22, 2003·Journal of the American Geriatrics Society·Martin ColeLing Han
Jun 27, 2003·Dementia and Geriatric Cognitive Disorders·Jouko V LaurilaReijo S Tilvis
Jul 29, 2003·Palliative Medicine·Susan Brajtman
Sep 16, 2003·General Hospital Psychiatry·Vladan Ljubisavljevic, Brian Kelly
Nov 7, 2003·The Lancet Oncology·Alessandro LavianoFilippo Rossi-Fanelli
Jan 20, 2004·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Martin G Cole
Apr 24, 2004·The Cochrane Database of Systematic Reviews·K C Jackson, A G Lipman
Jul 3, 2004·Psychosomatics·Chang-Su Han, Yong-Ku Kim
Aug 4, 2004·International Journal of Nursing Studies·Koen MilisenIvo Abraham
Apr 29, 2005·Journal of Pain and Symptom Management·Jean-David GaudreauMarc-André Roy
Jun 7, 2005·Journal of the American Geriatrics Society·Edward R MarcantonioMargaret A Bergmann
Sep 1, 2005·Journal of Palliative Medicine·Tatsuya MoritaYosuke Uchitomi
Sep 20, 2005·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Jean-David GaudreauAnnie Tremblay
Nov 1, 2005·Journal of Pain and Symptom Management·Tatsuya MoritaUNKNOWN Japan Pain, Palliative Medicine, Rehabilitation, and Psycho-Oncology Study Group
Feb 18, 2006·Palliative Medicine·Juliet A Spiller, Jeremy C Keen
Apr 6, 2006·Palliative & Supportive Care·Daniele StagnoWilliam Breitbart
May 6, 2006·International Journal of Psychiatry in Medicine·Adekola O AlaoMarvin Koss

❮ Previous
Next ❯

Citations

May 28, 2009·Current Psychiatry Reports·Keira Chism, Elisabeth J S Kunkel
Mar 24, 2010·Palliative & Supportive Care·Tomomi WadaHideki Onishi
Oct 9, 2012·Palliative & Supportive Care·Candace C Coggins, Carol P Curtiss
Oct 22, 2013·Journal of Palliative Medicine·Gregory B CrawfordDavid C Currow
Jun 4, 2011·Age and Ageing·Alasdair M J MacLullich, Roanna J Hall
Oct 5, 2010·The Cancer Journal·Judith Lacey, Christine Sanderson
Nov 6, 2012·BMC Health Services Research·Kathrin WoithaYvonne Engels
May 31, 2012·Drugs & Aging·Alfonso J Cruz-JentoftLourdes Rexach
Jun 1, 2011·Canadian Geriatrics Journal : CGJ·Susan BrajtmanKimberley Wilson
Nov 5, 2013·International Psychogeriatrics·C PeisahS Finkel
Dec 15, 2015·Journal of Pain & Palliative Care Pharmacotherapy·Mohammad Zafir Al-ShahriWael Edesa
Aug 6, 2013·Revista de psiquiatrí́a y salud mental·Sofía Sánchez-RománErwin Chiquete
Sep 10, 2011·Revue neurologique·L TaillandierE Le Rhun
Oct 21, 2015·Palliative & Supportive Care·Lucia GaglieseCamilla Zimmermann
Apr 29, 2014·Journal of Pain and Symptom Management·Maeve M LeonardPeter G Lawlor
May 23, 2014·The Gerontologist·Meredith K Carbone, Marilyn R Gugliucci
Mar 15, 2015·La Presse médicale·Michel Reich
Dec 3, 2014·Clinical Therapeutics·Melissa M GarridoKenneth S Boockvar
Aug 7, 2013·Medical Hypotheses·James M FitzgeraldDavid J Meagher
Feb 11, 2015·Current Psychiatry Reports·Luigi GrassiMichelle Riba
Apr 10, 2015·Palliative Medicine·David Kenneth WrightMary Ellen Macdonald
Mar 25, 2018·Nursing Inquiry·David Kenneth WrightMary Ellen Macdonald
Sep 12, 2018·Journal of Pain & Palliative Care Pharmacotherapy·Jane T ChangKyle P Edmonds
Jun 12, 2019·Palliative Medicine·Christine L WattPeter G Lawlor
Dec 12, 2019·Hospital Practice·Wil L SantivasiKevin J Whitford
Jul 31, 2020·Journal of Pain & Palliative Care Pharmacotherapy·Kar Yee LeeJennifer A Ong
Feb 15, 2020·Aging Clinical and Experimental Research·Ali PourmandMaryann Mazer-Amirshahi
May 3, 2011·Current Opinion in Supportive and Palliative Care·Chrissi GalanakisBruno Gagnon
Apr 10, 2009·British Journal of Hospital Medicine·Timothy R J Nicholson, Max Henderson
Nov 7, 2021·BMC Health Services Research·Therese G PoulinStephana J Moss

❮ Previous
Next ❯

Related Concepts

Related Feeds

Antifungals

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Cardiac Cachexia

Cardiac cachexia is a syndrome associated with the progressive loss of muscle and fat mass. It most commonly affects patients with heart failure and can significantly decrease the quality of life and survival in these patients. Here is the latest research on cardiac cachexia.

Antipsychotic Drugs

Antipsychotic drugs are a class of medication primarily used to manage psychosis (including delusions, hallucinations, paranoia or disordered thought), principally in schizophrenia and bipolar disorder. Discover the latest research on antipsychotic drugs here

Cachexia & Brown Fat

Cachexia is a condition associated with progressive weight loss due to severe illness. In cancer patients, it is proposed to occur as a result of tumor-induced energy wasting. Several proteins have been implicated in browning and depletion of white adipose tissue. Here is the latest research on cachexia and brown fat.

Antifungals (ASM)

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.