Dergi Ara >>
Yıl:2005; Cilt: 1; Sayı: 29>> Özet
Türkiye Klinikleri Dahili Tıp Bilimleri Dergisi Psikiyatri; 2005;1(29):26-31
Yaşlıda Deliryum
E Eker
Psikiyatri AD, Geropsikiyatri BD, İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi, İSTANBUL
Deliryum bilinç, orientasyon, bellek, düşünce, algı ve davranışta bozuklukla belirlenen bir nöropsikiyatrik sendromdur. Tablo akut başlar ve dalgalı seyir izler. Sendrom hiperaktif, hipoaktif ve mikst şekilde oluşur. Klinik önemine rağmen, deliryum genellikle tanınmaz ve dolayısıyla tablo yaşlıda belirgin morbidite ve mortalite ile birliktedir. Deliryumu gösterebilecek ve tanımlayacak çeşitli ölçekler bulunmaktadır. Ancak tanı risk faktörlerinin ortaya konulmasına ve semptomların dikkatli gözlenmesine dayanır. Deliryumla başetmek için çeşitli stratejiler vardır. Bunlar arasında destekleyici önlemler ve farmakoterapi sayılabilir.

Delirium In The Elderly
Delirium is a neuropsychiatric syndrome characterized by disturbances in consciousness, orientation, memory, thought, perception, and behaviour, of acute onset and fluctuating course. It occurs in hyperactive, hypoactive, or mixed forms. Despite its clinical importance, delirium is often unrecognized condition that is associated with considerable morbidity and mortality in elderly. Several tools are available to help define and screen for delirium, but diagnosis ultimately relies upon the recognition of risk factors and keen observation of symptoms. A variety of management strategies, including supportive measures and pharmacotherapy are available.

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