TY  - CHAP
M1  - Book, Section
TI  - Chapter 6. Delirium and Dementia
A1  - Kane, Robert L.
A1  - Ouslander, Joseph G.
A1  - Abrass, Itamar B.
A1  - Resnick, Barbara
Y1  - 2013
N1  - 
T2  - Essentials of Clinical Geriatrics, 7e
AB  - Diagnosis  and  management  of  geriatric  patients  exhibiting  symptoms  and  signs  of  impaired  cognitive  functioning  can  make  a  critical  difference  to  their  overall  health  and  the  ability  to  function  independently.  Impaired  cognitive  function  can  be  acute  in  onset,  or  it  can  be  manifest  by  slowly  progressive  cognitive  impairment.  The  major  causes  of  impaired  cognition  in  the  geriatric  population  are  delirium  and  dementia.  As  more  people  live  into  the  tenth  decade  of  life,  the  chance  that  they  will  develop  some  form  of  dementia  increases  substantially.  Community-based  studies  report  a  prevalence  of  dementia  as  high  as  47%  among  those  85  years  of  age  and  older.  Prevalence  rates  are,  however,  highly  dependent  on  the  criteria  used  to  define  dementia  (Mayeux,  2010).  Between  25%  and  50%  of  older  patients  admitted  to  acute  care  medical  and  surgical  services  are  delirious  on  admission  or  develop  delirium  during  their  hospital  stay.  In  nursing  homes,  50%  to  80%  of  those  older  than  age  65  years  have  some  degree  of  cognitive  impairment.  Delirium  is  often  superimposed  on  dementia  in  both  hospital  and  community  settings,  can  persist  for  days  to  weeks  after  discharge  from  an  acute  hospital,  and  is  a  risk  factor  for  functional  decline  and  mortality.  Both  dementia  and  delirium  are  associated  with  high  health-care  costs  (Okie,  2011).  
SN  - 
PB  - The McGraw-Hill Companies
CY  - New York, NY
Y2  - 2024/04/18
UR  - accessmedicine.mhmedical.com/content.aspx?aid=57732228
ER  -