노인 환자에서 나타나는 섬망의 임상적 접근

• 영문명: Clinical Approach to Delirium in Elderly Patients
• 발행기관: 대한노인정신의학회
• 저자명: 한명일(Myeong Il Han)
• 간행물 정보: 『노인정신의학』노인정신의학 제8권 제2호, 96~101쪽, 전체 6쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2004.12.30

영문 초록

Delirium is not uncommon and is a devastating clinical syndrome. Elderly patients are vulnerable to delirium, especially demented or/and medically-surgically ill patients. Old age, comorbid psychiatric, medical and/or neurological diseases, medications, changed pharmacodynamics, sensory impairment and psychosocial stresses contribute to the development of delirium. Delirium in elderly patients is somewhat different from delirium in younger patients, sometimes under detected and/or poorly managed. This review discusses the diagnosis, classification, etiology and treatment, and presents 3 clinical cases of delirium in elderly patients. This review also focuses on a practical approach in assessing and managing delirium in elderly patients. The management of delirium consists of identifying and correcting the underlying problems, including prescribing suitable medication.

목차

서 론

섬망의 진단 및 분류

임상적 특성과 임상 상황

섬망의 원인

섬망의 평가도구

섬망의 치료

임상 증례

결 어

키워드

섬망 노인 노인정신의학 Delirium Elderly Geriatric psychiatry