• Rehabil Nurs · Sep 2014

    Review Case Reports

    Delirium in the brain-injured patient.

    • Therese Gion and Anne Leclaire-Thoma.
    • Nursing Quality and Safety, University of Wisconsin Hospitals and Clinics, Madison, WI, USA.
    • Rehabil Nurs. 2014 Sep 1;39(5):232-9.

    PurposeTo differentiate between expected behavior of a newly brain-injured person and an episode of delirium.MethodsThis article reviews the different types of delirium and predisposing risk factors that place patients at risk for developing delirium.FindingsThis case study illustrates how delirium can mimic expected behaviors seen in patients with traumatic brain injuries and emphasizes the importance of assessing for risk factors of delirium.ConclusionsClinicians can easily misdiagnose delirium. Nurses should assess every patient for signs and symptoms of delirium, using a standardized tool, such as the Confusion Assessment Method (CAM) or Cognitive Test for Delirium (CTD).Clinical RelevanceImproved education on the risk factors for and symptoms of delirium is necessary for the rehabilitation nurse to ensure early diagnosis and treatment of this potentially life-threatening condition.© 2013 Association of Rehabilitation Nurses.

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