• Palliat Support Care · Jun 2016

    Terminal delirium misdiagnosed as major psychiatric disorder: Palliative care in a psychiatric inpatient unit.

    • Sabitha Aligeti, Muhammad R Baig, and Fernando F Barrera.
    • Department of Psychiatry,University of Texas Health Science Center,San Antonio,Texas.
    • Palliat Support Care. 2016 Jun 1; 14 (3): 307-10.

    BackgroundDelirium is a neuropsychiatric condition characterized by acute change in cognition and disturbance of consciousness. A similar state during the final days of life is termed "terminal delirium."MethodWe present three cases with end-stage chronic medical problems without any significant psychiatric history who were admitted to an inpatient psychiatric unit or a locked dementia unit for management of "depression," "dementia," or "psychosis."ConclusionsEarly diagnosis of terminal delirium helps prevent patients, family members, and staff from undergoing severe emotional distress and facilitates appropriate end-of-life care.

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