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Documento di Consenso sulle Cure Palliative nel grande Anziano

Pubblichiamo in allegato la versione finale delle Raccomandazioni e del Documento di Consenso sulle Cure Palliative nel Grande Anziano a Domicilio, nelle Residenze e in Hospice, redatta dal Comitato Tecnico Scientifico dell’Associazione “APRIRE – Assistenza Primaria In Rete – Salute a Km 0” sulla base delle indicazioni disposte dal Panel Giuria nella Conferenza di Consenso tenutasi a Roma il 24 Ottobre scorso, a cui ha partecipato anche la SIGOT.

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Italian intersociety consensus on prevention, diagnosis, and treatment of delirium in hospitalized older persons


Delirium is a severe neuropsychiatric syndrome characterized by inattention and global cognitive dysfunction in the setting of an acute medical illness, medical complication, drug intoxication or drug withdrawal. The most important risk factors are advanced age and dementia whereas pain, dehydration, infections, stroke, metabolic disturbances, and surgery are the most common triggering factors. Although delirium is a common clinical syndrome in different setting of care (acute care hospitals, inpatient rehabilitation facilities, nursing homes, and hospices) it often remains under-recognised, poorly understood and not adequately managed then there exists a clear need for improved understanding to overcome cultural stereotypes and for the development and dissemination of a comprehensive model of implementation of general good practice points. A network of Italian national scientific societies was thus convened (1) to develop a collaborative multidisciplinary initiative report on delirium in the elderly hospitalized patients, (2) to focus the attention of health care personnel on prevention, diagnosis and therapy of patients suffering from delirium, and (3) to make the health services research community and policy-makers more aware of the potential risks of this condition providing a reference for training activities and data collection.

G. Bellelli, A. Morandi, M. Trabucchi et al. European Geriatric Medicine 2017; Volume 8, Issue 4, Pages 293-298

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