Tales from the Front Line: Delirium

The basics, often overlooked.

“Just run that by me again,” I say, fully aware of the complexity of the situation we're dealing with.

“Well, my mum saw the GP four days ago and was treated with antibiotics for a leg infection,” she says.

“But since then, she’s been confused and living alone; no one has been in to check on her, and she hasn't taken the antibiotics.” 

Delirium is a clinical syndrome that typically occurs in elderly individuals. Its onset is often abrupt and follows a fluctuation course. It is usually triggered by diseases with systemic involvement, including infection, and in the elderly, it can be lethal.   

It is characterised by changes in consciousness, declining cognitive function, and attention. Some people may not know where they are or the time of day. Forgetting things, such as when to take your medication, is common. Additionally, some may become paranoid (suspicious) and mistrustful of the people around them.

Therefore, someone must monitor the elderly during periods of intercurrent illness. H…