Clarifying Confusion: Prevention and Managing Delirium

Delirium (acute confusion) is a common condition among older patients that often goes unrecognized. Although there are many delirium screening tools, the Confusion Assessment Method (CAM) appears to be the best tool to use at the bedside. Given its association with morbidity and mortality, prevention of delirium is crucial. Multi-component preventative strategies have been found to be effective. Once delirium occurs, similar multicomponent strategies can be incorporated into the management strategy. Precipitating factors should also be addressed. There is insufficient evidence to support the use of pharmacological agents for either the prevention or management of delirium.