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

2015 ◽  
Vol 14 (3) ◽  
pp. 307-310 ◽  
Author(s):  
Sabitha Aligeti ◽  
Muhammad R. Baig ◽  
Fernando F. Barrera
Keyword(s):  
End Of Life Care ◽  
Psychiatric Inpatient ◽  
Life Care ◽  
Medical Problems ◽  
Major Psychiatric Disorder ◽  
Disturbance Of Consciousness ◽  
Psychiatric Inpatient Unit ◽  
Acute Change ◽  
End Stage ◽  
Inpatient Psychiatric Unit

AbstractBackground:Delirium 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.”Method:We 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.”Conclusions:Early diagnosis of terminal delirium helps prevent patients, family members, and staff from undergoing severe emotional distress and facilitates appropriate end-of-life care.

Serious Mental Illness and Hospice Care

2021 ◽  
pp. 082585972110220
Author(s):  
Gwen Levitt
Keyword(s):  
Mental Health ◽  
End Of Life ◽  
End Of Life Care ◽  
Psychiatric Illness ◽  
Hospice Care ◽  
Treatment Options ◽  
Life Care ◽  
Case Review ◽  
Health Community ◽  
End Stage

There are a small number of articles in the literature discussing palliative and end-of-life care in the SMI population. Most tackle the questions relating to competency to refuse care in end-stage anorexia or terminal medical conditions. This is a case review of a 55 year old patient with a complex psychiatric and medical history, who despite extensive treatment and long hospitalizations has failed to regain any ability to care for her basic needs. She has exhausted all available treatment options and her prognosis is extremely poor. The mental health community is resistant to discussing and/ or confronting the fact that such a patient faces with the need for end-of-life care directly related to chronic psychiatric illness.

scholarly journals Preferences for Advance Directives in Korea

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
So-Sun Kim ◽  
Won-Hee Lee ◽  
JooYoung Cheon ◽  
Jung-Eun Lee ◽  
KiSun Yeo ◽  
...  
Keyword(s):  
End Of Life ◽  
Advance Directives ◽  
End Of Life Care ◽  
Healthcare Providers ◽  
Tube Feeding ◽  
Life Care ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Korean People ◽  
End Stage

Background. The goal of advance directives is to help patients retain their dignity and autonomy by making their own decisions regarding end-stage medical treatment. The purpose of this study was to examine preferences of advance directives among general population in Korea.Method. A descriptive cross-sectional survey was performed from October 2007 to June 2008 in Seoul, Korea. A total of 336 city-dwelling adults self-administered the questionnaire and returned it via mail. Data analyses were conducted using SPSS 17.0.Results. Subjects reported the need for healthcare providers' detailed explanations and recommendations regarding end-of-life care. When there is no hope of recovery and death is imminent, most subjects did not want to receive cardiopulmonary resuscitation nor an IV or tube feeding. However, most of the subjects wanted pain management care.Conclusions. The present study showed that many Korean people have an interest in advance directives. The results show that the autonomy and dignity of patient have increased in importance. To provide better end-of-life care, there is a need to educate patients on the definition and intent of an advance directive. Additional proactive communication between patients and their caregivers should be educated to healthcare providers.

Hospice Use and End-of-Life Care for Patients With End-stage Renal Disease

2018 ◽  
Vol 178 (6) ◽  
pp. 799 ◽  
Author(s):  
Margaret L. Schwarze ◽  
Kate Schueller ◽  
R. Allan Jhagroo
Keyword(s):  
Renal Disease ◽  
End Of Life ◽  
End Stage Renal Disease ◽  
End Of Life Care ◽  
Life Care ◽  
Hospice Use ◽  
Stage Renal Disease ◽  
End Stage

scholarly journals Costs and outcomes of advance care planning and end-of-life care for older adults with end-stage kidney disease: A person-centred decision analysis

PLoS ONE ◽  
2019 ◽  
Vol 14 (5) ◽  
pp. e0217787 ◽  
Author(s):  
Marcus Sellars ◽  
Josephine M. Clayton ◽  
Karen M. Detering ◽  
Allison Tong ◽  
David Power ◽  
...  
Keyword(s):  
Older Adults ◽  
Kidney Disease ◽  
Decision Analysis ◽  
Advance Care Planning ◽  
End Of Life Care ◽  
Care Planning ◽  
Life Care ◽  
End Stage Kidney Disease ◽  
Advance Care ◽  
End Stage

scholarly journals Current End-of-Life Care Needs and Care Practices in Acute Care Hospitals

2011 ◽  
Vol 2011 ◽  
pp. 1-8 ◽  
Author(s):  
Amy J. Thurston ◽  
Donna M. Wilson ◽  
Jessica A. Hewitt
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Chart Review ◽  
Life Care ◽  
Canadian Study ◽  
Care Needs ◽  
Common Diagnosis ◽  
Impending Death ◽  
Care Practices ◽  
End Stage

A descriptive-comparative study was undertaken to examine current end-of-life care needs and practices in hospital. A chart review for all 1,018 persons who died from August 1, 2008 through July 31, 2009 in two full-service Canadian hospitals was conducted. Most decedents were elderly (73.8%) and urbanite (79.5%), and cancer was the most common diagnosis (36.2%). Only 13.8% had CPR performed at some point during this hospitalization and 8.8% had CPR immediately preceding death, with 87.5% having a DNR order and 30.8% providing an advance directive. Most (97.3%) had one or more life-sustaining technologies in use at the time of death. These figures indicate, when compared to those in a similar mid-1990s Canadian study, that impending death is more often openly recognized and addressed. Technologies continue to be routinely but controversially used. The increased rate of end-stage CPR from 2.9% to 8.8% could reflect a 1994+ shift of expected deaths out of hospital.

The Transition to End-of-Life Care in End-Stage Liver Disease

2013 ◽  
Vol 15 (4) ◽  
pp. 209-215 ◽  
Author(s):  
Paula Cox-North ◽  
Ardith Doorenbos ◽  
Sarah E. Shannon ◽  
John Scott ◽  
Jared Randall Curtis
Keyword(s):  
Liver Disease ◽  
End Of Life ◽  
End Of Life Care ◽  
Life Care ◽  
End Stage Liver Disease ◽  
End Stage

scholarly journals End-of-life care in patients with end-stage renal disease

2012 ◽  
Vol 27 (3) ◽  
pp. 879-881 ◽  
Author(s):  
N. Arulkumaran ◽  
P. Szawarski ◽  
B. J. Philips
Keyword(s):  
Renal Disease ◽  
End Of Life ◽  
End Stage Renal Disease ◽  
End Of Life Care ◽  
Life Care ◽  
Stage Renal Disease ◽  
End Stage
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