Use of confusion assessment method in the elderly with hip fracture to detect relation between cognitive dysfunction and pain.

Postgraduate Thesis uoadl:2885406 237 Read counter

Unit:
Κατεύθυνση Αλγολογία: Αντιμετώπιση του πόνου, διάγνωση και θεραπεία. Φαρμακευτικές, παρεμβατικές και άλλες τεχνικές
Library of the School of Health Sciences
Deposit date:
2019-11-13
Year:
2019
Author:
Vitoula Krystallia
Supervisors info:
Κασσιανή Θεοδωράκη, Αναπληρώτρια Καθηγήτρια, Ιατρική Σχολή, ΕΚΠΑ, Επιβλέπουσα
Εριφύλη Αργύρα, Καθηγήτρια, Ιατρική Σχολή, ΕΚΠΑ
Αθανασία Τσαρουχά, Αναπληρώτρια Καθηγήτρια, Ιατρική Σχολή, ΕΚΠΑ
Original Title:
Η χρήση της Confusion Assessment Method (CAM) για συσχέτιση γνωσιακών διαταραχών και πόνου σε ηλικιωμένους ασθενείς που έχουν υποστεί κάταγμα ισχίου
Languages:
Greek
Translated title:
Use of confusion assessment method in the elderly with hip fracture to detect relation between cognitive dysfunction and pain.
Summary:
Cognitive dysfunction is a postoperative complication especially among elderly patients and children. The immature nervous system in children and the vulnerable to psychological and organic stress nervous system in elderly seems to be the etiology of cognitive dysfunction. Delirium causes increased morbidity and mortality , predisposes to dementia or preexists to dementia.
Different factors that cause delirium/ cognitive dysfunction can be separated in predisposing (commorbidities) or precipitating (treatment care) ones. We often use the term "frailty" to characterize the vulnerable elderly patients because of their disability to maintain the organic homeostasis during stress. Pain and especially postoperative pain is a main reason that predisposes to cognitive dysfunction/delirium. This is why guidelines of international scientific societies (like American Geriatric Society, European Society of Anesthesiology) consider management of postoperative pain an important way to prevent postoperative delirium.
Hip fractures is a common reason the elderly visit hospitals. The pain in patients with hip fracture is severe. The pain starts at the moment of the accident till the first postoperative hours. The management of this severe pain is a challenge for the doctors.
We can use a lot of methods to detect delirium. Confusion assessment method is the most common one. This method has been widely used for the detection of delirium in the ICU patients while there are bibliographic statements (less than ICU ones) for its use in the recovery room and surgical wards.
Main subject category:
Health Sciences
Keywords:
Elderly, hip fracture, pain, Delirium, Confusion assessment method
Index:
No
Number of index pages:
0
Contains images:
No
Number of references:
125
Number of pages:
27
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