Does Delirium Drive Cognitive Decline? beingpatient.com/does-deliriu...
#Alzheimers #dementia #delirium #caregiving #geriatrics #neurology #science

Does Delirium Drive Cognitive Decline? beingpatient.com/does-deliriu...
#Alzheimers #dementia #delirium #caregiving #geriatrics #neurology #science
A representative case, details changed for anonymity:
"It wasn't until a geriatrician reviewed my mother's medications that we found the cause of her sudden confusion. A new sleeping pill... Within two days of stopping it, she was back to her old self."
Over at the Cock and Hoop Pub in the Lace Market area of Nottingham and on the Craft Beer lines was Delirium Red and wow it was tasting amazing, heres my review.
#wraggysbeers #delirium #lacemarket #nottingham #beers
youtube.com/shorts/6S50_...
@deliriumbrewery
Family and carers often notice delirium before staff do.
They know the person’s usual thinking, behaviour and level of independence.
Delirium may improve while underlying dementia remains.
Explain both conditions clearly so families know what change to expect.
Study spotlight: over 8 hours in an ED hallway, 11,105 older admissions (Perelman et al., JAGS 2026): 48% higher odds of delirium or severe agitation in people living with dementia. Corridor care is a clinical exposure. #delirium
For delirium researchers:
Publishing delirium research should not require a four-figure fee.
Delirium is open access: €20 to submit and a €280 APC on acceptance. Peer review is estimated to take 4–6 weeks under normal circumstances.
Two of the commonest causes of delirium are found with a hand and a bladder scanner, not the scanner suite. A loaded rectum and a full bladder cause agitation and resolve within hours. Examine the abdomen before the CT head. #delirium
Physiological problems need active correction during delirium.
Monitor the patient’s condition rather than relying on a single set of observations.
Write ‘delirium’ in the record when that is the diagnosis.
Clear language helps the next clinician continue the right care.
Katherine Anne Porter nearly died in the 1918 influenza pandemic. She wrote its delirium into "Pale Horse, Pale Rider": fever dissolving the border between the living and the dead. Some of the truest delirium writing we have, because she had been there. #delirium
When speaking to a person describing delusional beliefs, listen without interrupting or dismissing their experiences. Instead of immediately correcting them, say something calm and neutral like:
“That must be very frightening for you.”
What is the single biggest barrier to good delirium care where you work?
Failure to recognise it? Unclear ownership? Lack of time? Or uncertainty about what to do after a positive screen?
I would be interested to hear what gets in the way in practice.
When “untestable” is part of the delirium assessment.
This short 4AT case shows how to score a patient who is too drowsy to respond verbally.
Think Delirium is my YouTube channel for short, practical videos on delirium and the 4AT.
Reassurance works best when it is specific and true.
Say who you are, where the person is and what will happen next.
Do not promise a fixed recovery date after delirium.
Give an honest range and explain what changes should prompt review.
This image captures what many patients actually experience. Delusions (false beliefs that feel completely real) affect up to 1 in 3 older hospital patients with delirium.
A gentle question that can help: "Can you tell me where you think you are right now?"