Study for ELNEC 4: Symptom Management in Palliative Care Test with flashcards and multiple choice questions. Hints and explanations included! Get ready for your exam!

Multiple Choice

Which statement about delirium triggers is correct?

Delirium in palliative care is often driven by identifiable, reversible triggers such as infection, dehydration, electrolyte disturbances, hypoxia, constipation or urinary retention, pain, sleep disruption, or medications with anticholinergic or sedative effects. The best approach is to actively identify and promptly treat these triggers because removing the precipitating factor can reverse the delirium, sometimes quickly. Medications to calm agitation can be helpful, but they don’t substitute for addressing the underlying cause and may even obscure symptoms if used alone. Waiting to treat triggers until after medications have failed misses the opportunity to reverse delirium by correcting the root cause. It’s not correct to say triggers are irrelevant or that delirium cannot be reversed, since many cases improve when the causes are identified and managed.

Delirium in palliative care is often driven by identifiable, reversible triggers such as infection, dehydration, electrolyte disturbances, hypoxia, constipation or urinary retention, pain, sleep disruption, or medications with anticholinergic or sedative effects. The best approach is to actively identify and promptly treat these triggers because removing the precipitating factor can reverse the delirium, sometimes quickly. Medications to calm agitation can be helpful, but they don’t substitute for addressing the underlying cause and may even obscure symptoms if used alone. Waiting to treat triggers until after medications have failed misses the opportunity to reverse delirium by correcting the root cause. It’s not correct to say triggers are irrelevant or that delirium cannot be reversed, since many cases improve when the causes are identified and managed.