Understanding Delirium at the End of Life | Dr. Tom Mosher

With You at EveryStep

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Welcome to the "With You at EveryStep" podcast, where we address your healthcare questions and help you navigate life's challenges. In this insightful episode, Dr. Tom Mouser, the Chief Medical Officer for EveryStep, delves into the complex and often misunderstood topic of delirium at the end of life.
Delirium is a sudden and fluctuating change in cognition, distinct from dementia, and can be triggered by various factors. Dr. Mouser explains that delirium can manifest as a loss of focus or attention, leading to more severe symptoms such as hallucinations and paranoia as it progresses.
The causes of delirium are diverse, ranging from infections and medication interactions to changes in the environment and organ dysfunction. This podcast episode explores how delirium affects individuals and offers valuable insights for caregivers on how to approach and support loved ones experiencing delirium.
Dr. Mouser emphasizes the importance of not arguing or attempting to reason with delirious individuals, as this can exacerbate their distress. Instead, he advises listeners to understand that delirium is not the person's fault but a result of the underlying disease process. By working with the individual's altered perception and focusing on their comfort and safety, caregivers can provide the best possible care.
Furthermore, the episode clarifies that delirium is not a permanent condition like dementia; it can come on suddenly and fluctuate in severity. Recognizing the cyclic nature of delirium is crucial for identifying and addressing it effectively.
If you have questions about delirium or hospice care, visit EveryStep's website for more information and resources.
Thank you for joining us on this enlightening episode of "With You at EveryStep," where we strive to shed light on important healthcare topics and help you navigate life's challenges.

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