This trial is evaluating whether Family Support System will improve 1 primary outcome, 10 secondary outcomes, and 11 other outcomes in patients with Delirium. Measurement will happen over the course of morning of surgery until day of hospital discharge, up to 30 days.
This trial requires 60 total participants across 4 different treatment groups
This trial involves 4 different treatments. Family Support System is the primary treatment being studied. Participants will be divided into 3 treatment groups. There is no placebo group. The treatments being tested are not being studied for commercial purposes.
"This survey was designed for acute care centers but may not reflect the usual treatment given in residential care settings and hospital-based geriatric patients. It is possible that the results would be different if samples reflected the usual treatment received in institutionalized populations. This survey provides a snapshot of delirium screening and treatment. It provides important information that is helpful in developing better quality standards for delirium treatment in older adults." - Anonymous Online Contributor
"Signs of delirium include impaired or disturbed consciousness, and inability to concentrate or remember things. In those with dementia, delirium is the strongest factor related to hospitalization of patients with dementia." - Anonymous Online Contributor
"Despite an increasing number of studies implicating delirium in worsening cognitive function, only a few studies on delirium therapies exist so far. Given the lack of a rigorous definition of delirium and the lack of evidence for beneficial effects, it is unlikely that therapeutic interventions will be developed in the near future. This article reviews the existing studies to examine whether the use of antidepressant drugs and deep sleep deprivation therapy, known to reduce delirium or otherwise reduce agitation and anxiety, may be able to provide clinical benefit in patients with delirium." - Anonymous Online Contributor
"About 4 million people are hospitalized for delirium each year in the United States. Approximately 11 million individuals aged 65 years and older suffer from dementia each year." - Anonymous Online Contributor
"Delirium is a transient mental state of confusion and disorientation that may occur in all age ranges and is commonly associated with old age. It is a medical emergency requiring immediate attention." - Anonymous Online Contributor
"Although it is frequently argued that delirium is an unavoidable consequence of older hospitalized people, the cause of delirium is likely to be multifactorial, with a complex mix of biological, social and psychological factors." - Anonymous Online Contributor
"Given the relatively low risk of clinically meaningful adverse events in clinical trials, our results call for a cautious approach to clinical trials evaluating the use of medications for delirium, especially for patients who present with severe delirium, high frailty scores, or multiple comorbidities." - Anonymous Online Contributor
"The number of medical conditions is quite substantial in delirious patients who present before admission to the emergency department. The number of delirious patients will vary inversely with the size of the population in which the ED is located and the percentage of elderly. The most frequent causes of delirium are related to the neurological deficit as a result of dementia and neurodegenerative conditions. The development of delirium is influenced by numerous factors, and the genesis of delirium is multifactorial. As yet, no test can prove the existence of delirium. This justifies the clinical use of an interdisciplinary approach, including the use of health care professionals, who are able to deal with specific symptoms." - Anonymous Online Contributor
"The prevalence and risks for mortality associated with delirium are both increased and increased in serious elderly age groups. The risk for cognitive decline can be significant in delirious elderly if they do not recover within a year. Furthermore the risk of experiencing a new episode of delirium seems to increase with increasing age." - Anonymous Online Contributor
"[In this small study, a family-based support system in the inpatient setting was more effective than a placebo in relieving some of the psychological distress experienced by the elderly in long-term care residents with delirium ]. However, this approach was not superior to regular care, in terms of other outcome measures. Clinical trials are urgently needed to verify whether this family-based support system can be used to help prevent or delay delirium." - Anonymous Online Contributor
"Family support group membership is a common treatment tool of the elderly population. Family support group can improve satisfaction with QOL for those who have delirium." - Anonymous Online Contributor
"There is a huge gap between the needs, and the interventions of patients and doctors alike in the area of delirium. While there have certainly been advancements in many aspects of delirium treatment, whether we have progressed significantly is not necessarily evident. The main concern in delirium management should not be the current evidence-supported interventions of delirium itself, but rather the general practitioners ability to treat its potential causes, i.e. an underlying medical problem, or a patient with a co-existing one, or a lack of knowledge and training for the health care professionals to recognize its early signs, thus being better informed to intervene to prevent its occurrence." - Anonymous Online Contributor