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Delir bei Demenz

Delirium with dementia

  • BEITRAG ZUM THEMENSCHWERPUNT
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Zusammenfassung

Der Begriff des Delirs wurde in der Vergangenheit im Zusammenhang mit unterschiedlichen Erkrankungen gebraucht. Auch heute existieren zahlreiche Synonyme für den Begriff des Delirs. In der vorliegenden Arbeit soll ein Überblick über die historische Begriffsbestimmung, die Epidemiologie und die diagnostischen Kriterien des Delirs aufgezeigt werden. Darüber hinaus werden Pathomechanismen, Risikofaktoren und Auslöser sowie verschiedene Formen des Delirs diskutiert. Diagnostik und Differenzialdiagnostik werden besprochen und mögliche medikamentöse und nicht-medikamentöse Therapieverfahren sowie die Prävention des Delirs aufgezeigt. Es wird letztlich darauf hingewiesen, dass nur durch eine weitreichende Aus- und Fortbildung eine suffiziente Prävention des Delirs zu leisten ist oder durch Früherkennung eine rasche Therapie eingeleitet werden kann.

Abstract

In the past the concept of delirium was associated with different diseases. Even today numerous synonyms of delirium exist. The author gives an overview of the definition of delirium in the past and today. The paper presents epidemiological data, diagnostic criteria and differential diagnoses of delirium for patients suffering from dementia. Pathological mechanisms, risk factors and triggers as well as different forms of delirium for patients suffering from dementia are discussed. Diagnostics and differential diagnostics are discussed and possible medicamentous and non-medicamentous therapy procedures as well as the prevention of delirium are shown. The author points out the necessity of education and training of medical staff to prevent or to diagnose early delirium for patients suffering from dementia and to start therapy as early as possible.

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Authors and Affiliations

  1. Abteilung für Psychiatrie und Psychotherapie, Evangelisches Krankenhaus Königin Elisabeth Herzberge (KEH), Herzbergstr. 79, 10365, Berlin, Germany

    T. Kratz

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  1. T. Kratz
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Correspondence to T. Kratz.

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Kratz, T. Delir bei Demenz. Z Gerontol Geriatr 40, 96–103 (2007). https://doi.org/10.1007/s00391-007-0435-5

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  • DOI: https://doi.org/10.1007/s00391-007-0435-5

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