Clicca qui per scaricare

A proposito di stati confusionali e contenzione nell’anziano
Titolo Rivista: RIVISTA SPERIMENTALE DI FRENIATRIA 
Autori/Curatori:  Ennio Cocco 
Anno di pubblicazione:  2009 Fascicolo: Lingua: Italiano 
Numero pagine:  14 P. 129-142 Dimensione file:  483 KB
DOI:  10.3280/RSF2009-001010
Il DOI è il codice a barre della proprietà intellettuale: per saperne di più:  clicca qui   qui 


A proposito di stati confusionali e contenzione nell’anziano - A rather high percentage of physical restraints for elderly people, especially in the nursing home setting, is due to the failure on the part of practitioners to identify delirium in clinical practice. This, in turn, leads to poor clinical management of the disorder, which may or may not be associated with dementia. After a brief description of the principal clinical features of delirium, this paper lists the main risk factors among the elderly, which are of a biological, iatrogenic (pharmacological) and socio-environmental nature. This text then goes on to discuss care strategies that are likely to prevent and/or improve delirium as well as strategies that are likely to worsen it (i.e. physical restraint). A correct approach to the problem actually requires a multidisciplinary view, one that is able to take into account the impact of several, only broadly clinical factors, which can play a very important role both at the pathogenetic and treatment level. Non pharmacological (or at least initially non pharmacological) strategies are less dangerous for patients, place more emphasis on the paramedical side of the treatment process (particularly nursing) and result in greater job satisfaction. Keywords: delirium, restraint, environmental strategies, psychogeriatrics, quality of care.




  1. Impossibile comunicare con Crossref: The remote server returned an error: (404) Not Found.

Ennio Cocco, in "RIVISTA SPERIMENTALE DI FRENIATRIA" 1/2009, pp. 129-142, DOI:10.3280/RSF2009-001010

   

FrancoAngeli è membro della Publishers International Linking Association associazione indipendente e no profit per facilitare l'accesso degli studiosi ai contenuti digitali nelle pubblicazioni professionali e scientifiche