What is it about?
Description of pharmacological and non-pharmacological practices for delirium, carried out by psychiatry residents and psychiatrists in Colombia
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Why is it important?
Non-pharmacological preventive measures such as psychoeducation, correction of sensory problems or sleep hygiene are performed by 70% or more. Only about 1 in 10 participants are part of an institutional multi-component prevention programme. The preventive prescription of drugs was less than 20%. Regarding non-pharmacological treatment, more than 75% recommend correction of sensory difficulties, control of stimuli and reorientation. None of the participants indicated that the care at their centres is organised to enhance non-pharmacological treatment. 17.8% do not use medication in the treatment of delirium. Those who use it prefer haloperidol or quetiapine, particularly in hyperactive or mixed motor subtypes.
Perspectives
The practices of the respondents coincide with those of other experts around the world. Non-pharmacological actions are individual initiatives, which demonstrates the need in Colombian health institutions to commit to addressing delirium, in particular when its prevalence and consequences are indicators of quality of care.
Professor JOSE G FRANCO
Universidad Pontificia Bolivariana
Read the Original
This page is a summary of: Encuesta a psiquiatras y residentes de psiquiatría en Colombia sobre sus prácticas preventivas y terapéuticas del delirium, Revista Colombiana de Psiquiatría, May 2020, Elsevier,
DOI: 10.1016/j.rcp.2020.02.003.
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