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Acute confusion and the hospitalised elder Introduction This essay explores acute confusion in elderly hospital patients. It was found that a high proportion of hospitalised elders develop acute confusion, with some studies indicating incidence levels may be as high as 50% (Inouye 2000). Elders that develop acute confusion, or delirium, have longer hospital stays, increased mortality, and are less likely to resume independent life in the community than their non-confused counterparts (Inouye 2000, Aditya & Sharma 2003). Elements that contribute to the development of delirium in elders were next examined to find that elders accumulate a number of predisposing factors through the ageing process. They have reduced physical reserves, more chronic illnesses, and are often prescribed multiple drugs for their conditions; all of which make them more vulnerable to minor precipitating events. Precipitating events that can induce delirium in the elderly may not cause delirium in younger, more...

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