This essay explores acute confusion in elderly hospital patients. It was found that a high proportion
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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 hardy individuals. Infection, dehydration,...

