Delirium in hospitalized older patients

Delirium is a common, serious problem for hospitalized older patients. Reco gnition of delirium poses challenges requiring cognitive assessment and kno wledge of the clinical course. Delirium often is of multiple causes and is associated with a poor long-term prognosis. Nonpharmacologic approaches for delirium management are recommended; pharmacologic management should be re served for patients who pose a danger to themselves or others. Importantly, delirium and its complications may be preventable through a targeted risk factor approach.