{"id":17877,"date":"2021-01-08T15:08:29","date_gmt":"2021-01-08T20:08:29","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=17877"},"modified":"2021-01-08T15:08:29","modified_gmt":"2021-01-08T20:08:29","slug":"delirium-vs-dementia","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/delirium-vs-dementia\/","title":{"rendered":"Delirium vs. dementia: Compare causes, symptoms, treatments &#038; more"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">If you are caring for a loved one and start to notice a change in their mental status, such as a decline in memory or confusion, your first thought will probably be dementia. However, there could be another culprit: delirium. Sharing many of the same characteristics, these two conditions can be tricky to distinguish from one another. Let\u2019s discuss the differences between dementia and delirium.\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Causes<\/span><\/h2>\n<h3><span style=\"font-weight: 400;\">Delirium<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">\u201cDelirium is a usually <\/span><span style=\"font-weight: 400;\">reversible<\/span><span style=\"font-weight: 400;\"> alteration in mental status and\/or behavioral disturbance, usually sudden in onset (but not always),\u201d says Lili Barsky, MD, an LA-based hospitalist and urgent care physician. She explains the common causes of delirium: \u201cIt can occur in response to an infection, metabolic disturbance, intracranial structural changes, medication or toxin, sensory or sleep deprivation, surgery or hospitalization.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Certain medications can lead to this acute confusional state, including anticholinergic and antipsychotic medications. Medical history, examinations, and lab results all help to diagnose delirium.\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Dementia<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">One difference between delirium and dementia is that dementia usually develops over time as it is progressive in nature and it is persistent or progressing. &#8220;Dementia may be caused by neurodegenerative diseases, toxins, vascular defects, infections, autoimmune or inflammatory diseases, neurometabolic diseases, trauma, neoplasia or other structural changes in the brain,\u201d Dr. Barksy explains.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Dementia is typically seen in older adults. There are a variety of conditions that cause dementia as well. Some common conditions include Alzheimer&#8217;s disease, dementia with lewy bodies, and Parkinson\u2019s disease. Evidence indicates <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4104432\/\"><span style=\"font-weight: 400;\">significant cognitive impairment<\/span><\/a><span style=\"font-weight: 400;\"> in people with dementia.<\/span><\/p>\n<table class=\"singlecare-table\">\n<thead>\n<tr>\n<th style=\"text-align: center;\"><span class=\"title\">Delirium vs. dementia causes<\/span><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td style=\"text-align: center;\"><b>Delirium<\/b><\/td>\n<td style=\"text-align: center;\"><b>Dementia<\/b><\/td>\n<\/tr>\n<tr>\n<td>\n<ul>\n<li><span style=\"font-weight: 400;\">Infection, such as urinary tract infection<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Metabolic disturbance<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Intracranial structural changes<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Medication or toxin<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Sensory or sleep deprivation<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Surgery or hospitalization<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Drug toxicity<\/span><\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li><span style=\"font-weight: 400;\">Neurodegenerative diseases<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Toxins<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Vascular defects<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Infections<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Autoimmune or inflammatory diseases<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Neurometabolic diseases\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Trauma<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Neoplasia or other structural changes in the brain<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Genetic disorders<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2><span style=\"font-weight: 400;\">Prevalence<\/span><\/h2>\n<h3><span style=\"font-weight: 400;\">Delirium<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">According to the <\/span><a href=\"https:\/\/www.merckmanuals.com\/home\/brain,-spinal-cord,-and-nerve-disorders\/delirium-and-dementia\/delirium\"><span style=\"font-weight: 400;\">Merck Manual<\/span><\/a><span style=\"font-weight: 400;\">, around 15%-50% of older people experience delirium at some time during a hospital stay. One study found that delirium was most prevalent in those who had cardiac surgery, neurosurgery, trauma, radiotherapy, and neurology patients. Intensive Care Unit (ICU) delirium, associated with an increased ICU length of stay, has a prevalence estimated at 31.8% as determined by <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5940933\/\"><span style=\"font-weight: 400;\">a 2018 study<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Dementia<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">According to the World Health Organization, <\/span><a href=\"https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/dementia\"><span style=\"font-weight: 400;\">50 million people<\/span><\/a><span style=\"font-weight: 400;\"> worldwide have dementia\u2014with 10 million new cases every year. The most common form of dementia is Alzheimer\u2019s disease, which accounts for 60%-70% of the cases. The WHO estimates that 5%-8% of adults 60 and older have dementia.\u00a0<\/span><\/p>\n<table class=\"singlecare-table\">\n<thead>\n<tr>\n<th style=\"text-align: center;\"><span class=\"title\">Delirium vs. dementia prevalence<\/span><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td style=\"text-align: center;\"><b>Delirium<\/b><\/td>\n<td style=\"text-align: center;\"><b>Dementia<\/b><\/td>\n<\/tr>\n<tr>\n<td>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">15-50% of older people experience delirium at some time during a hospital stay.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">It is most prevalent in cardiac surgery, neurosurgery, trauma, radiotherapy, and neurology patients.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">ICU delirium has a prevalence estimated at 31.8%.<\/span><\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400;\"><a href=\"https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/dementia\"><span style=\"font-weight: 400;\">50 million people<\/span><\/a><span style=\"font-weight: 400;\"> worldwide have dementia.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">There are 10 million new cases every year.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">60-70% of dementia cases are from Alzheimer\u2019s disease.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">5-8% of adults 60 and older have dementia.\u00a0<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2><span style=\"font-weight: 400;\">Symptoms<\/span><\/h2>\n<h3><span style=\"font-weight: 400;\">Delirium<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Symptoms of delirium typically have a sudden onset. They are also typically in response to a medical issue. Symptoms include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Confusion<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Disorientation<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Paranoia<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Hallucinations<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Agitation\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Somnolence\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Short-term memory impairment<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Problems with attention and cognition<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">The duration of these symptoms is variable and it is reversible.\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Dementia<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">\u201cWhile it can have many similarities in symptoms to delirium, dementia is a more progressive cognitive impairment associated with a decline in overall function, which usually develops more gradually,\u201d Dr. Barsky says.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Symptoms of early-stage dementia usually include:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Learning and memory impairment<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Difficulty concentration<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Confusion with routine tasks<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Word-finding issues<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Mood changes<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Unable to orient self to time and place, getting lost<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Perceptual-motor function<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">It is also important to note that symptoms of dementia also vary between the conditions they accompany.\u00a0<\/span><\/p>\n<table class=\"singlecare-table\">\n<thead>\n<tr>\n<th style=\"text-align: center;\"><span class=\"title\">Delirium vs. dementia symptoms<\/span><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td style=\"text-align: center;\"><b>Delirium<\/b><\/td>\n<td style=\"text-align: center;\"><b>Dementia<\/b><\/td>\n<\/tr>\n<tr>\n<td>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Confusion<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Disorientation<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Paranoia<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Hallucinations<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Agitation\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Somnolence\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Short-term memory impairment<\/span><\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Memory impairment<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Difficulty concentration<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Confusion with routine tasks<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Word-finding issues<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Mood changes especially irritability<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Disorientation<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2><span style=\"font-weight: 400;\">Diagnosis<\/span><\/h2>\n<h3><span style=\"font-weight: 400;\">Delirium<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">\u201cA <\/span><a href=\"https:\/\/deliriumnetwork.org\/screening-for-delirium-with-the-confusion-assessment-method\/\"><span style=\"font-weight: 400;\">confusion assessment method (CAM)<\/span><\/a>\u00a0<span style=\"font-weight: 400;\">is used to identify the presence of delirium,\u201d Dr. Barsky explains. The CAM looks at four features:\u00a0<\/span><\/p>\n<ol>\n<li><span style=\"font-weight: 400;\"> Acute onset and fluctuating course<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Inattention<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Disorganized thinking<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Altered level of consciousness<\/span><\/li>\n<\/ol>\n<p><span style=\"font-weight: 400;\">Delirium is diagnosed if a person has the first two features in addition to either the third or fourth feature.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Medical tests may also be performed during the diagnosis of delirium, this could include a comprehensive mental status evaluation, physical exam, laboratory studies, or brain scans to rule out other conditions, such as stroke. Additionally, it may be helpful to talk with family members or caregivers who can provide additional history and context. Laboratory tests to determine the cause of delirium such as checking various levels in the blood or urine may also be performed.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Dementia<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Diagnostic tests can be used to help diagnose dementia. There are multiple tests that could be used that test cognition. Common tests are the mini-mental status examination (MMSE) or Mini-Cog assessment. These tests look at mental abilities and include the areas of memory, language, problem-solving, orientation, and other mental functioning abilities. Also, talking with family members or caregivers can provide a significant amount of information about the individual\u2019s condition.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There are three common types of brain scans to test for dementia. They include computed tomography (CT) scans, magnetic resonance imaging (MRI), and positron emission tomography (PET) scans.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Laboratory tests like drawing blood and looking at various levels, such as electrolytes and thyroid levels, will also be performed to rule anything out, such as delirium. Genetic tests can also be a good indicator of dementia.\u00a0<\/span><\/p>\n<table class=\"singlecare-table\">\n<thead>\n<tr>\n<th style=\"text-align: center;\"><span class=\"title\">Delirium vs. dementia diagnosis<\/span><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td style=\"text-align: center;\"><b>Delirium<\/b><\/td>\n<td style=\"text-align: center;\"><b>Dementia<\/b><\/td>\n<\/tr>\n<tr>\n<td>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Comprehensive history and physical examination<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Interviews with supporting persons<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Confusion Assessment Method (CAM)<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Medical tests<\/span>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Laboratory testing<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Physical exams<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Comprehensive history and physical examination<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Interviews with supporting persons<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Professional neuropsychological testing:<\/span>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">MMSE or Mini-Cog assessment<\/span><\/li>\n<\/ul>\n<\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Brain imaging to identify structural changes.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Laboratory testing<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2><span style=\"font-weight: 400;\">Treatments<\/span><\/h2>\n<h3><span style=\"font-weight: 400;\">Delirium<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Treatment for delirium first and foremost is to find the underlying cause of delirium and address this problem. This could include treating an infection or discontinuing a medicine. Treatment will then focus on addressing any other complications and medical conditions that may have happened as a result of delirium. This could possibly include things such as providing adequate nutrition, pain management, and educating family members, caregivers, and the patient.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Dementia<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">As a variety of diseases can cause dementia, treatment depends on the cause. Currently, there is no cure for dementia. However, there are some drugs that may improve symptoms for some time. The two drugs approved by the U.S. Food and Drug Administration (FDA) to help treat dementia include:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Cholinesterase inhibitors: <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/aricept\"><span style=\"font-weight: 400;\">Aricept<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/donepezil-hcl\"><span style=\"font-weight: 400;\">donepezil hcl<\/span><\/a><span style=\"font-weight: 400;\">), <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/exelon\"><span style=\"font-weight: 400;\">Exelon<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/rivastigmine\"><span style=\"font-weight: 400;\">rivastigmine<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Memantine: <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/namenda-xr\"><span style=\"font-weight: 400;\">Namenda Xr<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/memantine-hcl-er\"><span style=\"font-weight: 400;\">memantine hcl er<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Another option is participating in clinical studies and trials for dementia. The Alzheimer\u2019s Association has more information on possible options <\/span><a href=\"https:\/\/www.alz.org\/alzheimers-dementia\/research_progress\/clinical-trials\/about-clinical-trials\"><span style=\"font-weight: 400;\">here<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There are many non-drug therapies, too. Memory training, cognitive exercises, social stimulation, counseling, and physical activity are just a few methods to possibly improve cognitive function.<\/span><\/p>\n<table class=\"singlecare-table\">\n<thead>\n<tr>\n<th><span class=\"title\">Delirium vs. dementia treatments<\/span><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td style=\"text-align: center;\"><b>Delirium<\/b><\/td>\n<td><b>Dementia<\/b><\/td>\n<\/tr>\n<tr>\n<td>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Addressing underlying issue causing delirium<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Treating complications<\/span><\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Memory training<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Social stimulation<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Exercise<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Medications<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Clinical trials<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2><span style=\"font-weight: 400;\">Risk factors<\/span><\/h2>\n<h3><span style=\"font-weight: 400;\">Delirium<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">According to a <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4001175\/#:~:text=The%20commonest%20factors%20significantly%20associated,and%20electrolyte%20imbalance%20and%20malnutrition.\"><span style=\"font-weight: 400;\">2014 study<\/span><\/a><span style=\"font-weight: 400;\">, the most common risk factors for delirium included:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Dementia<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Older age<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Illness severity<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Visual impairment<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Urinary catheterization<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Low albumin level (a blood protein)<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Length of hospital stay<\/span><\/li>\n<\/ul>\n<h3><span style=\"font-weight: 400;\">Dementia<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">According to the <\/span><a href=\"https:\/\/www.alz.org\/alzheimers-dementia\/what-is-alzheimers\/causes-and-risk-factors\"><span style=\"font-weight: 400;\">Alzheimer\u2019s Association<\/span><\/a><span style=\"font-weight: 400;\"> the top risk factors for dementia include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Age<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Family history<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Genetics<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Head injury<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Conditions that damage the heart<\/span><\/li>\n<\/ul>\n<table class=\"singlecare-table\">\n<thead>\n<tr>\n<th style=\"text-align: center;\"><span class=\"title\">Delirium vs. dementia risk factors<\/span><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td style=\"text-align: center;\"><b>Delirium<\/b><\/td>\n<td style=\"text-align: center;\"><b>Dementia<\/b><\/td>\n<\/tr>\n<tr>\n<td>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Dementia<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Older age<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Illness severity<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Visual impairment<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Urinary catheterization<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Low albumin level (blood protein)<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Length of hospital stay<\/span><\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Age<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Family history<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Genetics<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Head injury<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Conditions that damage the heart<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2><span style=\"font-weight: 400;\">Prevention<\/span><\/h2>\n<h3><span style=\"font-weight: 400;\">Delirium<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Prevention of delirium is done by stopping it before it starts by identifying those at highest risk.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cIndividuals at highest risk of developing delirium include those with cognitive impairment, sensory or sleep deprivation, immobility, and dehydration or other underlying metabolic disturbances,\u201d Dr. Barsky says. \u201cEarly identification and management of a medical or environmental trigger is key in preventing the development of delirium.\u201d<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Dementia<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">\u201cPreventing dementia is more long-term,\u201d Dr. Barsky continues. \u201cThere is evidence that eating healthy, staying active, avoiding tobacco and alcohol, and keeping one&#8217;s mind active with age can all help to prevent or delay the onset of dementia. It is also important to monitor blood pressure and cholesterol, as elevated levels of these can predispose to vascular dementia.\u201d<\/span><\/p>\n<table class=\"singlecare-table\">\n<thead>\n<tr>\n<th style=\"text-align: center;\"><span class=\"title\">How to prevent delirium vs. dementia<\/span><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td style=\"text-align: center;\"><b>Delirium<\/b><\/td>\n<td style=\"text-align: center;\"><b>Dementia<\/b><\/td>\n<\/tr>\n<tr>\n<td>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Prevention by identifying those with the highest risk<\/span><\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Healthy lifestyle<\/span>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Eating healthy<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Exercising<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Avoiding tobacco and alcohol<\/span><\/li>\n<\/ul>\n<\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Regularly monitoring blood pressure and cholesterol\u00a0<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2><span style=\"font-weight: 400;\">When to see a doctor for delirium or dementia<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The moment you see a change in mental state or cognitive decline including confusion, memory loss, disorientation, or the symptoms listed above, it is important to see a healthcare professional. Early detection for both of these conditions leads to the best outcomes.\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Resources<\/span><\/h2>\n<ul>\n<li style=\"font-weight: 400;\"><a href=\"https:\/\/www.psychiatry.org\/psychiatrists\/practice\/dsm\"><span style=\"font-weight: 400;\">Diagnostic and Statistical Manual of Mental Disorders (DSM\u20135),<\/span><\/a><span style=\"font-weight: 400;\">\u00a0American Psychiatric Association<\/span><\/li>\n<li style=\"font-weight: 400;\"><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4104432\/\"><span style=\"font-weight: 400;\">Dementia and cognitive impairment: Epidemiology, diagnosis, and treatment,<\/span><\/a><span style=\"font-weight: 400;\"> NCBI<\/span><\/li>\n<li style=\"font-weight: 400;\"><a href=\"https:\/\/www.merckmanuals.com\/home\/brain,-spinal-cord,-and-nerve-disorders\/delirium-and-dementia\/delirium\"><span style=\"font-weight: 400;\">Merck Manual<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\"><a href=\"https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/dementia\"><span style=\"font-weight: 400;\">Dementia,<\/span><\/a><span style=\"font-weight: 400;\">\u00a0World Health Organization<\/span><\/li>\n<li style=\"font-weight: 400;\"><a href=\"https:\/\/www.alz.org\/alzheimers-dementia\/research_progress\/clinical-trials\/about-clinical-trials\"><span style=\"font-weight: 400;\">About TrialMatch: Clinical trial matching service for Alzheimer&#8217;s and other dementia,<\/span><\/a><span style=\"font-weight: 400;\">\u00a0Alzheimer\u2019s Association<\/span><\/li>\n<li style=\"font-weight: 400;\"><a href=\"https:\/\/www.alz.org\/alzheimers-dementia\/what-is-alzheimers\/causes-and-risk-factors\"><span style=\"font-weight: 400;\">Causes and risk factors for Alzheimer&#8217;s Disease,<\/span><\/a><span style=\"font-weight: 400;\">\u00a0Alzheimer\u2019s Association<\/span><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>If you are caring for a loved one and start to notice a change in their mental status, such as a decline in memory or confusion, your first thought will probably be dementia. However, there could be another culprit: delirium. Sharing many of the same characteristics, these two conditions can be tricky to distinguish from [&hellip;]<\/p>\n","protected":false},"author":15,"featured_media":17961,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8029],"tags":[450],"coauthors":[8861],"class_list":["post-17877","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-education","tag-mental-health","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Delirium vs. dementia: Compare causes, symptoms, treatments, more<\/title>\n<meta name=\"description\" content=\"What\u2019s the difference between delirium and dementia? 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