Opioid stewardship and reversible causes of hyperactive delirium
Bullen, Kathryn, Lovell, Pippa and Morgan, Tim (2025) Opioid stewardship and reversible causes of hyperactive delirium. BMJ Supportive and Palliative Care. ISSN 2045-4368
| Item Type: | Article |
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Abstract
Terminal agitation is taught as a frequently encountered and expected condition at the end of life, possibly leading to a reversible cause of delirium not being identified with subsequent and unnecessary drug dose escalation. Opioids and sedative medications are recognised as potentially reversible causes of delirium. But what if we, in all the caring we do for our patients, often assume that the building distress is due to pain and continue to increase the opioid dose—could we possibly be contributing to end-of-life delirium?
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| Additional Information: “This article has been accepted for publication in BMJ Supportive and Palliative Care, 2025 following peer review, and the Version of Record can be accessed online at [insert full DOI eg. https://doi.org/10.1136/spcare-2024-004996” © Authors (or their employer(s)) |
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| Depositing User: Kathryn Bullen |
Identifiers
| Item ID: 11341 |
| Identification Number: https://doi.org/10.1136/spcare-2024-004996 |
| ISSN: 2045-4368 |
| URI: http://sure.sunderland.ac.uk/id/eprint/11341 | Official URL: https://doi.org/10.1136/spcare-2024-004996 |
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Catalogue record
| Date Deposited: 26 Sep 2024 14:26 |
| Last Modified: 26 Sep 2024 15:45 |
| Author: | Kathryn Bullen |
| Author: | Pippa Lovell |
| Author: | Tim Morgan |
University Divisions
Faculty of Health Sciences and Wellbeing > School of Pharmacy and Pharmaceutical SciencesSubjects
Sciences > Pharmacy and PharmacologyActions (login required)
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