Delirium: Therapy

General measures

• Create a quiet and safe environment
• Bringing relatives and patient together
• Touch by familiar people
• Use of visual and hearing aids
• Adherence to a day-night rhythm
• Reorientation with time and calendar
• Promotion of mobilization
• Ensure adequate hydration
• Review of permanent medication due topossible effect on the existing disease; if possible, discontinue high-risk medications,

Operative therapy

• Strict monitoring of the perioperative period.
• In case of condition after surgery, the draining drains should be pulled out at an early stage

Medical aids

• Use of visual and hearing aids

Nutritional medicine

• Postoperative early enteral nutrition, i.e., nutrition via the gastrointestinal tract, e.g., by means of a stomach tube, PEG tube (percutaneous endoscopic gastrostomy; an endoscopically placed artificial access from the outside to the stomach), or jejunal tube (tube into the small intestine), to prevent malnutrition
• Diet rich in:
  • Omega-6 fatty acids (gamma-linolenic acid, if the delirium is caused by alcohol consumption).
• See also under “Therapy with micronutrients (vital substances)” – if necessary, taking a suitable dietary supplement.
• Detailed information on nutritional medicine you will receive from us.

Physical therapy (including physiotherapy)

• Early mobilization
• Early physiotherapy
• Early occupational therapy (“work or occupational therapy”).

Psychotherapy

• If necessary, psychotherapy (including stress management).
• Detailed information on psychosomatic medicine (including stress management) you will receive from us.