Cecilia Cortés

@Profeco @izzi_mx fallando desde el día de ayer, sin respuesta de ningún técnico o mejora en la zona

@Profeco @AtencionProfeco falla en el servicio @izzi_mx desde hace más de 24 horas y su respuesta es que es falla local, estas fallas intermitentes desde la contratación y la respuesta es la misma( pero si quiero cancelar me cobran penalización...)

Explain delirium in accessible terms: "The brain isn't processing information normally right now." This helps families understand why repeating basics about what is going on, as well as being reassuring over and over again, can help the person experiencing #delirium.

Clinical tip on #delirium: it fluctuates - e.g. lucid one hour, confused or sleepy the next. This cruel "rollercoaster" exhausts families & fools healthcare professionals. Let's not be misled by moments of clarity. Review the notes for changes over the last 24-48 hours.

Relatives and close friends know the patient best. "This isn't like her normal self" is very commonly the first sign of #delirium. 👍 Staff: take this observation seriously & assess immediately for delirium with a tool like the 4AT.

#Delirium coding - positive trends. Education & training + policy support works. We're only 5% of the way there globally though, IMO.

🧠 #Delirium is a complex syndrome ➡️ Patients vary in multiple ways: 🔶 Symptom profile 🔶 Risk factors 🔶 Pathophysiology ➡️ Review on subtypes: alz-journals.onlinelibrary.wiley.com/doi/10.1002/al…

Esto 👇🏻 Los adultos mayores con ERC tienen un riesgo incrementado de sarcopenia y fragilidad. Tener una dieta muy restrictiva puede ser peor para ellos y aumentar el riesgo de desgaste energético proteicos

New paper in Delirium Communications journal on APOE4 status in relation to postoperative #delirium risk

#Delirium Clinical Care Standard (Australia): Quality statements

Biomarkers of #delirium in older patients - 32 studies - Inflammatory markers were most consistently associated with delirium - e.g. ⬆️ CRP, TNF-α, & IL-6

Myth: Delirium has one clear cause. Fact: It’s mostly multifactorial—infections, meds, metabolic issues, or pain often combine to trigger it.

We haven't worked out why #delirium, a condition that affects 1 in 4 older hospital inpatients & that is linked with x2-3 increase in 30-day mortality, is still very poorly detected & mostly badly managed. One idea: it's because it is too complex, & too hard. 🧵

In more detail: ⭐️ Rule out acute physiological disturbances (e.g., hypotension, hypoxia, hypoglycemia, opioid toxicity). ⭐️ Search for underlying causes (e.g., infections, pain, urinary retention). ⭐️ Assess and manage distress (via questioning, observation, and informant history). ⭐️ Non-pharmacological interventions (e.g., reorientation, family involvement). ⭐️ Consider limited pharmacological options (e.g., low-dose antipsychotics for intractable distress). ⭐️ Prevent complications (e.g., immobility, dehydration, falls). ⭐️ Communication (with patients and families, using the term "delirium"). ⭐️ Monitor recovery and rehabilitation (e.g., assessing improvement, modifying therapy). ⭐️ Consider if the patient has undiagnosed dementia (months/years of cognitive/functional decline before the present episode), and consider if further assessment for this and/or follow-up (e.g. in specialist clinic) is needed #delirium

It's World Delirium Awareness Day. This year, the theme is 'Raising Awareness', so let's start by sharing this animation of my #PatientExperience #WDAD2025 youtu.be/JrK5zZC1rbw?si… @iDelirium_Aware @TantamKate @WesElyMD @DrDaleNeedham @NydahlPeter @minipixie26

#Delirium | Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán El delirium es un síndrome caracterizado por alteraciones de la conciencia, la atención y las funciones cognitivas. #salud #saludmental #mente #delirium #EPS #INCMNSZ

#Delirium | Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán El delirium es un síndrome caracterizado por alteraciones de la conciencia, la atención y las funciones cognitivas. #salud #saludmental #mente #delirium #EPS #INCMNSZ

Trabajo en equipo!!

Participación del INCMNSZ con el Programa Vida Saludable y Sostenible en la Feria de Salud organizada por la CCINSHAE y la Alcaldía Tlalpan para promover un estilo de vida saludable. El Dr. José Sifuentes Director General del INCMSNZ reconoció la importancia de esta iniciativa.

#Delirium | Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán El delirium es un síndrome caracterizado por alteraciones de la conciencia, la atención y las funciones cognitivas. #salud #saludmental #mente #delirium #EPS #INCMNSZ