Delirium in the oncology patient: A clinical dilemma

Abstract

Delirium is a significant quality of life issue for which nurses are strategically positioned to prevent, identify, and provide intervention. Delirium occurs in 25% to 40% of patients with cancer, and may occur in as high as 85% of patients with advanced disease. However, a general lack of knowledge, an inability to distinguish varying manifestations and etiologies, and incomplete assessments have resulted in difficulty managing this phenomenon. This article reviews the literature on delirium, and examines the assessment and nursing interventions for care of the cancer patient. Recommendations for practice and research are made, emphasizing a holistic approach to enhance quality of life.