{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T08:04:36Z","timestamp":1762070676110,"version":"build-2065373602"},"reference-count":58,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2022,10,7]],"date-time":"2022-10-07T00:00:00Z","timestamp":1665100800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Geriatrics"],"abstract":"<jats:p>People with dementia are more likely to develop delirium. We conducted a brief literature search and give a pragmatic overview of the key issues. Making rational and safe prescribing decisions is highly influenced by organisational culture and embedded staff practices. Comprehensive assessment for unmet physical, psychological, and social needs is an important intervention in itself. Taking a broad overview of possible pharmacological interventions should include stopping inappropriate medications and prescribing for key drivers of the underlying causes of delirium. Prescribing psychotropic medications may be indicated where there is significant distress or risk to the person with dementia and risk to those around them. It is vital to consider the dementia subtype and, where possible, involve family and friend carers in the decision-making process. Medications should be prescribed at the lowest possible dose for the least amount of time after carefully weighing risks versus benefits and documenting these. While these cases are challenging for staff and families, it can be rewarding to improve the quality of life and lessen distress for the person with dementia. There are also opportunities for informing family and friend carers, educating the wider multidisciplinary team, and promoting organisational change.<\/jats:p>","DOI":"10.3390\/geriatrics7050114","type":"journal-article","created":{"date-parts":[[2022,10,8]],"date-time":"2022-10-08T20:43:21Z","timestamp":1665261801000},"page":"114","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Is There a Role for Medication in Managing Delirium with Dementia?"],"prefix":"10.3390","volume":"7","author":[{"given":"Elizabeth L.","family":"Sampson","sequence":"first","affiliation":[{"name":"Department of Psychological Medicine, East London NHS Foundation Trust-Royal London Hospital, London E1 1BU, UK"},{"name":"Division of Psychiatry, University College London, London W1T 7NF, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frederick","family":"Graham","sequence":"additional","affiliation":[{"name":"Division of Medicine, Princess Alexandra Hospital, Woolloongabba, QLD 4102, Australia"},{"name":"School of Nursing, Queensland University of Technology, Brisbane City, QLD 4000, Australia"},{"name":"Centre for Health Services Research, Faculty of Medicine, The University of Queensland, Herston, QLD 4006, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Teodorczuk","sequence":"additional","affiliation":[{"name":"Metro North Mental Health Service, The Prince Charles Hospital, Brisbane, QLD 4032, Australia"},{"name":"School of Medicine and Dentistry, Griffith University, Southport, QLD 4222, Australia"},{"name":"Faculty of Medicine, The University of Queensland, Brisbane, QLD 4006, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,10,7]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1016\/j.jamda.2021.09.008","article-title":"Prevalence, Risk Factors, and Impact of Delirium on Hospitalized Older Adults With Dementia: A Systematic Review and Meta-Analysis","volume":"23","author":"Han","year":"2022","journal-title":"J. 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