What is the primary treatment goal for individuals experiencing a delirious episode?

The primary treatment goal for individuals experiencing a delirious episode is to prevent or resolve that episode. Delirium is often a temporary state, usually triggered by underlying factors such as infections, medications, metabolic imbalances, or other acute medical conditions. Therefore, addressing and managing the causes of delirium is crucial for a successful recovery.

Focusing on the prevention or resolution means identifying and treating the underlying condition that is contributing to the delirium. For example, if the delirium is caused by a urinary tract infection, appropriate antibiotic treatment can help clear the infection and resolve the symptoms of delirium. Additionally, ensuring the patient has a safe environment and is receiving proper hydration and nutrition can also play key roles in minimizing the duration of delirium.

Elimination of symptoms may not always be possible without addressing the root cause first. Immediate hospitalization might be necessary in some cases, but it is not a universal goal for every case of delirium, especially if the cause can be managed in an outpatient setting. Long-term palliative care is generally not suitable for acute delirium, as the focus at that moment is to restore cognitive function rather than to provide end-of-life care. Thus, the goal is more aligned with the prevention or resolution of the delirious episode