Delirium with brief psychotic disorder.
Compare and contrast delirium with brief psychotic disorder. For this discussion, you will need to place particular emphasis on how comprehensive assessment could help the PMHNP to arrive at the correct diagnosis for the adult/geriatric patient. Use at least 1 reference within 5 years.
Sample Solution
Delirium and brief psychotic disorder are two distinct psychiatric disorders which can be difficult to differentiate between. Delirium is an acute, reversible mental state that usually occurs in response to a medical condition or substance use (Caston et al., 2019). It is characterized by clinically significant confusion and disorganized thinking, as well as changes in level of consciousness, attention, perception and cognition. In contrast, Brief Psychotic Disorder (BPD) refers to the development of delusions or hallucinations for at least one day but less than two months duration without any other significant psychiatric symptoms (Parekh & Strawn, 2016).
The PMHNP should utilize a comprehensive assessment when determining whether a patient is experiencing delirium or BPD. This includes obtaining information about past medical history related to drug/alcohol use or any chronic physical conditions; conducting physical exams; assessing cognitive functioning; evaluating mood and behavior. Additionally, laboratory tests may be necessary to rule out underlying medical causes for delirium such as infection or electrolyte imbalance (Caston et al., 2019). The clinician must also consider environmental stimuli that could contribute to either disorder such as stressful life events- family conflicts or job loss