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AGBut there are options:
The American Geriatrics Society’s 2025 Beers Criteria reflect this evidence gap, stating that “no pharmacologic treatment is recommended as a routine response to delirium in all populations” and explicitly recommending multicomponent nonpharmacologic interventions as first-line management. This includes early mobility, sleep promotion, sensory optimization, hydration, pain control without deliriogenic drugs, and family engagement strategies that reduce delirium incidence, duration, and downstream harms without exposing patients to unnecessary medication risk (American Geriatrics Society Beers Criteria, Journal of the American Geriatrics Society, 2025).
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