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Confusion and delirium

Understanding the delirium and confusion that can occur at end of life with Nigel Lester, MD.

May 14, 2024 3:00-4:30pm at Circle Home (100 Wurts St, Kingston)

Delirium is common towards the end of life and is a phenomenon that can have different causes. When someone suffers from a terminal illness, they can become irritable, sullen, frustrated, and angry.

These kinds of mood shifts can be intense, and, when nearing the end, profound mood changes can occur. This can be particularly difficult for caregivers and loved ones to deal with, causing fear and a feeling of helplessness.

Terminal restlessness has the potential to be confused with a state called nearing death awareness, which is described as a dying person’s instinctual knowledge that death is near.

It’s important for loved ones and healthcare professionals to understand the phenomenon of nearing death awareness so they can be equipped to support a dying person’s unique needs.

Join us for an interactive discussion about this topic, and get your questions answered by Nigel Lester, MD.

There is no fee to attend, but registration is required. If interested in attending, please send an email to register@circlehome.org.


Nigel Lester MD
Director of Mental Health and Psychiatrist
PALM Health St Louis MO

Through his kind hearted and extensive clinical experience, Nigel focuses on helping others to become and stay healthy, positive, inspired, productive, and resilient in the face of stress and life’s challenges. As an active member of the Anthropedia Foundation, he has contributed to the development of their world-renowned Well-Being Coaching model. He has helped create coaching programs to support mental health around the world, including with the homeless in St. Louis and refugees in Sweden. Nigel trained in psychiatry at University College London and St. Vincent’s Hospital in New York City, and was formerly on faculty in the Department of Psychiatry at Washington University School of Medicine. Nigel is part of the team that created Origin Wellness, a unique wellness facility in Kingston NY.