“Mr Walters, yeah he’s a bit

confused”

WHY WORRY?

HOW DO I SCREEN – QUICKLY?

WHAT CAN I DO ABOUT IT – ALSO QUICKLY?

DELIRIUM IN OLDER PEOPLEAUS GOV INITIATIVE

HTTP://GOO.GL/D9LHHI

11%-42% of older adults develop delirium during hospitalisation

prolonged hospitalisation, functional decline,

& increased mortality

(Siddiqi, House, & Holmes, 2006; Tullmann, Fletcher, & Foreman, 2012)

CAMsensitivity 94-100%

specificity of 89-95%

high inter-rater reliability

(Wei, Fearing, Eliezer, Sternberg, & Inouye, 2008)

CAM

both

eithereither

HYPOACTIVE HYPERACTIVE MIXED

20% 25%50%

HYPOACTIVE HYPERACTIVE MIXED

20% 25%50%

CHANGE FROM BASELINE

ALTERED

A V P U

AFFECTENVIRONMENTIMPAIRMENTORGANICUNDERLYING ILLNESS

PEEPOOPUSPAINPOISONS

NICE GUIDELINES

DELIRIUMHTTP://PATHWAYS.NICE.ORG.UK/PATHWAYS/DELIRIUM