“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