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Delirium
Delirium, Acute Confusion/Delirium


 
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Delirium


The purpose of this evidence-based practice guideline is to provide direction for identifying risk factors, conducting appropriate assessments, and implementing effective strategies for the prevention and treatment of delirium. Delirium is a common cause of morbidity and mortality and may lead to permanent cognitive impairment and dementia. Originally believed to be a disorder of arousal, researchers now recognize delirium as a disorder of cognition with attention and global cognitive impairments as the key features. It is estimated that delirium affects approximately 14% to 56% of older (i.e., > 65 years of age) hospitalized patients with 20% of the 12.5 million patients experiencing a complication during hospitalization because of delirium.


This guideline is intended for use by nurses and other healthcare disciplines that provide care for elderly hospitalized patients on general medical/surgical units. Some of the recommended interventions require physician management and interdisciplinary collaboration, while other interventions are independent nursing actions. Written 1999; Revised 2009; 2015.


Toolkit Included in Guideline:

  • Risk Model for Delirium (RD)
  • Mini-Cog
  • Confusion Assessment Method (CAM)
  • Delirium Index (DI)
  • Confusion Assessment Method – Severity (CAM-S)
  • NEECHAM Confusion Scale
  • Form for Documenting Predisposing and Precipitating Factors for Delirium, Timeline, and Interventions
  • Process Evaluation Monitor
  • Delirium Outcomes Monitor
  • Nursing Outcomes Classification: Delirium - 0916
  • Delirium Algorithm

Permission to Copy & Copyright Notice:


To obtain permission to copy a guideline toolkit click HERE
and fill out the form presented to you. Once you've submitted this form, please allow up to 6 to 10 business for your request to be reviewed. At that time, we will contact you by email to inform you of our decision.

Before you proceed, please note we do not grant permission to use and/or copy any one individual tool not developed under the Barbara and Richard Csomay Center for Gerontological Excellence. For individual tool use, please contact the author/publisher of that tool.

By purchasing and downloading permissions for the Guideline and Toolkit you agree to the following terms:

  1. Guideline and Toolkit are for private, internal, non-commercial use only (unless special permissions are obtained).
  2. If the Guideline and Toolkit will be distributed online, it must be password protected and unavailable to the general public.
  3. Guideline and Toolkit cannot be modified without expressed consent from author(s) and/or publisher.
  4. You must give appropriate credit when using materials from the Guideline and Toolkit by using the citation on the Contact Information (or Contact Resource) page of the Guideline and place the following copyright notice at the bottom of the page, " ©2018 the University of Iowa, College of Nursing, Barbara and Richard Csomay Center for Gerontological Excellence. All rights reserved. Do not copy or reproduce without permission."
  5. You may not reprint and/or redistribute materials from the Guideline or Toolkit for any of your own publications. Please email Csomay-Center@uiowa.edu if you wish to obtain permission to use material from the Guideline or Toolkit in a publication.

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