Assessment and management of older patients with delirium in acute settings
Martha Dixon Clinical nurse specialist, Orthogeriatric care, Homerton University Hospital NHS Foundation Trust, London, England
This article aims to assist nurses and nursing students to consider the presentation of delirium in older patients and the resulting assessment and nursing interventions required. It considers the three types of delirium: hyperactive, hypoactive and mixed. It also discusses potential causes of delirium. Older patients are at increased risk of delirium due to factors such as cognitive impairment, co-morbidities and acute illness. Nurses should be confident in the use of the 4AT score to assess patients with delirium. Use of the mnemonic PINCH ME is suggested to guide management of delirious patients in acute settings. Families of patients with delirium have emotional and other care needs and there are several ways in which nurses can meet them.
Nursing Older People. doi: 10.7748/nop.2018.e969Citation
Dixon M (2018) Assessment and management of older patients with delirium in acute settings. Nursing Older People. doi: 10.7748/nop.2018.e969Peer review
This article has been subject to external double-blind review and has been checked for plagiarism using automated softwareCorrespondence
Published online: 02 May 2018