Delirium Basics

Introduction to the syndrome of delirium in the elderly, including its epidemiology, presentation and differential diagnosis, manifestations, complications and Interprofessional approaches to prevention and management. Designed for pre-licensure Bachelor of Science in nursing students, it could potentially apply to any beginning student to introduce the concept of delirium in the elderly.

1. Describe the prevalence of delirium and its impact on the health of older patients

2. Discuss pathophysiology, risk factors and key presenting features

3. Distinguish presenting features of delirium, dementia and depression

4. Use nursing process to organize thinking about key nursing activities in preventing and managing delirium

5. Find opportunities to improve current practice Key features of resource include:

• Pre and post test using content from the Vancouver Health Authority Delirium 3-D Quiz compatible with an audience-response system format

• Slides with speaker notes that provide an overview of the prevalence and impact of delirium, Inouye’s model of predisposing and precipitating risk factors, and evidence-based guidelines for recognition and management discussed in the context of a case.

•Video-clips using a standardized patient are embedded in the slides to allow students to view common presenting features of delirium

•Explanation of standardized assessment instruments, including the Richmond Agitation and Sedation Scale (RASS) and the Confusion Assessment Method (CAM-ICU)

•Interprofessional perspectives: nursing and pharmacy.

 

Authors: Eleanor S. McConnell, PhD, RN, GCNS, BC, Jason Moss, PharmD, Jennie DeGagne, PhD, RN, CNE and Sujayalakshmi Devarayasamudram, RN, MSN and the Duke Geriatric Education Center faculty

Key Features:

· Slides with speaker notes that provide an overview of the prevalence and impact of delirium, Inouye’s model of predisposing and precipitating risk factors, and evidence-based guidelines for recognition and management discussed in the context of a case.

· Video-clips using a standardized patient are embedded in the slides to allow students to view common presenting features of delirium

· Pre and post test using content from the Vancouver Health Authority Delirium 3-D Quiz put in audience-response system format

 

References:

Inouye S, Delirium in Older Persons. NEJM, 2006; 354: 1157-1165.

 

Link to NCLOR learning object: http://www.nclor.org/nclorprod/items/f2575944-9140-0382-1674-e25433b32bf...

 

 

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