Non-pharmacological interventions for managing delirium in hospitalised patients

Abstract

Non-pharmacological interventions for managing delirium in hospitalised patients.

Albumin/Fibrinogen Ratio (AFR): A Significant Predictor of Postoperative Delirium in Older Patients Undergoing Non-Neurosurgical and Non-Cardiac Surgery

“…This may be due to low activity-delirium being di cult to diagnose. 41 Secondly, our study only focused on preoperative experiments and examined the predictive value of preoperative AFR for POD. The changes in AFR before and after surgery may have a better predictive value for POD.…”

Albumin/Fibrinogen Ratio (AFR): A Significant Predictor of Postoperative Delirium in Older Patients Undergoing Non-Neurosurgical and Non-Cardiac Surgery

“…This may be due to low activity-delirium being di cult to diagnose. 41 Secondly, our study only focused on preoperative experiments and examined the predictive value of preoperative AFR for POD. The changes in AFR before and after surgery may have a better predictive value for POD.…”

Effectiveness of Interprofessional Consultation-Based Interventions for Delirium: A Scoping Review

“…Despite the sparsity and heterogeneity of the literature included in this review, there was notable consistency in interprofessional team structures and core intervention components across the studies. All had various health care disciplines working synergistically, with a physician and nurse role consistently included, to deliver multicomponent interventions the most effective approach to preventing and managing delirium (Teale et al, 2017; Trogrlić et al, 2015).…”

Delirium in the acute hospital setting: the role of psychiatry

“…The current evidence recommends that multicomponent interventions are the first-line management and prevention strategy for delirium in the acute hospital setting. These interventions consist of nurse-led enhanced care plans that minimise and contain modifiable risk factors for delirium, such as dehydration, immobility, pain and malnutrition (Teale 2017; Oberai 2018). In addition to the liaison psychiatry service, the delivery of multicomponent interventions would be supported by other members of the multidisciplinary team such as physiotherapists (mobility recovery), dieticians (patient nutrition) and elder care physicians (comprehensive geriatric assessment).…”

“…Qualitative research has reported on the experiential distress and resulting features of anxiety and depression that patients have after an in-patient episode of delirium (Whitehorne 2015). In particular, post-traumatic stress disorder (PTSD) is emerging as a recognised consequence of delirium and it has been suggested that it should be more routinely followed up, given its potential impact on patient recovery and quality of life (Teale 2013; Bolton 2019). However, many patients do not report their symptoms as they feel that the delirium experience is evidence of a severe mental illness associated with stigma (Kim 2017).…”

Albumin/Fibrinogen Ratio (AFR): A Significant Predictor of Postoperative Delirium in Older Patients Undergoing Non-Neurosurgical and Non-Cardiac Surgery

“…This may be due to low activity-delirium being di cult to diagnose. 41 Secondly, our study only focused on preoperative experiments and examined the predictive value of preoperative AFR for POD. The changes in AFR before and after surgery may have a better predictive value for POD.…”

Effectiveness of Interprofessional Consultation-Based Interventions for Delirium: A Scoping Review

“…Despite the sparsity and heterogeneity of the literature included in this review, there was notable consistency in interprofessional team structures and core intervention components across the studies. All had various health care disciplines working synergistically, with a physician and nurse role consistently included, to deliver multicomponent interventions the most effective approach to preventing and managing delirium (Teale et al, 2017; Trogrlić et al, 2015).…”

Delirium in the acute hospital setting: the role of psychiatry

“…The current evidence recommends that multicomponent interventions are the first-line management and prevention strategy for delirium in the acute hospital setting. These interventions consist of nurse-led enhanced care plans that minimise and contain modifiable risk factors for delirium, such as dehydration, immobility, pain and malnutrition (Teale 2017; Oberai 2018). In addition to the liaison psychiatry service, the delivery of multicomponent interventions would be supported by other members of the multidisciplinary team such as physiotherapists (mobility recovery), dieticians (patient nutrition) and elder care physicians (comprehensive geriatric assessment).…”

“…Qualitative research has reported on the experiential distress and resulting features of anxiety and depression that patients have after an in-patient episode of delirium (Whitehorne 2015). In particular, post-traumatic stress disorder (PTSD) is emerging as a recognised consequence of delirium and it has been suggested that it should be more routinely followed up, given its potential impact on patient recovery and quality of life (Teale 2013; Bolton 2019). However, many patients do not report their symptoms as they feel that the delirium experience is evidence of a severe mental illness associated with stigma (Kim 2017).…”

Albumin/Fibrinogen Ratio (AFR): A Significant Predictor of Postoperative Delirium in Older Patients Undergoing Non-Neurosurgical and Non-Cardiac Surgery

“…This may be due to low activity-delirium being di cult to diagnose. 41 Secondly, our study only focused on preoperative experiments and examined the predictive value of preoperative AFR for POD. The changes in AFR before and after surgery may have a better predictive value for POD.…”

Effectiveness of Interprofessional Consultation-Based Interventions for Delirium: A Scoping Review

“…Despite the sparsity and heterogeneity of the literature included in this review, there was notable consistency in interprofessional team structures and core intervention components across the studies. All had various health care disciplines working synergistically, with a physician and nurse role consistently included, to deliver multicomponent interventions the most effective approach to preventing and managing delirium (Teale et al, 2017; Trogrlić et al, 2015).…”

Delirium in the acute hospital setting: the role of psychiatry

“…The current evidence recommends that multicomponent interventions are the first-line management and prevention strategy for delirium in the acute hospital setting. These interventions consist of nurse-led enhanced care plans that minimise and contain modifiable risk factors for delirium, such as dehydration, immobility, pain and malnutrition (Teale 2017; Oberai 2018). In addition to the liaison psychiatry service, the delivery of multicomponent interventions would be supported by other members of the multidisciplinary team such as physiotherapists (mobility recovery), dieticians (patient nutrition) and elder care physicians (comprehensive geriatric assessment).…”

“…Qualitative research has reported on the experiential distress and resulting features of anxiety and depression that patients have after an in-patient episode of delirium (Whitehorne 2015). In particular, post-traumatic stress disorder (PTSD) is emerging as a recognised consequence of delirium and it has been suggested that it should be more routinely followed up, given its potential impact on patient recovery and quality of life (Teale 2013; Bolton 2019). However, many patients do not report their symptoms as they feel that the delirium experience is evidence of a severe mental illness associated with stigma (Kim 2017).…”