eFit – HCP: Delirium

The diagnosis of delirium is made based on the presence of an acute change in mental status with inattention, and either disorganized thinking or altered level of consciousness. Delirium is usually multi-factorial and occurs after an inciting event or illness in a person who is vulnerable. (1)

4AT Delirium & Cognition Assessment Test:
Instructions    eForm     Print Form

Confusion Assessment Method (CAM):
Link

Delirium Index:
Link (Includes instructions)

Ultrabrief 2-item (UB-2) Screen for Delirium: 
Link (Includes instructions)

Best Practices Quick Reference Guide Care of Older Adults: Delirium (Island Health):
Guideline
Brief Confusion Assessment Method (bCAM) Flow Sheet (Vanderbilt University):
Flow Sheet
CCSMH 2014 Guidelines Update: The Assessment and Treatment of Delirium (Canadian Coalition for Seniors’ Mental Health):
Guideline
Delirium: Prevention, Diagnosis and Management (National Institute for Health and Care Excellence):
Guideline
Delirium Decision Tree (Island Health):
Flow Sheet
Mnemonic for Causes of Delirium (IWATCHDEATH) (eFit Resources CSAH):
eFit Resource
National Gudelines for Seniors’ Mental Health: The Assessment and Treatment of Delirium (Canadian Coalition for Seniors’ Mental Health):   
Guideline
Richmond Agitation Sedation Scale (RASS) (Acclaim Health):
Scale
RNAO: Delirium, Dementia, and Depression in Older Adults: Assessment and Care (Registered Nurses’ Association of Ontario):
Website
Searching for Solutions for Delirium (Island Health):
Handout
Senior Friendly 7: Delirium Toolkit (Regional Geriatrics Program of Toronto):
Toolkit
SIGN 157: Risk Reduction and Management of Delirium (Healthcare Improvement Scotland):
Guideline

Reading List: Delirium in Older Adults

A Holistic Approach to Delirium at the End of Life Journal (Journal of Palliative Care & Medicine):
Article
Delirium in the Older Person (Sagelink):
Brochure

View the CSAH Lesson on Delirium


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