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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
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
View CSAH Courses for HCP: Caring for the Older Adult
This series of courses provides a foundation for understanding, recognizing, assessing and managing health care concerns in the older adult. Each Lesson includes short narrated modules that focus on these four themes.
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