UCL Discovery
UCL home » Library Services » Electronic resources » UCL Discovery

What you need to know about: delirium in older adults in hospital

Jones, Howell T; Davis, Daniel HJ; (2022) What you need to know about: delirium in older adults in hospital. British Journal of Hospital Medicine , 82 (12) pp. 1-10. 10.12968/hmed.2020.0603. Green open access

[thumbnail of Jones_Upload.pdf]
Preview
Text
Jones_Upload.pdf

Download (221kB) | Preview

Abstract

Delirium is a clinical syndrome characterised by a disturbance of perception, consciousness and/or cognitive function, with an acute onset, fluctuating course and a severe deterioration arising over hours or days. Delirium is usually triggered by a combination of influences including acute illness, surgery, drugs and environmental factors. It is commonly seen in older people presenting to hospital, but can also develop during hospitalisation. There are three types of delirium: hypoactive, hyperactive and mixed. All patients over 65 years old presenting to hospital should be screened for delirium using the ‘4AT’ tool. An alternate method for diagnosing hospital-acquired delirium is described. This article outlines a 10-stage method for diagnosing, managing and preventing delirium, with emphasis on which areas of the history and examination should be prioritised, what the salient investigations are and both non-pharmacological and pharmacological approaches to preventing and treating delirium. Finally, this article explores which patients require specialist referrals or investigations and how to best follow up patients with delirium.

Type: Article
Title: What you need to know about: delirium in older adults in hospital
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.12968/hmed.2020.0603
Publisher version: https://doi.org/10.12968/hmed.2020.0603
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Confusion, Delirium, Disorientation, Elderly, Geriatrics, Inattentiveness, Older adult, Older people
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Cardiovascular Science > Population Science and Experimental Medicine > MRC Unit for Lifelong Hlth and Ageing
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Cardiovascular Science > Population Science and Experimental Medicine
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Cardiovascular Science
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
URI: https://discovery.ucl.ac.uk/id/eprint/10145918
Downloads since deposit
7Downloads
Download activity - last month
Download activity - last 12 months
Downloads by country - last 12 months

Archive Staff Only

View Item View Item