Q- Quick and Accurate Assessment with a validated tool U- Understand Risk Factor I- Initiate Discussion of Home Medications, Adequate Pain Control and Minimizing Sedation E- Encourage Early Mobility, Nutrition, Hydration, and Restraint Release T- Timing of Care to Promote Sleep |
Hypoactive delirium is difficult to detect Understanding clinical features and risk factors is critical for detection Standardized assessment tools appropriate for the population should be used Frequent assessments are needed because delirium fluctuates Prevention and intervention strategies should be implemented early Regularly assess medication for delirium risk and response Strongly consider continuation of home medications, Promote adequate pain management and reduction of sedation to the minimum dose required Early mobility, limiting restraint, adequate hydration and nutrition are key to prevention and treatment Timing of care should promote periods of uninterrupted rest and sleep (i.e. giving up middle of the night bathing, timing of medication administration and routine lab/x-rays) Establishing day and night routines will reduce risk and help resolve delirium |
Delirium Subtype | Definition /Defining Characteristics |
---|---|
Delirium | An acute fluctuating disturbance in attention, cognition, and level of consciousness |
Hyperactive | Agitation |
Hypoactive | Motor retardation, |
Mixed | Combination of hyperactive and hypoactive delirium |