A before and after study of a nurse led comprehensive delirium management programme (DemDel) for older acute care inpatients with cognitive impairment

International Journal of Nursing Studies
W HasemannR W Kressig

Abstract

Studies estimate that approximately one-third of episodes of delirium are preventable and that delirium prevention and management are often suboptimal in practice. While there is no doubt that prevention is desirable, the evidence of the benefits of early intervention and treatment for older hospitalised patients with dementia is unclear. To determine the effects of DemDel, a comprehensive delirium management programme, in inpatient acute care elders with cognitive impairment. This paper reports the quantitative part of a mixed methods study, comparing an intervention with treatment as usual using validated outcome measures. After training, ward nurses and physicians administered the intervention based on the DemDel algorithm that focused on delirium prevention, including an intensive systematic screening schedule for cognitive impairment and delirium, as well as comprehensive delirium management. The delirium management regimen included timely administration of pro re nata medication. The study was conducted within four medical wards of an acute care university hospital in urban Switzerland. A total of 268 patients with cognitive impairment participated in the pre/post comparison study. The intervention and treatment as usual ...Continue Reading

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Citations

Sep 14, 2016·Maturitas·Andrew H Ford
Jun 21, 2017·Journal of Clinical Nursing·Elena Solà-MiraveteMar Lleixà-Fortuño
Nov 8, 2017·Zeitschrift für Gerontologie und Geriatrie·Ingrid HendlmeierMartina Schäufele
Oct 20, 2019·Zeitschrift für Gerontologie und Geriatrie·Claudia Eckstein, Heinrich Burkhardt
Aug 28, 2020·Journal of Gerontological Nursing·Linda SchnitkerElizabeth Beattie
Jul 15, 2018·BMC Health Services Research·Maria SchubertAlain Rudiger
Jan 5, 2021·Journal of Nursing Care Quality·Heejeong Kim, Sun-Mi Lee
Jul 29, 2017·Psychosomatics·Anita HargraveVanja Douglas
Nov 25, 2021·Zeitschrift für Gerontologie und Geriatrie·Christine ThomasGerhard W Eschweiler

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