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Delirium: challenges for clinical governance
1Centre for Gerontological Practice, Glasgow Caledonian University, Glasgow, UK. i.schofield@gcal.ac.uk
Journal of Nursing Management
|February 14, 2008
Summary
Delirium, a cognitive disorder, often indicates poor hospital care quality for older adults. Early diagnosis and management are crucial for better patient outcomes and recovery.
Area of Science:
- Geriatric Medicine
- Neuroscience
- Hospital Quality Improvement
Background:
- Delirium is a transient cognitive disorder stemming from underlying pathophysiology.
- Full recovery from delirium is achievable once the root cause is identified and treated.
Purpose of the Study:
- To review key studies on delirium prevalence, prevention, and management.
- To present emerging findings from doctoral research on delirium.
Main Methods:
- Literature review of prevalence, prevention, and management studies.
- Inclusion of recent doctoral research findings.
Main Results:
- Delirium is an independent predictor of adverse clinical outcomes.
- Outcomes include slower recovery, poor functional status, prolonged hospitalization, and increased mortality.
- Delirium highlights clinical governance issues in daily care practices.
Conclusions:
- Delirium serves as an indicator of hospital care quality for the elderly.
- It significantly impacts clinical outcomes and care processes like person-centered care, dignity, and safety.
- Nurse managers are vital for implementing facility-wide delirium prevention strategies.
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