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Delirium care: Real-world solutions to real-world problems
Eamonn Eeles1,2, Judy McCrow3, Andrew Teodorczuk4
1Prince Charles Hospital Northside Clinical Unit, University of Queensland, Brisbane, Queensland, Australia.
Objectives:
Implementation research into delirium care is lacking. Exploiting known practice barriers to understand what management strategies work best in delirium is a means of prioritising care interventions. A consensus approach to determining priority interventions in delirium was derived and related to reference standards in health-care practice.
Methods:
A workshop of 20 experts was held at the Australasian Delirium Association conference 2016. Structured small group work, iterative ranking and a 21-member check were undertaken to (i) explore research barriers in delirium care; (ii) explore how barriers related to individual items of multicomponent interventions; and (iii) rank multicomponent interventions in relation to each statement within the newly released Australian Commission on Safety and Quality in Health Care delirium standard.
Results:
Top-ranking interventions included the following: education and training, comprehensive geriatric assessment, family partnerships, individualised care and multidisciplinary engagement.
Conclusion:
Delirium experts identified a minimum standard of any care intervention for delirium.