Delirium-A Framework to Improve Acute Care for Older Persons

Area of Science:

• Geriatric Medicine
• Gerontology
• Public Health

Background:

• Geriatric medicine faces challenges including stigma and funding shortfalls.
• An aging population presents both opportunities and challenges for society.
• Delirium remains a significant issue in older adults.

Purpose of the Study:

• To provide an overview of a career in geriatric medicine and delirium research.
• To highlight the development of key tools and interventions for delirium.
• To advocate for policy changes and increased support for aging research and care.

Main Methods:

• Development of the Confusion Assessment Method for delirium identification.
• Conceptualization of a multifactorial risk model for delirium.
• Design and testing of intervention strategies for delirium prevention, leading to the Hospital Elder Life Program.

Main Results:

• The Confusion Assessment Method is a widely used tool for delirium detection.
• The Hospital Elder Life Program has demonstrated effectiveness in delirium prevention.
• Research has informed policy discussions regarding the care of older adults.

Conclusions:

• Geriatric medicine and delirium research have made significant progress.
• Addressing stigma and funding are crucial for the future of aging research and care.
• A call to action is issued for stakeholders to transform the experience of aging.