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Perioperative Delirium Protocol for the Older Patient.

Thomas J Pallaria, Casey Panebianco, Mary C Kamienski

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    PubMed
    Summary

    Implementing a delirium assessment protocol using the Confusion Assessment Method (CAM) can prevent postoperative delirium in elderly patients. Early recognition and interventions are key to successful patient outcomes.

    Keywords:
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    Area of Science:

    • Geriatric Medicine
    • Neuroscience
    • Anesthesiology

    Background:

    • Delirium, an acute change in cognition, significantly increases mortality in older patients.
    • Postoperative delirium poses a substantial risk, particularly in the elderly population.

    Observation:

    • A case study approach was employed to evaluate a new delirium assessment protocol.
    • Healthcare professionals, including surgeons, anesthesia providers, and nurses, received training on the Confusion Assessment Method (CAM).

    Findings:

    • A standardized delirium assessment and management protocol, incorporating the CAM and geriatric preoperative assessment, was implemented.
    • The case study patient, utilizing the protocol, did not develop postoperative delirium and was discharged same-day.

    Implications:

    • Early recognition and multifaceted interventions are crucial for preventing postoperative delirium in elderly individuals.
    • Standardized assessment tools like the CAM can improve patient safety and reduce healthcare costs associated with delirium.