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Delirium care: Real‐world solutions to real‐world problems
Author(s) -
Eeles Eamonn,
McCrow Judy,
Teodorczuk Andrew,
Caplan Gideon A
Publication year - 2017
Publication title -
australasian journal on ageing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.63
H-Index - 34
eISSN - 1741-6612
pISSN - 1440-6381
DOI - 10.1111/ajag.12461
Subject(s) - delirium , psychological intervention , multidisciplinary approach , intervention (counseling) , medicine , nursing , ranking (information retrieval) , health care , psychology , psychiatry , political science , computer science , law , machine learning
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.