Improving the diagnosis of delirium and dementia in elderly care patients in a district general hospital. Thomas Thorp, Donald McGowan - Lancaster Royal Infirmary, University Hospitals of Morecambe Bay - [email protected] Background. Methods & Standards.
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in elderly care patients in a district general hospital.
Thomas Thorp, Donald McGowan - Lancaster Royal Infirmary, University Hospitals of Morecambe Bay - [email protected]
Methods & Standards
The prevalence of delirium on a typical geriatric ward is 33%. The National Institute of Health and Clinical Excellence (NICE) recommends that all patients at risk of delirium should be screened for cognitive impairment on admission. Previous audit at Royal Lancaster Infirmary revealed only 30% elderly patients had cognitive assessment and only 15% received a diagnosis of dementia or delirium.
Our objective was to improve cognitive screening and the diagnosis of delirium and dementia on two elderly medicine wards in this hospital.
The number of confused patients given a diagnosis improved from 66% to 94% from the first to the second post-intervention audit.
Conclusions & Recommendations
NICE clinical guideline 103. Delirium: diagnosis, prevention and management. July 2010.