Clinical Practice Guideline for Screening of Delirium in Hospitalized Older Adults

Jinyoung Shin; Yeonsil Moon; Jongmin Lee; Kyeong Eun Uhm; Moonyoung Jeong; Jaekyung Choi; Yoon-Sook Kim; Kyoung Jin Kim; Seol-Heui Han

doi:10.21215/kjfp.2018.8.5.645

Korean J Fam Pract. 2018; 8(5): 645-653 https://doi.org/10.21215/kjfp.2018.8.5.645

Clinical Practice Guideline for Screening of Delirium in Hospitalized Older Adults

Jinyoung Shin¹, Yeonsil Moon², Jongmin Lee³, Kyeong Eun Uhm³, Moonyoung Jeong², Jaekyung Choi¹, Yoon-Sook Kim⁴, Kyoung Jin Kim¹, Seol-Heui Han^2,*

Departments of ¹Family Medicine, ²Neurology, ³Rehabilitation, and ⁴Quality Improvement, Konkuk University Medical Center, Seoul, Korea

Seol-Heui Han
Tel: +82-2-2030-7561, Fax: +82-2-2030-7029
E-mail: alzdoc@kuh.ac.kr
ORCID: http://orcid.org/0000-0003-3608-2514

Received: March 26, 2018; Revised: June 19, 2018; Accepted: July 12, 2018; Published online: October 20, 2018.

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract: Delirium is a complex neuropsychiatric syndrome commonly observed in the hospitalized older adults. The development of clinical practice guidelines for screening of delirium is important because delirium, which is a potentially preventable condition, often goes unrecognized among healthcare providers. We developed guidelines to assist physicians and nurses to optimize clinical outcomes and prevent delirium in the hospitalized older adults. We recommend the following: 1) Assess older adults for risk factors associated with delirium upon initial contact and if there is a change in an individual’s condition. 2) Assess older adults at risk for delirium daily (where appropriate) and whenever changes are observed or reported in an individual’s cognitive function, perception, physical function, or social behavior. 3) Use validated tools to assess older adults at risk for delirium. This guideline should be applied based on both, the needs of individual organizations or clinical practice settings and the needs and preferences of patients and their families accessing the healthcare system for care and services.; Keywords: Delirium; Screening; Hospitalization; Practice Guideline; Aged

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