Risk Reduction and Management of Delirium (SIGN)
Enhanced implementation of screening for delirium in at risk groups and also regular assessment for delirium using a recommended tool (eg the 4AT ). This may be increasingly constrained by staff and time limitations.
Screen and reduce risk
Reduce the risk of delirium by avoiding or reducing known precipitants. Actions include: regular orientation, avoiding constipation, treating pain, identification and treatment of superadded infections early, maintaining oxygenation, avoiding urinary retention and medication review. Refer to Risk reduction section.
Delirium may cause considerable distress amongst both staff and families in addition to the patient. Provision of information around delirium is important using locally available resources. Resources are available in More Information section.