Dementia affects a person’s ability and desire to eat and drink to meet their nutritional requirements. This article identifies problems associated with nutritional status in people living with dementia and outlines the effectiveness of interventions to counteract the negative effects on nutritional status. To read the full article, log in using your MPFT NHS OpenAthens details.
Open access. To develop a scoring system model that predicts mortality within 30 days of admission of patients older than 80 years admitted to intensive care units (ICUs).
Delirium is an important postoperative complication, yet predictive risk factors for postoperative delirium severity remain elusive. We hypothesized that the NSQIP risk calculation for serious complications (NSQIP‐SC) or risk of death (NSQIP‐D), and cognitive tests of executive function (Trail Making Test A and B [TMTA, TMTB]), would be predictive of postoperative delirium severity. Further, we demonstrate how advanced statistical techniques can be used to identify candidate predictors.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
Delirium is a common postoperative complication with implications on morbidity and mortality. Less is known about the psychological impact of delirium in patients and relatives. This study aimed to;
1. Quantitatively describe distress related to postoperative delirium in older surgical patients and their relatives using the distress thermometer.
2. Examine the association between degree of distress and features of delirium on the Delirium Rating Scale (DRS).
3. Examine the association between recall of delirium and features of delirium on the Delirium Rating Scale (DRS). . To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
In response to increasing numbers of older people in general hospitals who have cognitive impairment such as dementia and delirium, many hospitals have developed education and training programmes to prepare staff for this area of clinical practice.. To read the full article, log in using your MPFT NHS OpenAthens details.
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Delirium is a common neuropsychiatric disorder that all those working with older people will have encountered at some stage. Delirium is often poorly identified in hospital settings and therefore not optimally managed. After data collection on the acute medical unit in an acute hospital trust in the UK it was evident that patients with signs of delirium were not being formally assessed and therefore not appropriately managed in many cases. A quality improvement project introduced the 4AT delirium assessment tool to try to ensure that patients with delirium were being identified. To read the full article, log in using your MPFT NHS OpenAthens details.
Open access. Pain and delirium are common in people with dementia admitted to hospitals. These are often under-diagnosed and under-treated. Pain is implicated as a cause of delirium but this association has not been investigated in this setting.
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Over half of older hospital inpatients have co-existing cognitive impairment but the majority do not have a preadmission diagnosis of dementia [1]. Delirium (acute confusional state) is highly prevalent, affecting around one-fifth of acute medical admissions and reaching rates of over 40% in the oldest old [2, 3]. Delirium, perhaps even more than dementia, is associated with high care needs and poor outcomes [4, 5], but is often poorly recognised by staff who are more focussed on physical aspects of illness, or may not be trained in the care of complex older patients [6, 7].. To read the full article, log in using your MPFT NHS OpenAthens details.
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Delirium is an acute clinical emergency that requires prompt clinical intervention. A predisposing factor for delirium is dementia, and delirium may highlight the vulnerability of a patient to developing dementia. However, delirium also occurs during an acute illness in patients diagnosed with dementia; this is classified as delirium superimposed on dementia. This complex interplay of both dementia syndromes and the condition of delirium has been extensively studied. However, delirium continues to be under-recognised in the acute setting, which impacts negatively on patient outcomes.
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Delirium is a common and serious complication of hospitalisation in older adults. It can lead to prolonged hospital stay, institutionalisation, and even death. However, it often remains unrecognised or is not managed adequately. The aim of this study was to evaluate the effects of an educational intervention for nursing staff on three aspects of clinical practice concerning delirium in older hospitalised patients: the frequency and correctness of screening for delirium using the 13-item Delirium Observation Screening score (DOS), and the frequency of geriatric consultations requested for older patients. The a priori expectations were that there would be an increase in all three of these outcomes.
screening for cognitive impairment in Emergency Department (ED) requires short, reliable tools.. To read the full article, log in using your SSSFT NHS OpenAthens details. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
We’ve just heard that SSOTP will not be renewing their agreement with SSSFT LKS for library services for this financial year. Because of this we will be reviewing our Be Aware bulletins. Sadly we won’t be accepting any new sign-ups from SSOTP staff and will be withdrawing some of the physical healthcare bulletins that we…
Whilst making every effort to address physical health issues, the social isolation that [elderly] patients were experiencing was potentially causing or exacerbating mental health issues.
The idea of ‘Adopt a Grandparent’ was to identify a workforce of volunteers who could spend a short time each week simply talking to some of the more socially isolated patients.
The additional benefit of this scheme is that it also serves to break down barriers between the clinical and non-clinical sides of a large NHS organisation and enables the more office-based staff to become engaged in the core business of the hospital, patient care.