Delirium is Under-Detected on Routine Screening with the CAM: a Sub-Study from World Delirium Awareness Day

• DOI: 10.56392/001c.92219
• Publication Date: 2024-02-05T07:18:26Z
• Authors: Tru Byrnes; Meridith Gombar; Sarah Price; Allyson Cochran; Karrie Love; Amanda Gregory; Veronica Rankin; Katrina Daye-Whit...
• Keywords: 03 medical and health sciences; 0302 clinical medicine

Background Delirium is an acute change in mental status that affects more than 2.6 million hospitalised adults annually. Patients who experience delirium suffer extended hospital stays and increased mortality morbidity. screening fundamental driving prevention early detection. This project aimed to examine assessment, recognition for patients over 18, barriers implementing treatment, report qualitative findings care. Method In mid-March 2023, 11 Clinical Nurse Leaders the Southeast Region of United States participated a study increase awareness called World Awareness Day. Data was collected using online survey assess unit census, number CAM assessments, positive at 8:00 A.M (+/- 4 hrs) PM hrs). were defined as having if their electronic healthcare record documentation reflected least one occurrence score. The comprised 39 “select all apply” questions three open-ended questions. Results show 418 (64%) assessments completed. Greater compliance found during morning assessment evening shift. Differences nursing practice opinions also identified between General High Acuity Units. Among receiving 2% (8:00 A.M.) 3% P.M.). There significant difference use multi-professional daily goals two types non-pharmacologic intervention (General: 0% vs. Acuity: 100%, p=.003). Barriers identified: shortage personnel, interprofessional communication gaps, difficult-to-assess patients. Recommendations care include staff education EHR tool remind nurses document delirium. Conclusion Findings from this reveal need education, support, enhancement resources promote prevention.