TABLE 1. RN RESPONSES TO DELIRIUM AND DEMENTIA CASE VIGNETTES (N = 29 NURSES).
| Vignette Type | Identification of Case
N (%) |
What do you think is happening here? (Diagnosis)
N (%) |
Type of Change Seen
N (%) † |
Have you cared for similar patients? | Would you call MD?
N (%) |
Would you medicate?
N (%) |
|---|---|---|---|---|---|---|
| Dementia | Correct: 24 (83)
Incorrect: 5 (17) |
Dementia: 24 (83)
DSD: 2 (7) Normal Aging: 3 (1) |
Somewhat confused: 27 (93)
Very confused: 2 (7) |
Yes – 28 (97)
No – 1 (3) |
Yes – 12 (41)
No – 17 (59) |
Yes – 9 (33)
No – 18 (67) |
| Hypoactive Delirium Only | Correct: 12 (41)
Incorrect: 17 (59) |
Dementia: 2 (8)
Delirium: 12 (46) DSD: 5 (19) Normal Aging: 1 (4) None of Above: 6 (23) |
Somewhat confused: 3 (1)
Very confused: 2 (7) Acute change: 24 (83) |
Yes – 23 (79)
No – 6 (21) |
Yes – 25 (86)
No – 4 (14) |
Yes – 8 (32)
No – 17 (68) |
| Hyperactive Delirium Only | Correct: 15 (52)
Incorrect: 14 (48) |
Dementia: 2 (7)
Delirium: 15 (54) DSD: 11 (39) |
Somewhat confused: 1 (4)
Very confused? 0 (0) Acute change 27 (96) |
Yes – 25 (86)
No – 4 (14) |
Yes – 29 (100)
No – 0 |
Yes – 28 (97)
No – 0 |
| Hyperactive DSD | Correct: 17 (59)
Incorrect: 12 (41) |
Dementia: 7 (25)
Delirium: 4 (14) DSD: 17 (61) |
Somewhat confused: 12 (43)
Very confused: 5 (18) Acute change: 11 (39) |
Yes – 26 (93)
No – 2 (7) |
Yes – 27 (96)
No – 1 (4) |
Yes – 17 (63)
No – 10 (37) |
| Hypoactive DSD | Correct: 6 (21)
Incorrect: 23 (79) |
Dementia: 11 (39)
Delirium: 3 (11) DSD: 6 (21) Normal aging: 2 (7) None of the above: 6 (21) |
Somewhat confused: 14 (48)
Very confused: 4 (14) Acute change: 11 (38) |
Yes – 19 (66)
No – 10 (34) |
Yes – 17 (65)
No – 9 (35) |
Yes – 7 (26)
No – 20 (74) |
*
Correct diagnosis for vignette is in bold font.
†
Some data missing due to non-response to question.
DSD = delirium superimposed on dementia; MD = physician