Table 3.
Key Steps of Delirium Management | DAP Group N=282 (%) |
Usual Care Group N=175 (%) |
---|---|---|
Step 1: Detection of Delirium | ||
• Delirium Documentation in Medical Record* | 41 | 12 |
• Notification of Physician/Nurse Practitioner of Delirium or Change in Mental Status | 13 | 21 |
Step 2: Treat Reversible Causes of Delirium | ||
• Medications | 32 | 42 |
• Infection | 10 | 23 |
• Fluid balance disorder—congestive heart failure or dehydration | 11 | 30 |
• Inadequate Pain Control | 16 | 37 |
• Urinary Retention | 25 | 16 |
• Fecal Impaction | 3 | 20 |
Step 3: Prevent or Manage Common Complications of Delirium | ||
• Urinary Incontinence | 31 | 28 |
• Pressure Ulcers | 99 | 94 |
• Falls/Injury | 90 | 82 |
• Sleep Problems | 4 | 6 |
• Malnutrition | 75 | 76 |
• Aspiration/Dysphagia | 47 | 57 |
Step 4: Restore Function | ||
• Provision of appropriate sensory aids | 8 | 9 |
• Cognitive Re-orientation Program | 2 | 1 |
• Continuity of Patient Care | 26 | 13 |
• Family education about delirium | 1 | 1 |
• Nursing-based rehabilitation/restoration plan | 9 | 12 |
• Delirium Discharge Education | 1 | 0 |
Abbreviation: DAP: Delirium Abatement Program
Based on a positive identification of delirium in the structured delirium assessment for the DAP facilities, and documentation of delirium in the medical record or admission Minimum Data Set evaluation in the usual care facilities
Similar to Table 1, the goal is to compare DAP and usual care sites for clinically meaningful differences in implementation rates. Therefore, P values comparing the rates are not provided. Also, since there are no missing data and to improve table readability, only percentages (no N’s) are reported.