Table 1.
Screening tool | Interventions | |
---|---|---|
Delirium | Three questions: 1. Do you experience memory problems? 2. Have you needed help with self-care in the last 24 h? 3. Have you experienced periods of confusion during earlier hospital stay or illness? |
Observation with the DOSS [20] Review medicationPrevent dehydration, infections, electrolyte disturbances, etc. Adequate treatment of pain Preserve nutritional level Inform patients and their family Consider to stop using invasive interventions Interventions aimed at improving sensory perception Restrict restraining patients mechanically Provide a circadian rhythm Consult geriatrics |
Malnutrition | SNAQ [21] or MUST [22] | Provide snacks Consult a dietician |
Falls | One question: 1. Have you fallen in the past 6 months? |
Review medication Optimize vision and hearing Improve mobility Take care of ADL (activities of daily living) and footwear Inform patients and their family |
Physical impairment | KATZ-ADL [23] | Avoid unnecessary rest in bed Review medication Mobilize Use mobility resources Consult physiotherapist or occupational therapist |