Delirium in the Hospitalized Elderly: Clinical Indicators Found in Medical Records

2.50
Hdl Handle:
http://hdl.handle.net/10755/153737
Type:
Presentation
Title:
Delirium in the Hospitalized Elderly: Clinical Indicators Found in Medical Records
Abstract:
Delirium in the Hospitalized Elderly: Clinical Indicators Found in Medical Records
Conference Sponsor:Sigma Theta Tau International
Conference Year:2004
Conference Date:July 22-24, 2004
Author:Elmore, Diane, RN, APN, MSN, FNP-C
P.I. Institution Name:Great Basin College
Title:Faculty
Co-Authors:Margaret Louis, RN, PhD
Objective: The purpose of this descriptive retrospective study was to determine if hospital patient records contain sufficient diagnostic evidence to identify elderly patients at risk to develop delirium within 72 hours of hospital admission, and when the criteria for delirium are documented is a diagnosis made and treatment instituted? Design: Descriptive-retrospective study. Population: Patients 65 and older admitted to rural hospitals without prior diagnosis of mental illness or delirium. Sample: The charts of 100 randomly identified patients. Setting: Rural hospital in Southwest United States Year: July 2001 to June 2002. Variables Studied Together: Delirium, elders hospitalized for acute illness. Methods: Evidence-based criteria were used to assess the documentation of recorded signs and symptoms of delirium (acute confusion) in patient’s hospital records and its diagnosis and treatment. Findings: The review indicated that there was sufficient evidence, based solely on the descriptors and clinical information, in the medical record to make a diagnosis of delirium. Findings also revealed that 16 of the subjects met all the clinical criteria to receive a medical diagnosis of delirium, however, only one of these patients (6%) was diagnosed as having delirium. Additionally, delirium signs increased significantly over the 72 hour period. Conclusions: Patients’ hospital records well document, the signs of delirium and that these signs of delirium increases rapidly through at least 72 hours after admission. However, neither nurses nor physicians recognize and appropriately intervene for hospitalized older patients who have signs of delirium Implications: The importance of these findings is related to assuring nurses and physicians are current in their ability to not only record observations but also recognize and treat delirium (acute confusion) when it occurs in hospitalized patients. To fail to do this puts these patients at great risk for long-term negative outcomes and reduced independence and quality of life.
Repository Posting Date:
26-Oct-2011
Date of Publication:
22-Jul-2004
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleDelirium in the Hospitalized Elderly: Clinical Indicators Found in Medical Recordsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/153737-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Delirium in the Hospitalized Elderly: Clinical Indicators Found in Medical Records</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2004</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">July 22-24, 2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Elmore, Diane, RN, APN, MSN, FNP-C</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Great Basin College</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Faculty</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">mlouis@ccmail.nevada.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Margaret Louis, RN, PhD</td></tr><tr><td colspan="2" class="item-abstract">Objective: The purpose of this descriptive retrospective study was to determine if hospital patient records contain sufficient diagnostic evidence to identify elderly patients at risk to develop delirium within 72 hours of hospital admission, and when the criteria for delirium are documented is a diagnosis made and treatment instituted? Design: Descriptive-retrospective study. Population: Patients 65 and older admitted to rural hospitals without prior diagnosis of mental illness or delirium. Sample: The charts of 100 randomly identified patients. Setting: Rural hospital in Southwest United States Year: July 2001 to June 2002. Variables Studied Together: Delirium, elders hospitalized for acute illness. Methods: Evidence-based criteria were used to assess the documentation of recorded signs and symptoms of delirium (acute confusion) in patient&rsquo;s hospital records and its diagnosis and treatment. Findings: The review indicated that there was sufficient evidence, based solely on the descriptors and clinical information, in the medical record to make a diagnosis of delirium. Findings also revealed that 16 of the subjects met all the clinical criteria to receive a medical diagnosis of delirium, however, only one of these patients (6%) was diagnosed as having delirium. Additionally, delirium signs increased significantly over the 72 hour period. Conclusions: Patients&rsquo; hospital records well document, the signs of delirium and that these signs of delirium increases rapidly through at least 72 hours after admission. However, neither nurses nor physicians recognize and appropriately intervene for hospitalized older patients who have signs of delirium Implications: The importance of these findings is related to assuring nurses and physicians are current in their ability to not only record observations but also recognize and treat delirium (acute confusion) when it occurs in hospitalized patients. To fail to do this puts these patients at great risk for long-term negative outcomes and reduced independence and quality of life.</td></tr></table>en_GB
dc.date.available2011-10-26T12:28:48Z-
dc.date.issued2004-07-22en_GB
dc.date.accessioned2011-10-26T12:28:48Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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