rss
Evid Based Nurs doi:10.1136/ebnurs-2011-100292
  • Care of the older person
  • Cross-sectional study

Delirium superimposed on dementia is pervasive and associated with restraint use among older adults residing in long-term care

  1. Donna Marie Fick
  1. School of Nursing, The Pennsylvania State University, University Park, Pennsylvania, USA
  1. Correspondence to Donna Marie Fick
    School of Nursing, The Pennsylvania State University, 201 HHDE, University Park, PA 16802, USA; dmf21{at}psu.edu

Commentary on:

Implications for practice and research

  • Delirium is common in long-term care and was associated with physical restraint use in this study, which may worsen mental status and increase falls.

  • Nurses should carefully consider the trigger for behaviours that lead to the use of restraints (untreated delirium, pain or misinterpretation of stimuli) and attempt to manage these behaviours without chemical or physical restraints.

  • More research is needed to better measure environmental factors associated with delirium superimposed on dementia (DSD).

Context

Delirium occurs frequently in older adults and leads to poor outcomes including increased death, higher costs and increased nursing care.1 2 Delirium is reversible, preventable and treatable when recognised early. Risk factors identified previously for delirium in acute …

This article has not yet been cited by other articles.

No Related Web Pages

Free Sample

This recent issue is free to all users to allow everyone the opportunity to see the full scope and typical content of EBN.
View free sample issue >>

EBN Journal Chat

The EBN Journal Chat offers readers the opportunity to participate in discussion about research articles and commentaries from Evidence Based Nursing (EBN).

How to participate >>

Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.

Navigate This Article