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Implications for practice and research
Delirium prevention and management require nurse-led identification of those at risk, cognitive screening and management of triggers and risk factors.
Educational approaches can improve delirium practice, but more studies are needed to explore the impact of nursing education on patient outcomes.
Older people with cognitive impairment are at particular risk of developing delirium when unwell; but screening is not routine and delirium is under recognised, resulting in adverse outcomes. Delirium is preventable in a third of cases; therefore, spotting, treating and stopping delirium are priorities. Nurses are well placed to identify risk factors and signs of delirium and communicate them to the clinical team. …
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