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Non-pharmacological interventions in the prevention of delirium
Author(s)Naji Tabet, Robert Howard
Journal titleAge and Ageing, vol 38, no 4, July 2009
Pagespp 374-379
Sourcehttp://www.ageing.oxfordjournals.org
KeywordsConfusion ; Preventative medicine ; Psychiatric treatment ; Literature reviews.
AnnotationDelirium is a serious and common disorder especially among older people on inpatient units. Numerous modifiable or manageable delirium risk factors have been identified. As a result, there is now a widespread notion that many cases of delirium can be prevented. In this review, published data evaluating non-pharmacological interventions for delirium prevention were assessed in relation to their efficacy. Currently, most published studies are based on direct targeting of risk factors and/or introduction of educational programmes to increase staff knowledge and awareness. However, there continues to be a dearth of randomised controlled trials evaluating non-pharmacological interventions, partly because of the inherent difficulties associated with delirium research in general and with the evaluation of non-pharmacological interventions in particular. Instead, many of the available studies have been observational or non-randomised in nature. Nevertheless, the majority of these support a role for non-pharmacological interventions in delirium prevention. While more research is certainly needed, the majority of available data are based on best practice protocols, guidelines and interventions. Hence, a consistent and concerted effort is now justified to introduce non-pharmacological prevention strategies across units to help tackle the increasingly prevalent delirium among older people. (KJ/RH).
Accession NumberCPA-090728207 A
ClassmarkEDC: LK2: LP: 64A

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