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Management of delirium in medicine
 — experience of a close observation unit
Author(s)Eamonn Eeles, Leah Thompson, Judy McCrow, Shaun Pandy
Journal titleAustralasian Journal on Ageing, vol 32, no 1, March 2013
PublisherWiley Blackwell, March 2013
Pagespp 60-63
Sourcehttp://www.wileyonlinelibrary.com/journals/ajag
KeywordsIn-patients ; Confusion ; At risk ; State enrolled nurses ; Observation ; Evaluation.
AnnotationIn this study a new model of care for the management of patients with delirium was developed and evaluated. A four-bedded Close Observation Unit (COU) was introduced. The model comprised education for assistants in nursing (AINs), environmental adaptations and AIN-to-patient ratio of 1:4. Outcomes in all patients with delirium before and after introduction of the new model of care were compared. 105 patients were admitted to COU, of whom 100 (95%) were diagnosed with delirium. In-hospital mortality improved after introduction of the unit without significant change in length of stay, discharge destination or falls frequency. Overall results showed that a dedicated unit for delirium management within medicine achieved a reduction in mortality. (JL).
Accession NumberCPA-130412227 A
ClassmarkLF7: EDC: CA3: QTF: 4AA: 4C

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