Skip to main content
×
Home
    • Aa
    • Aa
  • Get access
    Check if you have access via personal or institutional login
  • Cited by 14
  • Cited by
    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

    Hey, Jennifer Hosker, Christian Ward, Jason Kite, Suzanne and Speechley, Helen 2015. Delirium in palliative care: Detection, documentation and management in three settings. Palliative and Supportive Care, Vol. 13, Issue. 06, p. 1541.


    Leonard, Maeve Adamis, Dimitrios Saunders, Jean Trzepacz, Paula and Meagher, David 2015. A longitudinal study of delirium phenomenology indicates widespread neural dysfunction. Palliative and Supportive Care, Vol. 13, Issue. 02, p. 187.


    Saylor, Jennifer L. Schell, Kathleen A. Mendell, Mark F. and Graber, Jennifer S. 2015. Development of a Clinical Competency Checklist for Care of Patients Experiencing Substance Withdrawal Delirium or Delirium: Use of a Delphi Technique and Expert Panel. Journal of Psychosocial Nursing and Mental Health Services, Vol. 53, Issue. 6, p. 29.


    Bush, Shirley H. Leonard, Maeve M. Agar, Meera Spiller, Juliet A. Hosie, Annmarie Wright, David Kenneth Meagher, David J. Currow, David C. Bruera, Eduardo and Lawlor, Peter G. 2014. End-of-Life Delirium: Issues Regarding Recognition, Optimal Management, and the Role of Sedation in the Dying Phase. Journal of Pain and Symptom Management, Vol. 48, Issue. 2, p. 215.


    Hope, Carol Estrada, Nicollete Weir, Charlene Teng, Chia-Chen Damal, Kavitha and Sauer, Brian C 2014. Documentation of delirium in the VA electronic health record. BMC Research Notes, Vol. 7, Issue. 1, p. 208.


    Hosie, Annmarie Lobb, Elizabeth Agar, Meera Davidson, Patricia M. and Phillips, Jane 2014. Identifying the Barriers and Enablers to Palliative Care Nurses' Recognition and Assessment of Delirium Symptoms: A Qualitative Study. Journal of Pain and Symptom Management, Vol. 48, Issue. 5, p. 815.


    Lawlor, Peter G. and Bush, Shirley H. 2014. Delirium in patients with cancer: assessment, impact, mechanisms and management. Nature Reviews Clinical Oncology, Vol. 12, Issue. 2, p. 77.


    Leonard, Maeve M. Nekolaichuk, Cheryl Meagher, David J. Barnes, Christopher Gaudreau, Jean-David Watanabe, Sharon Agar, Meera Bush, Shirley H. and Lawlor, Peter G. 2014. Practical Assessment of Delirium in Palliative Care. Journal of Pain and Symptom Management, Vol. 48, Issue. 2, p. 176.


    Meagher, David and Cullen, Walter 2014. Early Intervention in Psychiatry.


    Noguera, Antonio Carvajal, Ana Alonso-Babarro, Alberto Chisholm, Gary Bruera, Eduardo and Centeno, Carlos 2014. First Spanish Version of the Memorial Delirium Assessment Scale: Psychometric Properties, Responsiveness, and Factor Loadings. Journal of Pain and Symptom Management, Vol. 47, Issue. 1, p. 189.


    Sánchez-Román, Sofía Beltrán Zavala, Cristina Lara Solares, Argelia and Chiquete, Erwin 2014. Delirium in adult patients receiving palliative care: A systematic review of the literature. Revista de Psiquiatría y Salud Mental (English Edition), Vol. 7, Issue. 1, p. 48.


    Sánchez-Román, Sofía Beltrán Zavala, Cristina Lara Solares, Argelia and Chiquete, Erwin 2014. Delírium en adultos que reciben cuidados paliativos: revisión de la literatura con un enfoque sistemático. Revista de Psiquiatría y Salud Mental, Vol. 7, Issue. 1, p. 48.


    Sweet, Lisa Adamis, Dimitrios Meagher, David J. Davis, Daniel Currow, David C. Bush, Shirley H. Barnes, Christopher Hartwick, Michael Agar, Meera Simon, Jessica Breitbart, William MacDonald, Neil and Lawlor, Peter G. 2014. Ethical Challenges and Solutions Regarding Delirium Studies in Palliative Care. Journal of Pain and Symptom Management, Vol. 48, Issue. 2, p. 259.


    Coggins, Candace C. and Curtiss, Carol P. 2013. Assessment and management of delirium: A focus on hepatic encephalopathy. Palliative and Supportive Care, Vol. 11, Issue. 04, p. 341.


    ×

The recognition and documentation of delirium in hospital palliative care inpatients

  • Julia Barnes (a1), Suzanne Kite (a2) and Manoj Kumar (a3)
  • DOI: http://dx.doi.org/10.1017/S1478951509990873
  • Published online: 01 March 2010
Abstract
AbstractObjective:

Delirium is a clinical syndrome that is known to be under recognized by palliative care teams. A wide variation in reported prevalence may reflect differences in definitions and assessment methods, patient characteristics, and study design. The aim of this study was to test an intervention to improve recognition of delirium in the inpatient palliative care setting.

Method:

We conducted a retrospective palliative care notes review of documented prevalence of delirium among 61 patients referred to the Specialist Palliative Care Advisory Team (SPCT). Subsequently, training in the use of the Confusion Assessment Method (CAM) was provided to the SPCT and a prospective survey of the prevalence of delirium measured by the CAM was undertaken with the next 59 patients referred.

Results:

In the retrospective chart review, the term “delirium” was not used, and synonyms were identified and used to establish a delirium prevalence of 11.5%. In the intervention utilizing the CAM in a prospective sample of 59 referred patients, a prevalence rate of 8.5–15.2% for delirium was found. Use of the CAM was received favorably by the SPCT.

Significance of Results:

The institution of the use of the CAM as a screening and assessment tool in the inpatient palliative care setting did not significantly increase the recognition of delirium. Reasons for the low prevalence of delirium are discussed.

Copyright
Corresponding author
Address correspondence and reprint requests to: J. Barnes, Palliative Care Team, Robert Ogden Centre, St. James' University Hospital, Leeds, England. E-mail: jebarnes@doctors.org.uk
Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

W. Breitbart , C. Gibson & A. Tremblay (2002). The delirium experience: Delirium recall and delirium-related distress in hospitalized patients with cancer, their spouses/caregivers and their nurses. Psychosomatics, 43, 183194.

A. Burns , A. Gallagley & J. Byrne (2004). Delirium. Journal of Neurology, Neurosurgery and Psychiatry, 75, 362367.

C.-K. Fang , H.-W. Chen , S.-I. Liu , (2008). Prevalence, detection and treatment of delirium in terminal cancer inpatients: A prospective survey. Japanese Journal of Clinical Oncology, 38, 5663.

M. Hjermstad , J. Loge & S. Kaasa (2004). Methods for assessment of cognitive failure and delirium in palliative care patients: Implications for practice and research. Palliative Medicine, 18, 494506.

S. Inouye , C. van Dyck , C. Alessi , (1990). Clarifying confusion: The Confusion Assessment Method. Annals of Internal Medicine, 113, 941948.

P. Lawlor , B. Gagnon , I. Mancini , (2000). Occurrence, causes and outcome of delirium in patients with advanced cancer. Archives of Internal Medicine, 160, 786794.

T. Morita , K. Hirai , Y. Sakaguchi , (2004). Family-perceived distress from delirium-related symptoms of terminally ill cancer patients. Psychosomatics, 45, 107113.

K. Ryan , M. Leonard , S. Guerin , (2009). Validation of the confusion assessment method in the palliative care setting. Palliative Medicine, 23, 4045.

J. Spiller & J. Keen (2006). Hypoactive delirium: Assessing the extent of the problem for inpatient specialist palliative care. Palliative Medicine, 20, 1723.

N. Tabet , S. Hudson , V. Sweeney , (2005). An educational intervention can prevent delirium on acute medical wards. Age and Ageing, 34, 152156.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Palliative & Supportive Care
  • ISSN: 1478-9515
  • EISSN: 1478-9523
  • URL: /core/journals/palliative-and-supportive-care
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords: