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David Anderson Speaks on Delirium: The New NICE Quality Standard

David AndersonDavid Anderson

Dave began the presentation by focusing on what is delirium? The acute confusional state:

- Sudden              
- Fluctuating             
- Consciousness        
- Cognition (attention)
- Consequence of acute physiological change
- Perception
- Mood
- Behaviour (motor)

The presentation went to look at quality indicators, these were discussed: quality payments; CQUIN; service specification; local audit; national benchmarking; drive excellence. 

Dave went on to look at guideline key recommendations

- Assess those at risk
- Identify prevalent delirium
- Specialist diagnosis
- PREVENTION
- Non pharmacological interventions
- Pharmacological interventions

The presentation stressed we have to be aware of Delirium and it’s consequences. 

What are the interventions? orientation; medication review; dehydration; pain; nutrition; bladder / bowel; sleep; environment; sensory impairment; mobilisation. 

Dave concluded the presentation by looking at the NHS and Adult frameworks and discussed the following points:

NHS Outcomes Framework:

- Preventing people from dying prematurely

- Helping people to recover from episodes of ill health or following injury

- Ensuring that people have a positive experience of care

Adult Social Care Outcomes Framework

- Enhancing quality of life for people with care & support needs

- Delaying & reducing the need for care & support

- Ensuring that people have a positive experience of care & support

 

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Download: David Anderson's Presentation

18 July 2014

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