2. Overview
What is delirium?
Delirium as a medical emergency
Assessment tools
Non-pharmacological management (including investigation of the underlying cause)
Pharmacological management (including appropriate use of antipsychotics)
Medication review
Assessment of capacity and legal framework for practice
Relationship of delirium with dementia syndromes
Risk factors, causes and outcomes
Complications of delirium
3. What is a person?
Why a “person”?
Examples:
Sleep
Temporal lobe epilepsy
Hypoglycaemic coma
Delirium
Dementia
7. Care
Busy wards (lots of noise, rapid turnover of staff)
Nobody introducing themselves by name
Taken off to investigations and procedures at random times
Ward rounds with carers absent
Dehumanising behaviours (e.g. kept in bed in pyjamas; no mobile phones)
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21. Delirium as a frailty syndrome (graph by
DrThomas Jackson)
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
35. Mental capacity act
The MCA is based on five key principles:
Principle 1: A presumption of capacity
Principle 2: Individuals being supported to make their own decisions
Principle 3: Unwise decisions
Principle 4: Best interests
Principle 5: Less restrictive option.
Under the MCA, a person must be assumed to have capacity unless it is established
that they lack capacity.
Capacity is decision- and time-specific, and may fluctuate throughout the course of
an admission.
36.
37.
38.
39. Overview
What is delirium?
Delirium as a medical emergency
Assessment tools
Non-pharmacological management (including investigation of the underlying cause)
Pharmacological management (including appropriate use of antipsychotics)
Medication review
Assessment of capacity and legal framework for practice
Relationship of delirium with dementia syndromes
Risk factors, causes and outcomes
Complications of delirium
