Screening for delirium
- Use the Four As test (4-AT)
- Four questions covering Alertness, 4-AMT, Attention and Acute change or fluctuating course
Assessing and treating delerium: often multiple factors, not always infection:
- 14. CGA in Primary Care Settings: Patients presenting with confusion and delirium | British Geriatrics Society
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Community Delirium chart for practical use of PINCHME tool GM-community-delirium-TIME-Bundle-Key-Document-3.docx
- Delirium content in the Geriatric syndromes section of the BGS Silver Book II
- SIGN Guideline: Risk reduction and management of delirium
- NICE Guidance: Delirium: prevention, diagnosis and management
- Delirium information for patients and families: Royal College of Psychiatrists
- Greater-Manchester-community-delirium-toolkit-Updated-January-2024.docx
PINCHME mnemonic to identify potential causes of delirium
- Pain, Infection (chest, UTI, cellulitis, etc), Nutrition, Constipation, Hydration, Medication (changes, ACB) Environment (changes)