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Delirium Guideline at a Glance (Nursing Practice Guideline)

Delirium Guideline at a Glance (Nursing Practice Guideline) - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Clinical Practice Guidelines, Nursing Practice Guidelines

Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Last Revised: 11/2014EArsenaultknudsen@uwhealth.org
Guideline Title: Delirium
Effective Date: November, 2014
Approved By: Nursing Practice Guidelines Committee; Nursing Practice Council
I. Guideline Overview
This content is extracted from the adopted source document: Tullman, D.F., Fletcher, K., and
Foreman, M.D. (2012). Delirium. In A. O’Meara (Ed.), Evidence-based geriatric nursing protocols
for best practice (pp. 1-10). New York, NY: Springer Publishing Company, LLC. Please refer to the
source guideline for complete information.
II.Pertinent Resources
A. UWHC Policy
• Policy 3.5.2 Screening, Assessment and Reassessment of Patients
• Policy 2.4.2 Restraint and Seclusion
• Policy 13.23 Application of Physical Restraint
• Policy 14.40 Constant Observation
B. Clinical Tools
• Confusion Assessment Method
o Confusion Assessment Method Scale (CAM) (pdf)
o CAM User Guide
o CAM-ICU User Guide (pdf)
o Confusion Assessment Method-ICU Flowsheet (CAM-ICU Flowsheet) (pdf)
• ACE Delirium Fact Sheet for Nurses (doc)
• Algorithm for Nursing Management of Patients with Delirium (doc)
• Delirium Risk Factor Assessment Reference & Nursing Interventions (pdf)
• Recommendations for Frequency of Assessment for Delirium and Resource List (doc)
• Sedation Scale
• Consult GeriRN
An online resources containing information regarding assessing and caring for older
adults sponsored by the Hartford Institute for Geriatric Nursing at New York University
College of Nursing. https://consultgeri.org/resources
• ICU Delirium and Cognitive Impairment Study Group
• Hospital Elderlife Program
University of Wisconsin Hospitals and Clinics
Nursing Practice Guideline At-a-Glance