Delirium superimposed on dementiap: Accuracy of nurse documentation

Melinda R. Steis, Donna M. Fick

Research output: Contribution to journalArticle

31 Citations (Scopus)

Abstract

Delirium is an acute, fluctuating confusional state that results in poor outcomes for older adults. Dementia causes a more convoluted course when coexisting with delirium. This study examined 128 days of documentation to describe what nurses document when caring for patients with dementia who experience delirium. Nurses did not document that they recognized delirium. Common descriptive terms included words and phrases indicating fluctuating mental status, lethargy, confusion, negative behavior, delusions, and restlessness. Delirium is a medical emergency. Nurses are in need of education coupled with clinical and decisional support to facilitate recognition and treatment of underlying causes of delirium in individuals with dementia.

Original languageEnglish (US)
Pages (from-to)32-42
Number of pages11
JournalJournal of Gerontological Nursing
Volume38
Issue number1
DOIs
StatePublished - Jan 1 2012

Fingerprint

Delirium
Documentation
Nurses
Dementia
Confusion
Psychomotor Agitation
Lethargy
Delusions
Emergencies
Education

All Science Journal Classification (ASJC) codes

  • Gerontology

Cite this

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Delirium superimposed on dementiap : Accuracy of nurse documentation. / Steis, Melinda R.; Fick, Donna M.

In: Journal of Gerontological Nursing, Vol. 38, No. 1, 01.01.2012, p. 32-42.

Research output: Contribution to journalArticle

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