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Delirium in older h...
Delirium in older hospitalized patients—signs and actions : a retrospective patient record review
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- Johansson, Yvonne A, 1956- (författare)
- Jönköping University,HHJ. ARN-J (Aging Research Network - Jönköping),Skaraborgs Sjukhus,Skaraborg Hospital, Skövde, Sweden / Jönköping University, Jönköping, Sweden
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- Bergh, Ingrid (författare)
- Högskolan i Skövde,Institutionen för hälsa och lärande,Forskningsspecialiseringen Hälsa och Lärande,Välbefinnande vid långvariga hälsoproblem (VLH), Wellbeing in long-term health problems (WeLHP),University of Skövde. Institutionen för hälsa och lärande
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- Ericsson, Iréne, 1956- (författare)
- Jönköping University,HHJ. ARN-J (Aging Research Network - Jönköping),Jönköping University, Jönköping, Sweden
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- Kenne Sarenmalm, Elisabeth (författare)
- Skaraborg Hospital, Skövde, Sweden,Skaraborgs Sjukhus. Centrum för Forskning och Utveckling
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Jönköping University HHJ ARN-J (Aging Research Network - Jönköping) (creator_code:org_t)
- 2018-02-06
- 2018
- Engelska.
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Ingår i: BMC Geriatrics. - : BioMed Central. - 1471-2318. ; 18:1, s. 1-11
- Relaterad länk:
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https://doi.org/10.1...
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https://his.diva-por... (primary) (Raw object)
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https://bmcgeriatr.b...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- BackgroundDelirium is common in older hospitalized patients, and is associated with negative consequences for the patients, next of kin, healthcare professionals and healthcare costs. It is important to understand its clinical features, as almost 40% of all cases in hospitals may be preventable. Yet, delirium in hospitalized patients is often unrecognized and untreated. Few studies describe thoroughly how delirium manifests itself in older hospitalized patients and what actions healthcare professionals take in relation to these signs. Therefore, the aim of this study was to describe signs of delirium in older hospitalized patients and action taken by healthcare professionals, as reported in patient records.MethodsPatient records from patients aged ≥65 (n = 286) were retrospectively reviewed for signs of delirium, which was found in 78 patient records (27%). Additionally, these records were reviewed for action taken by healthcare professionals in relation to the patients’ signs of delirium. The identified text was analyzed with qualitative content analysis in two steps.ResultsHealthcare professionals responded only in part to older hospitalized patients’ needs of care in relation to their signs of delirium. The patients displayed various signs of delirium that led to a reduced ability to participate in their own care and to keep themselves free from harm. Healthcare professionals met these signs with a variation of actions and the care was adapted, deficient and beyond the usual care. A systematic and holistic perspective in the care of older hospitalized patients with signs of delirium was missing.ConclusionImproved knowledge about delirium in hospitals is needed in order to reduce human suffering, healthcare utilization and costs. It is important to enable older hospitalized patients with signs of delirium to participate in their own care and to protect them from harm. Delirium has to be seen as a preventable adverse event in all hospitals units. To improve the prevention and management of older hospitalized patients with signs of delirium, person-centered care and patient safety may be important issues.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Geriatrik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Geriatrics (hsv//eng)
Nyckelord
- Signs of delirium
- Neurocognitive disorders
- Older hospitalized patients
- Person-centered care
- Patient safety
- Patient participation
- Action by healthcare professionals
- Qualitative content analysis
- Välbefinnande vid långvariga hälsoproblem (WeLHP)
- Wellbeing in long-term health problems (WeLHP)
Publikations- och innehållstyp
- ref (ämneskategori)
- for (ämneskategori)
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