Matches in SemOpenAlex for { <https://semopenalex.org/work/W3022111325> ?p ?o ?g. }
Showing items 1 to 61 of
61
with 100 items per page.
- W3022111325 abstract "Background Delirium is characterised by acute onset of fluctuating confusion and altered conscious level. It is common in palliative patients and associated with worse outcomes. Recognition and management of delirium is poorly supported in palliative care inpatient units. Aim To produce a sustainable improvement in prevention, recognition and management of delirium in St. Gemma’s Hospice Inpatient Unit, Leeds. Methods This mixed-method service improvement project uses a behaviour change and normalisation-process theory based approach formed of three evaluation and two implementation stages. The evaluation stages use a mixed-methods approach to gather data from several sources: Retrospective case note audit Staff survey Staff interviews The first implementation stage modified the delirium guidelines including: Introduction of the 4AT rapid clinical test for delirium. Delirium severity assessment replaced by agitation assessment, using the Richmond Agitation–Sedation Scale for palliative care inpatients (RASS–PAL). Members of staff were appointed as ‘delirium champions’ to address sustainability and ongoing training. The second implementation stage will design and implement a behaviour change intervention: Data from evaluation sources will be collated to identify behaviours to be targeted. The delirium guidelines and strategies for its implementation will be modified using behaviour change techniques. Results In the first evaluation stage 77 patient admissions were audited. 58 delirium episodes were retrospectively identified, of which 19% were diagnosed during admission. 27% of admitted patients were screened for delirium. No patients were risk assessed for delirium and no delirium prevention measures were taken. 17% of delirium episodes had appropriate non-pharmacological management while 88% received pharmacological management as per guideline. Conclusion This baseline audit shows that prevention, recognition and management of delirium is poorly conducted. The first implementation phase has completed, and the second evaluation stage is in progress. I anticipate results from this phase will be available to present at The Palliative Care Congress." @default.
- W3022111325 created "2020-05-13" @default.
- W3022111325 creator A5002994424 @default.
- W3022111325 creator A5057749446 @default.
- W3022111325 creator A5062498341 @default.
- W3022111325 creator A5066732855 @default.
- W3022111325 creator A5086555491 @default.
- W3022111325 date "2020-03-01" @default.
- W3022111325 modified "2023-09-23" @default.
- W3022111325 title "132 Implementation and evaluation of a palliative care inpatient unit’s delirium guidelines: a service improvement project" @default.
- W3022111325 doi "https://doi.org/10.1136/spcare-2020-pcc.152" @default.
- W3022111325 hasPublicationYear "2020" @default.
- W3022111325 type Work @default.
- W3022111325 sameAs 3022111325 @default.
- W3022111325 citedByCount "0" @default.
- W3022111325 crossrefType "proceedings-article" @default.
- W3022111325 hasAuthorship W3022111325A5002994424 @default.
- W3022111325 hasAuthorship W3022111325A5057749446 @default.
- W3022111325 hasAuthorship W3022111325A5062498341 @default.
- W3022111325 hasAuthorship W3022111325A5066732855 @default.
- W3022111325 hasAuthorship W3022111325A5086555491 @default.
- W3022111325 hasBestOaLocation W30221113251 @default.
- W3022111325 hasConcept C141071460 @default.
- W3022111325 hasConcept C159110408 @default.
- W3022111325 hasConcept C162324750 @default.
- W3022111325 hasConcept C177713679 @default.
- W3022111325 hasConcept C187736073 @default.
- W3022111325 hasConcept C199521495 @default.
- W3022111325 hasConcept C2776814716 @default.
- W3022111325 hasConcept C2779753318 @default.
- W3022111325 hasConcept C2780665704 @default.
- W3022111325 hasConcept C2994186709 @default.
- W3022111325 hasConcept C71924100 @default.
- W3022111325 hasConceptScore W3022111325C141071460 @default.
- W3022111325 hasConceptScore W3022111325C159110408 @default.
- W3022111325 hasConceptScore W3022111325C162324750 @default.
- W3022111325 hasConceptScore W3022111325C177713679 @default.
- W3022111325 hasConceptScore W3022111325C187736073 @default.
- W3022111325 hasConceptScore W3022111325C199521495 @default.
- W3022111325 hasConceptScore W3022111325C2776814716 @default.
- W3022111325 hasConceptScore W3022111325C2779753318 @default.
- W3022111325 hasConceptScore W3022111325C2780665704 @default.
- W3022111325 hasConceptScore W3022111325C2994186709 @default.
- W3022111325 hasConceptScore W3022111325C71924100 @default.
- W3022111325 hasLocation W30221113251 @default.
- W3022111325 hasOpenAccess W3022111325 @default.
- W3022111325 hasPrimaryLocation W30221113251 @default.
- W3022111325 hasRelatedWork W10352715 @default.
- W3022111325 hasRelatedWork W13224025 @default.
- W3022111325 hasRelatedWork W14666147 @default.
- W3022111325 hasRelatedWork W1533961 @default.
- W3022111325 hasRelatedWork W17035340 @default.
- W3022111325 hasRelatedWork W17318783 @default.
- W3022111325 hasRelatedWork W17338614 @default.
- W3022111325 hasRelatedWork W19663328 @default.
- W3022111325 hasRelatedWork W2142271 @default.
- W3022111325 hasRelatedWork W4438811 @default.
- W3022111325 isParatext "false" @default.
- W3022111325 isRetracted "false" @default.
- W3022111325 magId "3022111325" @default.
- W3022111325 workType "article" @default.