None listed
Conditions
Brief summary
The ACQSHC introduced the Delirium Clinical Standard to prevent development of delirium in hospital and improvement management. Implementation of this standard involves educating nursing staff to use a validated cognitive assessment tool at the time of admission for those over the age of 65 years to assess for baseline cognitive decline. If cognitive decline is identified then the patient will be deemed high risk for delirium and daily measurement using a delirium screening tool will occur on the ward so that early treatment can be initiated by a geriatrician. This project aims to introduce the first step, which is the cognitive decline screening once on admission and measure how long this takes. We will also be asking nurses and patients about how easy and acceptable this process is and collecting some simple basic information about the patient. This information will be used to guide a broader roll out of the full Clinical Care Pathway.
Interventions
Administration of two cognitive function tests, the 4AT and the MoCA, to preoperative patients over the age of 65 years at the time of admission to the ward or preoperative area.
Test will be administered by trained nursing staff.
Primary aim is measurement of rate of cognitive dysfunction.
Quantitative data about patient demographics, time taken to complete the tests, rates of test completion and acceptability the test for the patient will be collected.
Qualitative data will be gathered from n
Administration of two cognitive function tests, the 4AT and the MoCA, to preoperative patients over the age of 65 years at the time of admission to the ward or preoperative area. Test will be administered by trained nursing staff. Primary aim is measurement of rate of cognitive dysfunction. Quantitative data about patient demographics, time taken to complete the tests, rates of test completion and acceptability the test for the patient will be collected. Qualitative data will be gathered from nurses and patients about difficulties in test completion.
Sponsors
St Vincent's Health Australia
Eligibility
Sex/Gender
All
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Operative patients over the age of 65 years
Exclusion criteria
Non english speaking with no interpreter available
Outcome results
None listed