Delirium care in frail older persons admitted to the geriatric medicine department Mental and Behavioural Disorders Delirium associated with dementia
Conditions
Interventions
1. The Geriatric Monitoring Unit (GMU) is a specialised 5 bedded unit which incorporates specific room design for an elder-friendly environment, lower staff-patient ratio, coupled with structured core
Sponsors
Ministry of Health (Singapore)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Patients above age of 65 years old 2. Admitted to the geriatric medicine department in Tan Tock Seng Hospital who were assessed to have delirium (either on admission or incident delirium during hospital stay)
Exclusion criteria
Exclusion criteria: 1. Medical illnesses which requires special monitoring (e.g. telemetry for arrhythmias or acute myocardial infarction) 2. Deemed to be dangerously ill, in coma or had terminal illness 3. Uncommunicative patients or patients with severe aphasia 4. Severely combative behaviour with high risk of harm 5. Patients with mania or other severe eye disorders and other contraindications to bright light therapy (such as patients on photosensitising medications) 6. Patients with respiratory or contact precautions, or there was verbal refusal of GMU stay by family, patient or physician in charge
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Duration of delirium and severity of delirium 2. Use of physical and chemical restraints 3. Falls rate 4. Physical injury rate due to agitated behavior 5. Functional outcomes/gains in the elderly geriatric patients 6. Morbidity (such as nosocomial infection rate, urinary catheter use and catheter days, pressure ulcer rate) 7. Patient and family satisfaction score in elderly persons with delirium | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Looking at which specific aspects of the interventions would yield the greatest benefit for future translation on a larger scale 2. The effects of the multicomponent intervention and bright light therapy on sleep of these patients as well as their effect on antipsychotic and sedative hypnotic use | — |
Countries
Singapore
Outcome results
None listed