Confusional states: The 4Ds: Delirium, Dementia, Depression & Dignity- January 2013

 

Confusional states 4Ds: Delirium, Dementia, Depression & Dignity

 

Listed below is the high level evidence on Confusional states 4Ds: Delirium, Dementia, Depression & Dignity produced by NICE, SIGN and NHS based organisations. Also included are the European Society guidelines where available. This list is produced and maintained by HEFT Library Services to support VITAL 4 Medics core skills programme developed in the Trust.

 

HEFT Local Policies

Acute confusional state confusion elderly sedation geriatric delirium assessment

Dr P Wallis, HEFT 01/03/2006. Next review date?

 

Map of Medicine

 

Delirium (acute confusional state)

http://app.mapofmedicine.com/mom/133/page.html?department-id=4&specialty-id=1022&pathway-id=601&page-id=602&history=clear&history=clear

 

Dementia – assessment

http://app.mapofmedicine.com/mom/133/page.html?department-id=5&specialty-id=1023&pathway-id=11286&page-id=11293&history=clear&history=clear

 

Depression - severe and complex

http://app.mapofmedicine.com/mom/133/page.html?department-id=5&specialty-id=1044&pathway-id=3384&page-id=8648&history=clear&history=clear

 

Depression - moderate to severe

http://app.mapofmedicine.com/mom/133/page.html?department-id=5&specialty-id=1044&pathway-id=3384&page-id=14434&history=clear&history=clear

 

Depression - mild to moderate

http://app.mapofmedicine.com/mom/133/page.html?department-id=5&specialty-id=1044&pathway-id=3384&page-id=8642&history=clear&history=clear

 

Dignity

End of life care in adults - care in the last days of life

http://app.mapofmedicine.com/mom/133/page.html?department-id=4&specialty-id=1008&pathway-id=3065&page-id=7250&history=clear&history=clear

 

National Guidelines & Non-UK Guidelines (includes Professional Bodies/Associations)

 

Delirium

 

Delirium: Evidence Update April 2012

A summary of selected new evidence relevant to NICE CG103 ‘Delirium: diagnosis, prevention and management’ (2010)

https://www.evidence.nhs.uk/topic/delirium

 

Delirium: diagnosis, prevention and management

NICE Clinical Guideline CG103 July 2010

https://www.evidence.nhs.uk/topic/delirium

 

Intervention Protocol

Annette M Britton, Jonathon Hogan-Doran, Najma Siddiqi

Multidisciplinary Team Interventions for the management of delirium in hospitalized patients

http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD005995/abstract

 

Interventional Review

Annette M Britton, Robert Russell

Multidisciplinary team interventions for delirium in patients with chronic cognitive impairment

http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD000395.pub3/abstract

 

Dementia

 

CG42 Dementia: Supporting people with dementia and their carers in health

and social care

http://publications.nice.org.uk/dementia-cg42

 

CG42 Dementia: audit support (update) 03 April 2009

http://guidance.nice.org.uk/index.jsp?action=download&o=43727

 

Dementia Pathway

http://pathways.nice.org.uk/pathways/dementia

 

Depression

 

CG90 Depression in adults: The treatment and management of depression in

adults

http://publications.nice.org.uk/depression-in-adults-cg90

 

Depression Pathway

http://pathways.nice.org.uk/pathways/depression

 

Dignity

 

Empathy, dignity and respect

http://www.nice.org.uk/guidance/qualitystandards/service-user-experience-in-adult-mental-health/EmpathyDignityAndRespect.jsp

 

Systematic Reviews – Cochrane Library

 

Delirium

 

Interventions for preventing delirium in hospitalised patients

http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD005563.pub2/abstract

Jackson KC, Lipman, AG

Drug therapy for delirium in terminally ill adult patients: October 2009

http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD004770/abstract

 

Dementia

 

Sydenham E, Dangour AD, Lim WS

Omega 3 fatty acid for the prevention of cognitive decline and dementia (Review) 13 June 2012

http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD005379.pub3/pdf

 

Depression

 

Intervention Review

      Maree L Hackett, Craig S Anderson, Allan House, Jun Xia

Interventions for treating depression after stroke

http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD003437.pub3/abstract

 

Dignity

 

Chochinov HM, Kristjanson LJ, Breitbart W, McClement S, Hack TF, Hassard T, Harlos M
Effect of dignity therapy on distress and end-of-life experience in terminally ill patients: a randomised controlled trial.
Lancet Oncol. 2011 Aug;12(8):753-62. Epub 2011 Jul 6.

http://www.ncbi.nlm.nih.gov/pubmed/21741309

 

NHS Evidence

 

Confusional States

 

Lorenzl S, Füsgen I, Noachtar S.

Acute confusional states in the elderly-diagnosis and treatment.

Deutsches  Arzteblatt Int.ernational 2012 May;109(21):p 391-400.

Epub 2012 May 25

 

Insel KC, Badger TA.

Deciphering the 4 D's: cognitive decline, delirium, depression and dementia—a review. 

Journal of Advanced Nursing:  2002; 38(4): p 360-368.

 

Andersson EM, Hallberg IR, Norberg A, Edberg AK.

The meaning of acute confusional state from the perspective of elderly patients.

International Journal of Geriatric Psychiatry. 2002 Jul;17(7) p 652-63.

 

Gustafson, Yngve; Brännström, Benny; Berggren, Diana; Ragnarsson, Jón I

A geriatric-anesthesiologic program to reduce acute confusional states in elderly patients treated for femoral neck fractures.

Journal of the American Geriatrics Society, Jul 1991, Vol 39(7) p  655-662.

 

Gustafson Y, Brännström B, Norberg A, Bucht G, Winblad B.

Underdiagnosis and poor documentation of acute confusional states in elderly hip fracture patients.

Journal of American Geriatric Society: 1991, August 39(8) p 760-5

 

Gustafson, Y.; Berggren, D.; Brännström, B.; Bucht, G

Acute confusional states in elderly patients treated for femoral neck fracture.

Journal of the American Geriatrics Society, Vol. 36(6), Jun 1988, 525-530.

 

William, MA

Predictors of acute confusional states in hospitalized elderly patients

Research in Nursing & Health, March 1985, Vol 8,(1) pages 31–40, 

 

S Saeed, O Farooqi, B Panayiotou, and T Harvey

Reversible confusional state in an elderly man

Postrgaduate Medical Journal, 75(884) p 365-367

 

Delirium

 

Holroyd-Leduc JM, Khandwala F, Sink KM

How can delirium best be prevented and managed in older patients in hospital?

CMAJ. 2010 Mar 23; 182(5) p 465-70. Epub 2009 Aug 17.

http://www.crd.york.ac.uk/crdweb/ShowRecord.asp?LinkFrom=OAI&ID=12011000249

 

Dementia

 

Fischer, C E; Schweizer, T A; Joy, J

Determining the impact of dementia on antidepressant treatment response in older adults.

The Journal of Neuropsychiatry and Clinical Neurosciences, 2011, vol. 23(3)

 p 358-361

 

Depression

 

Ciro, CA; Ottenbacher, KJ; Graham, JE

Patterns and correlates of depression in hospitalized older adults.

Archives of Gerontology and Geriatrics, January 2012, Vol. 54(1) 202-205

 

Lapid, Maria I; Piderman, Katherine M

Improvement of quality of life in hospitalized depressed elderly.

International Psychogeriatrics, April 2011, Vol. 23(3) p 485-495

 

Han, L; McCusker, J; Cole, M

Antidepressant use and cognitive functioning in older medical patients with major or minor depression: A prospective cohort study with database linkage.

Journal of Clinical Psychopharmacology, August 2011, vol. 31(4) 429-435

 

 

Dignity

 

Wood, Julia

Review of Dignity in care for older people.

Nursing Ethics, May 2011, Vol.18(3) p 459

 

Webster, C; Bryan, K

Older people's views of dignity and how it can be promoted in a hospital environment.

Journal of Clinical Nursing, June 2009, vol. 18(12) p 1784-1792

 

Webster, C; Bryan, K

Older people's views of dignity and how it can be promoted in a hospital environment.

Journal of Clinical Nursing, June 2009, vol. 18(12) p 1784-1792