Listed below is the high level evidence on Confusional states 4Ds: Delirium, Dementia, Depression and 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 Doctors core skills programme developed in the Trust.
Local (HEFT) Policies
Acute confusional state confusion elderly sedation geriatric delirium assessment
Dr P Wallis, March 2006. Review date?
Chaperoning Adults Policy and Procedure v2.0
Jo Richmond, Review date: 31/07/2013
NICE (guidelines and pathways)
Diagnosis, prevention and management
CG103: July 2010
Supporting people with dementia and their carers in health and social care
CG42: March 2011
The treatment and management of depression in adults
CG90: April 2009
Patient experience in adult NHS services overview
Map of Medicine
Delirium (acute confusional state)
Dignity - End of life care in adults
Other National Guidelines & Non-UK Guidelines (includes Professional Bodies/Associations)
Improving care for people with dementia
April 2013
Systematic Reviews – Cochrane Library
Drug therapy for delirium in terminally ill adult patients
Review: November 2012
Interventions for preventing delirium in hospitalised patients
Review: January 2009
Omega 3 fatty acid for the prevention of cognitive decline and dementia
Review: June 2012
Functional analysis-based interventions for challenging behaviour in dementia
Review: February 2012
Review: December 2012
Information provision for stroke patients and their caregivers
Review: November 2012
Collaborative care for depression and anxiety problems
Review: October 2012
Review: July 2012
Interventions for treating depression after stroke
Review: May 2008
NHS Evidence
Delirium: Evidence Update April 2012
A summary of selected new evidence relevant to NICE CG103 ‘Delirium: diagnosis, prevention and management’ (2010)
How can delirium best be prevented and managed in older patients in hospital?
Centre for Reviews and Dissemination – December 2011
Further information:
The following sources have been searched for evidence published in the previous 12 months: HEFT Policies, NICE, SIGN, Cochrane Library and European Guidelines. Please contact [email protected] for any further information.
For more information on how to make the most use of the HEFT Library Services, visit www.heftlibrary.nhs.uk. Visit NHS Evidence www.evidence.nhs.uk to access your guidelines, Cochrane systematic reviews, journals and databases.