The NICE has published guidelines on the prevention of delirium in hospitalized patients. These include recommendations for assessing and modifying issues that may precipitate delirium, including cognitive impairment / disorientation, dehydration or constipation, hypoxia, infection, immobility / limited mobility, several medications, pain, poor nutrition, sensory impairment, and sleep disturbance. These common sense, multi-disciplinary guidelines are long overdue to be published and systematically implemented (abstract)
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.