his.sePublikasjoner
Endre søk
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Delirium in older hospitalized patients—signs and actions: a retrospective patient record review
Skaraborg Hospital, Skövde, Sweden / Jönköping University, Jönköping, Sweden.
Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande. (Välbefinnande vid långvariga hälsoproblem (VLH), Wellbeing in long-term health problems (WeLHP))ORCID-id: 0000-0002-9771-6640
Jönköping University, Jönköping, Sweden.
Skaraborg Hospital, Skövde, Sweden.
2018 (engelsk)Inngår i: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 18, nr 1, s. 1-11, artikkel-id 43Artikkel, forskningsoversikt (Fagfellevurdert) Published
Abstract [en]

Background

Delirium is common in older hospitalized patients, and is associated with negative consequences for the patients, next of kin, healthcare professionals and healthcare costs. It is important to understand its clinical features, as almost 40% of all cases in hospitals may be preventable. Yet, delirium in hospitalized patients is often unrecognized and untreated. Few studies describe thoroughly how delirium manifests itself in older hospitalized patients and what actions healthcare professionals take in relation to these signs. Therefore, the aim of this study was to describe signs of delirium in older hospitalized patients and action taken by healthcare professionals, as reported in patient records.

Methods

Patient records from patients aged ≥65 (n = 286) were retrospectively reviewed for signs of delirium, which was found in 78 patient records (27%). Additionally, these records were reviewed for action taken by healthcare professionals in relation to the patients’ signs of delirium. The identified text was analyzed with qualitative content analysis in two steps.

Results

Healthcare professionals responded only in part to older hospitalized patients’ needs of care in relation to their signs of delirium. The patients displayed various signs of delirium that led to a reduced ability to participate in their own care and to keep themselves free from harm. Healthcare professionals met these signs with a variation of actions and the care was adapted, deficient and beyond the usual care. A systematic and holistic perspective in the care of older hospitalized patients with signs of delirium was missing.

Conclusion

Improved knowledge about delirium in hospitals is needed in order to reduce human suffering, healthcare utilization and costs. It is important to enable older hospitalized patients with signs of delirium to participate in their own care and to protect them from harm. Delirium has to be seen as a preventable adverse event in all hospitals units. To improve the prevention and management of older hospitalized patients with signs of delirium, person-centered care and patient safety may be important issues.

sted, utgiver, år, opplag, sider
BioMed Central, 2018. Vol. 18, nr 1, s. 1-11, artikkel-id 43
Emneord [en]
Signs of delirium, Neurocognitive disorders, Older hospitalized patients, Person-centered care, Patient safety, Patient participation, Action by healthcare professionals, Qualitative content analysis
HSV kategori
Forskningsprogram
Välbefinnande vid långvariga hälsoproblem (WeLHP)
Identifikatorer
URN: urn:nbn:se:his:diva-14726DOI: 10.1186/s12877-018-0731-5ISI: 000424758800002PubMedID: 29409468Scopus ID: 2-s2.0-85041523709OAI: oai:DiVA.org:his-14726DiVA, id: diva2:1181124
Tilgjengelig fra: 2018-02-07 Laget: 2018-02-07 Sist oppdatert: 2019-09-30

Open Access i DiVA

fulltext(471 kB)132 nedlastinger
Filinformasjon
Fil FULLTEXT01.pdfFilstørrelse 471 kBChecksum SHA-512
bcb7f1e09ad70044acd6d0a95a14cb2251507718ba08ef224a79434924ee4014f4a93f82cb511b786ea3d0cd09638db0967e88320150f26eda9583ce54a68f9e
Type fulltextMimetype application/pdf

Andre lenker

Forlagets fulltekstPubMedScopus

Personposter BETA

Bergh, Ingrid

Søk i DiVA

Av forfatter/redaktør
Bergh, Ingrid
Av organisasjonen
I samme tidsskrift
BMC Geriatrics

Søk utenfor DiVA

GoogleGoogle Scholar
Totalt: 132 nedlastinger
Antall nedlastinger er summen av alle nedlastinger av alle fulltekster. Det kan for eksempel være tidligere versjoner som er ikke lenger tilgjengelige

doi
pubmed
urn-nbn

Altmetric

doi
pubmed
urn-nbn
Totalt: 812 treff
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf