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Delirium Screening
Mr Walters, 
yeah hes a bit 
confused
WHY WORRY? 
HOW DO I SCREEN  QUICKLY? 
WHAT CAN I DO ABOUT IT  ALSO 
QUICKLY?
DELIRIUM IN OLDER PEOPLE 
AUS GOV INITIATIVE 
HTTP://GOO.GL/D9LHHI
11%-42% of older adults 
develop delirium during 
hospitalisation
prolonged hospitalisation, 
functional decline, 
& increased mortality 
(Siddiqi, House, & Holmes, 2006; Tullmann, Fletcher, & 
Foreman, 2012)
CAM 
sensitivity 94-100% 
specificity of 89-95% 
high inter-rater reliability 
(Wei, Fearing, Eliezer, Sternberg, & Inouye, 2008)
both 
either either 
CAM
HYPOACTIVE HYPERACTIVE 
MIXED 20% 25% 
50%
HYPOACTIVE HYPERACTIVE 
MIXED 20% 25% 
50%
CHANGE FROM 
BASELINE
Delirium Screening
Delirium Screening
ALTERED
A V P U
AFFECT 
ENVIRONMENT 
IMPAIRMENT 
ORGANIC 
UNDERLYING 
ILLNESS
PEE 
POO 
PUS 
PAIN 
POISONS
NICE GUIDELINES 
DELIRIUM 
HTTP://PATHWAYS.NICE.ORG.UK/PATHWAYS/ 
DELIRIUM

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