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Delirium is an acute onset of fluctuating confusion manifested by a decrease in focus attention and cognition Foster et al 2011 Research by Ijkema Langelaan Steeg Wagner 2014 finds that delirium is associated with a poor prognosis Delirium negatively affects functional outcomes and mortality Research findings by Schofield Tolson Fleming Valerie 2012 reinforce the necessity to prevent delirium in order to generate better patient outcomes The following paper outlines the recognition contributing factors prevention and treatment of acute delirium Delirium is poorly recognized and preventable in up to one third of cases Ouldred Bryant 2011 In addition the study by Ouldred and Bryant 2011 discovered that some practitioners dont find the diagnosis of particular importance Godfrey et al 2013 found variable delirium awareness among staff with no attention to delirium prevention Foster et al 2011 and Ijkema et al 2014 found lack of recognition was a significant factor in reducing delirium Their research discovered there was minimal recognition of delirium among nurses who were assessed Nurses experience the most intimate contact with the patient and are therefore best situated to recognize assess and implement prevention strategies Foster et al 2011 Foster et al 2011 found that nurses in the study lacked proper training to recognize the initial and often subtle stages of acute delirium The nurses included in the study were then put through formal training and tested to confirm competence They were given screening tools such as the Confusion Assessment Method CAM to assist in identifying symptoms The CAM is used to take serial measurements to determine the presence or absence of delirium The patients were given values based on risk factors The study indicated a dramatic improvement in recognition and improved staff confidence following the education program Foster et al 2001 followed delirium recognition rates at the test site to find they began to drop off over time due to high staff turnover A qualitative study design using focus
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