disorientation? dehydration, constipation, and pain) are crucial. Item 10.6.1 Evidence details Reference Further New or worsening confusion or No further The presence of confusion or disorientation has ABPG p50 been independently associated with falls and fracture in hospital patients. Item 10.6.1 Evidence details Reference Further New or worsening confusion or No further Any changes in the environment such as room ABPG p50 change or ward change can increase confusion. Item 10.6.1 Evidence details Reference Further No further Drowsiness, is easily Cognitive impairment, delirium and disturbed ABPG p15 distracted, withdrawn or behaviour are risk factors for falling in hospitals. depressed? Further (ABWTC) are a series of Item 10.6.1 Evidence details Reference The key signs to look for are that the patient: ABWTC (6) Drowsiness, is easily distracted, or depressed? resources developed by the (clinicians) p4 cannot answer your questions ACSQHC to guide services in is inattentive or easily distracted improving care of people with has disorganised thinking cognitive impairment within the has an altered level of consciousness context of the NSQHS Standards. is agitated There are separate resources for is overly sleepy this may be hypoactive clinicians, health service managers – delirium and patients /carers. Item 10.6.1 Evidence Hypoactive details delirium is subtype of delirium Reference NICE 103 (7) Further Drowsiness, is easily distracted, or depressed? No further characterised by people who become withdrawn, quiet and sleepy. Hypoactive (or mixed) delirium can be more difficult to recognise. Settings were community and Item 10.6.1 Evidence details Reference Further Drowsiness, is easily distracted, or depressed? Depressive symptoms were found to be Kvelde et al. rehabilitation. There was no consistently associated with falls in older people, 2013 (8)
disorientation? dehydration, constipation, and pain) are crucial. Item New or worsening confusion or 10.6.1 Evidence details The presence of confusion or disorientation has been independently associated with falls and fracture in hospital patients. Reference ABPG p50 Further No further Item New or worsening confusion or 10.6.1 Evidence details Any changes in the environment such as room change or ward change can increase confusion. Reference ABPG p50 Further No further Item Drowsiness, is easily distracted, withdrawn or depressed? 10.6.1 Evidence details Cognitive impairment, delirium and disturbed behaviour are risk factors for falling in hospitals. Reference ABPG p15 Further No further Item Drowsiness, is easily distracted, or depressed? 10.6.1 Evidence details The key signs to look for are that the patient: cannot answer your questions is inattentive or easily distracted has disorganised thinking has an altered level of consciousness is agitated is overly sleepy – this may be hypoactive delirium Reference ABWTC (6) (clinicians) p4 Further (ABWTC) are a series of resources developed by the ACSQHC to guide services in improving care of people with cognitive impairment within the context of the NSQHS Standards. There are separate resources for clinicians, health service managers and patients /carers. Item Drowsiness, is easily distracted, or depressed? 10.6.1 Evidence details Hypoactive delirium is subtype of delirium characterised by people who become withdrawn, quiet and sleepy. Hypoactive (or mixed) delirium can be more difficult to recognise. Reference NICE 103 (7) Further No further Item Drowsiness, is easily distracted, or depressed? 10.6.1 Evidence details Depressive symptoms were found to be consistently associated with falls in older people, Reference Kvelde et al. 2013 (8) Further Settings were community and rehabilitation. There was no