hospital patients. ABPG p50 Any changes in the environment such as room change or ward change can increase confusion. Drowsiness, is easily Cognitive impairment, delirium and disturbed behaviour ABPG p15 distracted, withdrawn or are risk factors for falling in hospitals. depressed? ABWTC (6) The key signs to look for are that the patient: (ABWTC) are a series of resources (clinicians) developed by the ACSQHC to guide cannot answer your questions p4 services in improving care of people with is inattentive or easily distracted cognitive impairment within the context of has disorganised thinking the NSQHS Standards. There are has an altered level of consciousness separate resources for clinicians, health is agitated service managers and patients /carers. is overly sleepy this may be hypoactive delirium. – Hypoactive delirium is subtype of delirium characterised NICE 103 by people who become withdrawn, quiet and sleepy. (7) Hypoactive (or mixed) delirium can be more difficult to recognise. Settings were community and rehabilitation. There was no difference Depressive symptoms were found to be consistently between community samples and those associated with falls in older people, despite the use of Kvelde et with identified healthcare needs with different measures of depressive symptoms and falls al. 2013 (8) respect to depressive symptoms being a and varying length of follow-up and statistical methods. risk factor for falls. Interventions 10.7.1 Establish a baseline Identifying the presence of cognitive impairment should ABPG p37 cognitive screen e.g. form part of the falls risk assessment process. Abbreviated Mental Test (AMT) or as per local Think of cognition as another vital sign that needs to be ABWTC
hospital patients. Any changes in the environment such as room change or ward change can increase confusion. ABPG p50 Drowsiness, is easily distracted, withdrawn or depressed? Cognitive impairment, delirium and disturbed behaviour are risk factors for falling in hospitals. 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. Hypoactive delirium is subtype of delirium characterised by people who become withdrawn, quiet and sleepy.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. Depressive symptoms were found to be consistently associated with falls in older people, despite the use of different measures of depressive symptoms and falls and varying length of follow-up and statistical methods. ABPG p15 ABWTC (6) (clinicians) p4 NICE 103 (7) Kvelde et al. 2013 (8) (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. Settings were community and rehabilitation. There was no difference between community samples and those with identified healthcare needs with respect to depressive symptoms being a risk factor for falls. Interventions 10.7.1 Establish a baseline cognitive screen e.g. Abbreviated Mental Test (AMT) or as per local Identifying the presence of cognitive impairment should form part of the falls risk assessment process. Think of cognition as another vital sign that needs to be ABPG p37 ABWTC
FRAMP-Evidence-table-not-acc.docx