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10 Tips to Reduce Delirium Risk in Hospitalized Older Loved Ones

10 Tips to Reduce Delirium Risk in Hospitalized Older Loved Ones

Delirium is a state of confusion that develops suddenly, often following an acute medical illness, a surgical procedure or a hospitalization. Although delirium is estimated to complicate hospital stays for more than 2.5 million older adult patients in the U.S. each year, this common condition often goes undetected. The end result can be serious complications with sometimes devastating consequences for vulnerable hospitalized elders.

I have been studying delirium for 30 years. For a large proportion of older patients, the problem of delirium is never resolved. I routinely hear from patients’ families, “They went into the hospital, they became very confused, and they never recovered.”

My research has shown, however, that there are steps families and caregivers can take to help prevent or reduce risk factors for delirium in older hospitalized patients.

  1. Bring a complete list of all medications (with their dosages), as well as over-the-counter medicines to the hospital. It may help to bring the medication bottles as well.
  2. Prepare a “medical information sheet” listing all allergies, names and phone numbers of physicians, the name of the patient’s usual pharmacy and all known medical conditions.
  3. Forward pertinent medical records to the doctors who will be caring for the patient.
  4. Bring glasses, hearing aids (with fresh batteries), and dentures to the hospital. Older persons do better if they can see, hear and eat.
  5. Bring in a few familiar objects from home. Things such as family photos, a favorite comforter or blanket for the bed, a beloved book and relaxation tapes can be quite comforting.
  6. Help orient the patient throughout the day. Speak in a calm, reassuring tone of voice and tell the patient where he is and why he is there.
  7. When giving instructions, state one fact or simple task at a time. Do not overwhelm or over stimulate the patient.
  8. Massage can be soothing for some patients.
  9. Stay with the hospitalized patient as much as possible. During an acute episode of delirium, relatives should try to arrange shifts so someone can be present around the clock.
  10. If you detect new signs that could indicate delirium symptoms — confusion, memory problems, personality changes — it is important to discuss these with the nurses or physicians as soon as you can. Family members are often the first to notice subtle changes.

To learn more about delirium, download a pamphlet here.

Learn more about Dr. Sharon Inouye’s delirium research at the Aging Brain Center at the Institute for Aging Research.

Sharon K. Inouye, M.D., M.P.H.'s picture

About the Blogger

Director, Aging Brain Center

Sharon Inouye, M.D., M.P.H., is a geriatrician at HRC, senior scientist at the Hinda and Arthur Marcus Institute for Aging Research, and director of its Aging Brain Center. She also holds the Milton and Shirley F. Levy Family Chair in Alzheimer's Disease at the Marcus Institute. Dr. Inouye received her medical degree from the University of California San Francisco and her master's in public health from Yale University. She completed a residency at the UCSF, an internal medicine fellowship at Stanford University School of Medicine, and a fellowship in geriatrics and clinical epidemiology at...

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