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World Health Organization (WHO) PAHO/WHO WHO/Europe World Health Organization South-East Asia WHO Regional Office for the Eastern Mediterranean World Health Organization (WHO) Western Pacific WHO African Region Tedros Adhanom Ghebreyesus ICN 🌏🌍🌎 #InternationalNursesDay 🌏🌍🌎

Caregiver handout on #delirium from the Regional Geriatric Program of Toronto.

Myth: If a patient knows their name and date, they can’t be delirious. Fact: Delirium fluctuates, & even then, people with inattention can correctly answer simple orientation questions. Use onset/fluctuation, & altered alertness, & other sources to come to a diagnosis.

10 principles of verbal de-escalation - from the American Association for Emergency Psychiatry. Many of these can be applied when a person with #delirium is distressed and "agitated".

Diuretics and action

Delirium treatment should involve *brain care* AND *mind care* - the latter is often missing, or done inadequately.

When a patient with #delirium is restless or agitated, use a systematic approach to look for potential causes.

#sepsis

1.8% of patients CFS 6-9 survived to discharge. resuscitationjournal.com/article/S0300-… In this study by Lucy Pollock , those patients who do survive to discharge often have QoL not compatible with their values. pubmed.ncbi.nlm.nih.gov/31519712/

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"If there’s one thing I hope health care providers remember, it’s this: Don’t miss the fine lines. Listen to the family. Trust the ones who know the patient best."

Check out this 6 CPD point course on Frailty in the ED from RCEM. Available on demand. Some excellent speakers! And me rcem.ac.uk/events/frailty…

Ethical dilemmas may be common when caring for people with dementia. This article outlines ethical principles in healthcare, discusses best interests decision-making and describes the so-called balance sheet approach Dr Jane Pritchard Roxanne Vieira-Moreno journals.rcni.com/nursing-older-…

People with dementia attending the emergency department are at high risk of complications including delirium & falls. Keep family present if possible, provide frequent reassurance and explanation, & make sure that hydration & nutrition are maintained.

Information on #delirium for carers from the Regional Geriatric Program of Toronto. We need to make providing this kind of information the norm, not a rarity.

A visual overview of the long-term systemic manifestations of diabetes. picturingmedicine.com

CDC guidance on #falls.

Useful facts on Alzheimer's Disease. Note especially the huge contribution that carers make.

Our Patients Want to Die at Home. Are They Prepared for It? #geriatrics #palliativecare agsjournals.onlinelibrary.wiley.com/doi/10.1111/jg…

Frailty Trajectories and Cause of Death at the End-of-Life. #geriatrics #HaPC agsjournals.onlinelibrary.wiley.com/doi/10.1111/jg…