Developing Guidelines on the Assessment and Treatment of Delirium in Older Adults at the End-of-Life

Authors

  • Susan Brajtman
  • David Wright
  • David B. Hogan
  • Pierre Allard
  • Venera Bruto
  • Deborah Burne
  • Laura Gage
  • Pierre R. Gagnon
  • Cheryl A. Sadowski
  • Sherri Helsdingen
  • Kimberley Wilson

DOI:

https://doi.org/10.5770/cgj.v14i2.13

Keywords:

Delirium, end of life, evidence-based practice, guidelines, older adults, palliative care

Abstract

Background and Purpose

Delirium at the end of life is common and can have serious consequences on an older person’s quality of life and death. In spite of the importance of detecting, diagnosing, and managing delirium at the end of life, comprehensive clinical practice guidelines (CPG) are lacking. Our objective was to develop CPG for the assessment and treatment of delirium that would be applicable to seniors receiving end-of-life care in diverse settings.

Methods

Using as a starting point the 2006 Canadian Coalition for Seniors’ Mental Health CPG on the assessment and treatment of delirium, a team of palliative care researchers and clinicians partnered with members of the original guideline development group to adapt the guidelines for an end-of-life care context. This process was supported by an extensive literature review. The final guidelines were reviewed by external experts.

Results

Comprehensive CPG on the assessment and treatment of delirium in older adults at the end of life were developed and can be downloaded from http://www.ccsmh.ca.

Conclusions

Further research is needed on the implementation and evaluation of these adapted delirium guidelines for older patients receiving end-of-life care in various palliative care settings.

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Published

2011-05-31

How to Cite

1.
Brajtman S, Wright D, Hogan DB, Allard P, Bruto V, Burne D, Gage L, Gagnon PR, Sadowski CA, Helsdingen S, Wilson K. Developing Guidelines on the Assessment and Treatment of Delirium in Older Adults at the End-of-Life. Can Geriatr J [Internet]. 2011 May 31 [cited 2024 Mar. 29];14(2):40-5. Available from: https://cgjonline.ca/index.php/cgj/article/view/13

Issue

Section

Clinical Practice Guidelines/Consensus Statements