Nursing Vignettes The Patient Journey: Delirium care in an acute care setting

A case study approach demonstrated by two Registered Nurses working an acute care setting with a male client, John, and his daughter.

Assessment and care management for an older client with a delirium

1. Admission from home to the Emergency Department during a hyperactive delirium reaction


2. Hypoactive delirium reaction during the admission and handover of care following the Confusion Assessment Method (CAM)


3. Assessment of progress using the Mini Mental State Examination (MMSE) and from daughter


4. Discharge planning meeting for prevention of future episodes of delirium


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