Detecting and Addressing Delirium in Older Adults

Purpose

Increase knowledge of and screening for delirium in older adults by nurses and other healthcare professionals in home care.

Description

Delirium is an often missed or misdiagnosed acute syndrome which commonly affects older adults. Its fluctuating course and overlap with other mental status disturbances can make it hard to detect. Due to the impact on physical and cognitive functioning, delirium is often associated with higher mortality rates in older adults. Timely detection and implementation of appropriate, evidence-based treatment options can improve the older adults chances for survival and quality of life.

Delivery

This is a self-paced course with knowledge check activities. These non-graded activities allow you to check your understanding of the lesson objectives before proceeding on in the course. At the end of the course, you will be required to take the final exam. You must score 80% or higher to pass the course and obtain a certificate of completion.

Objectives

State the differences between the types of delirium
Identify common symptoms experienced by those with delirium
Describe factors that can contribute to delirium
Discuss appropriate tools for assessing delirium
State the differences between delirium, dementia and depression
Describe barriers to identifying delirium and methods for overcoming these barriers
Describe evidence- based treatment recommendations for delirium including evidence underlying non-pharmacological approaches

Contact Time

1.2 contact hour(s) based on 50 minute contact hour (MN Board of Nursing ONLY)

1.0 contact hour(s) based on 60 minute contact hour (WNA/CEAP)

Approval(s)

WNA/CEAP - Wisconsin Nurses Association

"Rochester Community and Technical College is an approved provider of continuing nursing education by the Wisconsin Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation."

Provider Approval Number 0149-004;

HLC - Higher Learning Commission

"Rochester Community and Technical College is fully accredited by the Higher Learning Commission of the North Central Association of Colleges and Schools."

HLC Institution ID:1399

Estimated Time

The estimated time for completion for this activity is 1.0 hour.

Intended Audience

This course is designed to meet the continuing education requirements of health care professionals such as Licensed Practical Nurses, Registered Nurses, Physical Therapists, Speech Therapists, Occupational Therapists and Social Workers.

Course Planning Team

Kathy L. Richie, RN, BSN; Kristi Kiehne; MBA; Beth Schoenfeld, RN, MSN, CCP

Course Expiration Date

As required by ANCC, this continuing nursing education activity must carry an expiration date. You must complete the content, Final Quiz and Course Survey on or before that day. The last day to successfully complete this course and receive a Certificate of Completion will be December 31, 2016.

Conflict of Interest Disclosures

Commercial Support Disclosure

This course (CE activity) was developed in accordance with ANCC criteria and Commercial Support Guidelines; the planners and authors of this course have disclosed no relevant financial, personal or professional relationships with any commercial entities pertaining to this activity. Therefore, the content is free of commercial bias for or against any product or commercial entity.

Non-endorsement of Products and Off Label Use

This course provides a balanced view of therapeutic options. Use of generic names is always considered before using trade names. Consequently, if trade names are necessary, when available, we will use trade names from several companies. RCTC and the course planning team do not endorsed any products or drugs that may be mentioned in this course.

Beth Schoenfeld - RN, MSN, CCP (Author Updating)

Beth is a Registered Nurse, with a Masters in Nursing with a clinical focus in Gerontology from the University of Evansville in Indiana. The majority of Beth's nursing career has been in home health care, working in both education and administration. Beth is also certified as a Chronic Disease Professional Health Coach (CCP) and has developed this program.

Copyright

Materials used in connection with this course may be subject to copyright protection. Retention of the materials for longer than the class term, unauthorized further dissemination of the materials, or use of copyrighted materials in any way other than intended for this class is prohibited by Copyright and Teach Act laws.

Acknowledgment

This course was developed with Rochester Community and Technical College's Continuing Education and Workforce Development Division located in Rochester Minnesota.

Development was supported by the US Department of Health and Human Services - Health Resources and Services Administration (HRSA); Minnesota Geriatric Education Center (MAGEC) Grant # UB4HP19196; Subaward Grant # P001768405; Director: Robert L. Kane, MD.

Web Links Utilized

American Geriatrics Society. American Geriatrics Society Clinical Practice Guideline for Postoperative Delirium in Older Adults -

Delirium in the intensive care unit: a guide for families and patients. - Retrieved 7/11/15 from www.ICUdelirium.org

Ferrell, Betty, and Nessa Coyle. - Oxford University Press

Fick DM, Mion L. - Retrieved 7/11/15 from http://consultgerirn.org/uploads/File/trythis/try_this_d8.pdf.

Inouye S. - Cleveland Clinic Journal of Medicine.

Inouye S. -

Ouellette R, and Ouellette M. -

Manning W, MacLullich, A, Agar M, and Kelly, J. -

Morrison R, Magaziner J, Gilbert M, et al. -

Sands MB, Dantoc BP, Hartshorn A et al. -

Saxena S, Lawley D. -

Staus R. -

American Psychiatric Association. - Retrieved from: on May 12, 2015 http://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/delirium.pdf

Features

Written language - English : Yes

Course Code:

RNDD

Course Category:

Professional Health