Useful Websites for Clinicians
The information at these links was prepared by a variety of health care organizations and does not necessarily represent the official views of the Hospital Elder Life Program.
The National Guideline Clearinghouse, an initiative of the Agency for Healthcare Research and Quality (AHRQ), U.S. Department of Health and Human Services, developed this website containing clinical practice guidelines and related documents.
The goals of the American Delirium Society are to foster research, education, quality improvement, advocacy & implementation science to minimize the impact of delirium on short- and long-term health and well being of patients.
The American Geriatrics Society (AGS) is a not-for-profit organization of over 6,000 health professionals devoted to improving the health, independence and quality of life of all older people. The Society provides leadership to healthcare professionals, policy makers and the public by implementing and advocating for programs in patient care, research, professional and public education, and public policy. AGS provides resources related to inappropriate medications for seniors (Beers criteria), delirium, and national conferences.
Published in the American Journal of Health-System Pharmacist (Volume 59, Jan 15, 2002), provides clinical practice guidelines for the sustained use of sedatives and analgesics in the critically ill adult.
This practice guideline, developed by the APA in 1999, provides an overview to approaches for delirium as of 1999.
This is a 121 page guideline developed specifically for the Australian health care environment by the Clinical Epidemiology and Health Service Evaluation Unit, Melbourne Health in collaboration with the Delirium Clinical Guidelines Expert Working Group. The first set of national (Australian) clinical practice guidelines for the management of delirium in older people. (2006)
A 2006 update to previous version of “Guidelines for the diagnosis and management of delirium in the elderly,” Guidelines focus on initial identification of cognitive impairment, use of the CAM to screen high-risk patients, and to investigate possible cause of delirium
The UCSF Medical Center is implementing an interdisciplinary delirium care pathway with the goal of reducing delirium on adult acute and transitional care units. The website contains educational resources on delirium screening, diagnosis and treatment as well as clinical information about their delirium reduction program.
The information contained on the website from NCI discusses the prevalence of delirium in elderly patients with comorbid diagnoses of cancer. The content of the site includes definitions, epidemiology, and etiology of delirium, information on the impact of delirium on patient, family, and healthcare personnel, diagnosis and monitoring of delirious patients, and disease management.
The National Gerontological Nursing Association (NGNA) is dedicated to the clinical care of older adults across diverse care settings. Members include clinicians, educators, and researchers with vastly different educational preparation, clinical roles, and interest in practice issues. This website provides many resources related to geriatrics and nursing, with specific resources in delirium and acute care.
The Canadian Coalition for Seniors' Mental Health facilitated the development of this 78 page document. Clinical practice guideline to improve the assessment, treatment, management and prevention of key mental health issues for seniors. Written by interdisciplinary teams of health care professionals.
Clinical Guidelines for Delirium published by the NHS National Institute for Health and Clinical Excellence. The recommendations in the NICE guideline cover the care of adults (18 and over) with, or at risk of, delirium in hospital and in long-term residential care or a nursing home. The guidelines describe methods of preventing, identifying, diagnosing and managing delirium.
An overview document outlining some of the potential strategies for improving care of elderly in the emergency room and for assisting ER staff in addressing the specific needs of the elderly patient. Offers overview of the published literature on service delivery models, screening tools and practice guidelines specific to GEM. Developed by the Ontario Hospital Association (Ontario, Canada) in 2003.
Best practice guidelines to prevent and treat postoperative delirium in older patients, developed in collaboration by the American College of Surgeons and American Geriatrics Society.
Outcomes After Critical Illness and Surgery (OACIS) is a multidisciplinary clinical and research group focused on understanding and improving patient outcomes after critical illness and surgery. OACIS activities include clinical quality improvement projects and research focused on longitudinal, long-term patient outcomes assessments, both locally and nationally, with evaluation of physical, cognitive, and mental health outcomes.
The Regional Geriatric Program (RGP) is a network of specialized geriatric service that "provides a range of hospital and community-based health care services for elders". Additionally, the site provides links to clinical resources, health information for seniors, continuing education opportunities for healthcare professionals in geriatric medicine, and a link to databases and journal publications. (2012)
This is a 2016 document from the Registered Nurses Association of Ontario, which includes nursing best practice guideline for screening of delirium, depression and dementia in older adults.
The Scottish Delirium Association was formed by a group of health professionals working across Scotland. Its aim is to provide a forum for discussion and sharing of best practices for delirium management.
Greer N, Rossom R, Anderson P, MacDonald R, Tacklind J, Rutks I, Wilt TJ. Delirium: Screening, Prevention, and Diagnosis - A Systematic Review of the Evidence.
This site, developed by Vanderbilt University Medical Center, Veterans Affairs TN Valley Geriatric Research Education and Clinical Center (GRECC), provides information on delirium in the intensive care setting. Also included is an online training manual for the Confusion Assessment Method for the ICU (CAM-ICU), a delirium monitoring instrument for ICU patients.