title: Prevention and management of postoperative delirium among older patients on an orthopedic surgical unit: a best practice implementation project.
abstract: Delirium is an acute state of confusion that is often seen in older patients after major orthopedic surgical procedures. It is associated with increased costs of care, morbidity, delayed functional recovery, and prolonged hospital stay. Identification of predictive risk factors, early diagnosis and treatment, and implementation of environmental controls can minimize the impact of postoperative delirium. This project measured pre- and post intervention compliance with best practice in the prevention and management of postoperative delirium.
authors.affiliation: Practice Development Unit, Nursing & Midwifery, Royal Hobart Hospital, 56 Collins St., Hobart, TAS 7000, Australia. pam.sykes@dhhs.tas.gov.au
authors.forename: Pamela K
authors.initials: PK
authors.lastname: Sykes
mesh_terms: D000368:Aged; D003693:Delirium / Q000209:etiology / Q000451:nursing* / Q000517:prevention & control; D055318:Evidence-Based Nursing / Q000458:organization & administration*; D015577:Geriatric Assessment; D005851:Geriatric Nursing / Q000458:organization & administration*; D006801:Humans; D009730:Nursing Assessment; D009731:Nursing Audit; D015403:Nursing Evaluation Research; D019637:Orthopedic Procedures / Q000451:nursing*; D013527:Perioperative Nursing / Q000458:organization & administration*; D011183:Postoperative Complications / Q000209:etiology / Q000451:nursing* / Q000517:prevention & control; D017410:Practice Guidelines as Topic; D011785:Quality Assurance, Health Care / Q000458:organization & administration*