Delirium bundle

Basically attention to detail and excellent nursing care, a “delirium bundle” directed at the risk factors (See Table 2 and Table 3) has been shown to decrease the incidence, duration, length of hospitalization and mortality. While admittedly it is not known if this translates to better longer-term outcomes it makes good clinical sense.

• Establish baseline cognitive function from family/friends.
• Improved psychotropic medication use.
• Organization of nursing care to promote continuity of care and personal knowledge.
• Provide visual and hearing aids.
• Reorientate patient verbally and visually - clock/calendar.
• Attention to causes of sleep deprivation.
• Mobilize early.
• Ensure adequate pain control.
• Avoid physical restraints.
• Avoid constipation.