Screening for Delirium, Dementia and Depression in Older Adults

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Screening for Delirium, Dementia and Depression in Older AdultsScreening for Delirium, Dementiaand Depression in Older Adults8DisclaimerThese best practice guidelines are related only to nursing practice and not intended to take intoaccount fiscal efficiencies. These guidelines are not binding for nurses and their use should beflexible to accommodate client/family wishes and local circumstances. They neither constitutea liability or discharge from liability. While every effort has been made to ensure the accuracyof the contents at the time of publication, neither the authors nor RNAO give any guarantee asto the accuracy of the information contained in them, nor accept any liability, with respect toloss, damage, injury or expense arising from any such errors or omissions in the contents of thiswork. Any reference throughout the document to specific pharmaceutical products as examplesdoes not imply endorsement of any of these products.CopyrightWith the exception of those portions of this document for which a specific prohibition orlimitation against copying appears, the balance of this document may be produced, reproducedand published in its entirety, in any form, including in electronic form, for educational or noncommercialpurposes only, without requiring the consent or permission of the RegisteredNurses Association of Ontario, provided that an appropriate credit or citation appears in thecopied work as follows:Registered Nurses Association of Ontario (2003). Screening for Delirium, Dementia andDepression in Older Adults. Toronto, Canada: Registered Nurses Association of Ontario.
Nursing Best Practice Guidelinetable of contentsGuiding Principles – Assumptions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11Summary of Recommendations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12Interpretation of Evidence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14Responsibility for Development . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15Purpose and Scope . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15Guideline Development Process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16Definition of Terms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18Background Context . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20Practice Recommendations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22Education Recommendations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36Organization & Policy Recommendations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37Evaluation & Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37Implementation Tips . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39Process for Update/Review of Guideline . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42Bibliography . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 449
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November 2003Screening for Delirium
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Screening for Delirium, Dementia and Depression in Older Adults

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