Screening for Delirium, Dementia and Depression in Older Adults

Nursing Best Practice GuidelineOne individual searched each of these sites. The presence or absence of guidelines was notedfor each site searched – at times it was indicated that the website did not house a guideline,but re-directed to another website or source for guideline retrieval. A full version of thedocument was retrieved for all guidelines.STEP 3 – Hand Search/Panel ContributionsPanel members were asked to review personal archives to identify guidelines not previouslyfound through the above search strategy. In a rare instance, a guideline was identifiedby panel members and not found through the database or internet search. These wereguidelines that were developed by local groups and had not been published to date.STEP 4 – Core Screening CriteriaThe search method described above revealed twenty guidelines, several systematic reviewsand numerous articles related to geriatric mental health assessment and management. Thefinal step in determining whether the clinical practice guideline would be critically appraisedwas to apply the following criteria: Guideline was in English, international in scope. Guideline was dated no earlier than 1996. Guideline was strictly about the topic areas (delirium, dementia, depression). Guideline was evidence-based (e.g., contained references, description of evidence,sources of evidence). Guideline was available and accessible for retrieval.53Ten guidelines were deemed suitable for critical review using the Cluzeau et al. (1997)Appraisal Instrument for Clinical Guidelines.