Multicomponent, non-drug interventions are the best-supported way to prevent delirium in older hospital patients. They target the usual precipitants rather than relying on one device or drug.
The components are familiar but easily dropped on a busy ward: orientation, sensory aids, hydration, mobility, sleep and a review of medicines.
- Make sure glasses and hearing aids are worn and working.
- Encourage drinking and check for constipation and urinary retention.
- Get the patient out of bed and walking early, with help if needed.
- Review medicines for anticholinergics, benzodiazepines and sedatives.
Why it matters
These measures are cheap and well supported, and are often the first thing lost when the ward is busy.
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