EARLY DELIRIUM ASSESSMENT FOR HOSPITALIZED OLDER PEOPLE IN INDONESIA: A SYSTEMATIC REVIEW
ABSTRACT: Due to the
increasing risk of getting co-morbidity and frailty, older people tend to be
prone to hospitalization. Hospitalization in older people brings many adverse
effects. Moreover, when these elderly get delirium, the mortality and morbidity
will increase. The risk of getting deterioration and worsening condition
because of delirium would also increase. In fact, delirium assessment is not a
high priority in taking care older people during hospitalization because the
focus of care is treating the disease.Delirium screening as an early
recognition of delirium in the hospitalized elderly inIndonesia remains
unreported and even do not well evaluated. Therefore, delirium as a preventable
problem or causing problems remains unrecognized.
Purpose: This paper aims to review the current evidence of early
assessment of delirium in hospitalized older people.
Methods: A systematic review was conducted from four databases yielding
to 4 articles which met the inclusion and exclusion criteria.
Results: There are four focuses on the result, namely delirium screening
tools, patient characteristics, identified early delirium assessment, and
outcomes affected by early delirium assessment. Confusion Assessment Method
(CAM) was used as the delirium screening tool in the hospital. Establishing the
care team involving many disciplines will give a better way to improve the
integrated care and collaborative care.
Conclusion: Performing CAM integrated into comprehensive geriatric
assessment can be the most important thing to be undertaken when looking after
the hospitalized elderly
Author: Azam David Saifullah,
Ching-Min Chen
Journal Code: jpkeperawatangg160002
