Delirium is a common and often under-recognised condition among older adults, particularly during emergencies.It can be triggered by a range of factors, including infections, dehydration, medications, or underlying chronic conditions, and presents significant challenges for pre-hospital and hospital providers alike.

In this episode, we’ll explore the unique hurdles faced when caring for elderly patients experiencing cognitive changes. From understanding the impact of sensory impairments on communication to distinguishing between delirium, dementia, and other states of confusion, we’ll discuss practical strategies to improve assessment and care delivery. We’ll also highlight the critical role empathy plays in building trust with patients and their families during these vulnerable moments. We’ll dive into how pre-hospital and hospital teams can align to address the root causes of delirium and ensure continuity of care. Ethical dilemmas and family dynamics will also be explored, as well as proactive measures to prevent delirium in at-risk patients. Join us as we unpack these challenges and uncover solutions that prioritise dignity, safety, and quality of life for elderly patients.

To do this we’re joined Iain Wilkinson and James Adams. Iain is a Consultant Geriatrician and Clinical Director at Surrey and Sussex Healthcare NHS Trust. As Clinical Lead for the Ageing Well Group, MDTea podcast host, Vice President (Education and Training) for the British Geriatrics Society, and educator with Health Education England, Iain has a wealth of invaluable expertise.

James is a leader in frailty care and service transformation. As Chief of Service for Frailty and Community Services, he has pioneered workforce development, quality improvement, and national policy influence. His insights encompass the future of care for older people and the integration of innovative, multi-professional strategies.

Links to Validation Theory can be found here:https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD001394/abstract

Links to the GRIFT Triple Assessment can be found here: https://sean9n.wordpress.com/2023/05/23/a-short-story-of-geriatric-medicine-cfs-4at-news/

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