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Spot, treat and stop delirium: Acceptability and feasibility of a novel ‘Delirium Wheel App’ to identify and manage delirium in a care home setting in the United Kingdom

Negi, Rashi

Authors

Rashi Negi



Abstract

AbstractBackgroundDelirium is common in elderly, frail residents in care home settings, who may already be suffering from dementia. The prevalence of delirium in nursing homes can be up to 60%. Care home staff are potentially in a unique position to identify the subtle changes that can precede a full‐blown episode of delirium. Towards this aim, as a part of frailty initiative West Midlands, a delirium app, called ‘Delirium Wheel’ (https://rb.gy/ns80hw) was developed.MethodIn order to explore the feasibility of the Delirium Wheel (DW) app to support care home staff to care for patients experiencing delirium, a feasibility study was carried out between October 2022 to May 2023 in 6 care homes in Staffordshire. The care homes were given delirium app training and a survey was carried out to assess their baseline knowledge and skills in the identification and management of delirium. A further survey was carried out 12 weeks following the implementation of the app, with qualitative interviews carried out with a sample of the care home staff.ResultThe study is currently at Stage 1 of the data collection phase and the initial surveys have been collected evaluating baseline knowledge and practice within the care homes. Staff members have now been interviewed as part of Stage 2 of the study process, with the qualitative data currently being transcribed. The full results are expected to be reported by the end of April 2023.ConclusionThis study is the first research which formally tests this unique app as a digital tool to support healthcare professionals in the identification and management of a very common condition such as delirium. This empowers care home staff to have confidence in their own skills and have an app to support if there is any clinical uncertainty. As a result of this intervention, the probability of patient’s being able to be managed within the care home setting increases, leading to better patient related outcomes.

Citation

Negi, R. (2023, December). Spot, treat and stop delirium: Acceptability and feasibility of a novel ‘Delirium Wheel App’ to identify and manage delirium in a care home setting in the United Kingdom. Poster presented at Clinical Manifestations

Presentation Conference Type Poster
Conference Name Clinical Manifestations
Deposit Date Jan 29, 2024
DOI https://doi.org/10.1002/alz.072870
Keywords Psychiatry and Mental health, Cellular and Molecular Neuroscience, Geriatrics and Gerontology, Neurology (clinical), Developmental Neuroscience, Health Policy, Epidemiology
Publisher URL https://alz-journals.onlinelibrary.wiley.com/doi/10.1002/alz.072870


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