Nursing geriatric protocol: set of measures to prevent the development of delirium in hospitalized elderly and senile patients

Abstract

In this article, the authors consider the problem of delirium in the elderly and senile age, which is an actual geriatric syndrome in the world clinical practice. The paper focuses on the management of an elderly patient with delirium by secondary medical personnel. For this purpose, the geriatric nursing protocol «Set of measures to prevent the development of delirium in hospitalized elderly and senile patients» is provided, which is used in the clinical practice of the Russian Clinical and Research Center of Gerontology. The protocol provides an idea of the prevalence and relevance of delirium. The parameters for evaluating a patient with delirium, the nursing strategy, and the expected results from implementing the protocol are described. The necessary diagnostics for the scale are given, an important place is given to the prevention of delirium. The need to train nurses in diagnosis, prevention, and patient care is discussed.