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Patients can be transferred several times and staff often switch over – it requires everyone to think delirium and identify that a patients brain function has changed. He added: The key here is what is delirium? Delirium is a state of confusion that evolves over hours and days, sometimes associated with hallucinations and altered sleep/wake cycles. It comes on because of acute illness – but how much acute illness is inverse to how frail a person is. For older patients with dementia, it could be trivial things like a urine infection, dehydration, unfamiliar environments – like frequent ward transfers. Until recently, health care staff had thought of delirium as an inconvenient side-effect from being ill. But research such as this paper now show it has longer-term consequences. So yes, it is imperative that our ward systems take every step to minimise the development and/or prolongation of delirium. Not least because this state of confusion and psychosis is distressing, but also because it might lead to lasting effects. The research, funded by the Wellcome Trust, also suggested that episodes of delirium in people who are not known to have dementia, might also reveal dementia at its earliest stages. Further research is needed to understand exactly how delirium interacts with dementia, and how this could be blocked. A separate study today found that the UKs current health and social care system is not fit for purpose when it comes to caring for people living with dementia who also have other illnesses and chronic conditions. The research by the University of Hertfordshire was published in journal BMJ Open.
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