This chapter uses the data from a study undertaken by the authors to improve practice in prevention, early detection and management of delirium in an acute care hospital environment. The clinical recognition of delirium and differentiation from dementia or confusion was identified as a starting point as literature demonstrated that two-thirds of cases were under-recognised. The authors give a clear account of how participatory action research can change and redesign practice to improve care. The importance of involving staff to claim ownership of the change process cannot be overestimated. Sustaining the change is the challenge and educating new staff to the protocols and gaining skills must be ongoing.
Older People: Issues and Innovations in Care p. 244-260