"How do we cut length of stay?" More beds. Faster discharges. Both get a hearing. Screen for delirium: the idea nobody takes seriously. Delirium adds days to admissions. Prevention IS the business case. #delirium

"You can't properly assess for delirium when someone already has dementia." Wrong. New meta-analysis (Keane et al. 2026): 4AT shows 88% sensitivity, 79% specificity in dementia populations. 5 studies. 1,304 patients. International data. #delirium #dementia

The Nursing Delirium Screening Scale (NuDESC). Designed for inpatient monitoring for new #delirium.

Mrs Smith, 78, hip fracture patient, described as "confused & aggressive" Ward round note: "?UTI. Start antibiotics." No mention of "delirium" My reaction: What about her distress - untreated pain? Dehydration? Medication review? Telling the family the diagnosis? Etc. Why we need Delirium 8 👇

Caregiver handout on #delirium from the Regional Geriatric Program of Toronto.

“We had no structured training. It felt like guesswork, not clinical care.” -- a nurse commenting on his experience of providing care to people with #delirium ➡️ For me, a massive upscaling of good quality delirium education is the single most important change we need to make to improve care.

The 4AT can be scored in patients who cannot speak or are too unwell to undergo cognitive testing. No patients are Unable To Assess (UTA) with the 4AT. This improves uptake and accuracy in diagnosis. See the 4AT website for more details.

⁉️ Think it's impossible to achieve high rates of DELIRIUM screening? Think again: ⭐️ 91% completion of 4AT ⭐️ hip fracture patients ⭐️ whole of Scotland data ⭐️ N=18,040 #delirium @rosespenfold @andrewhallortho @KarenAdam13 @NIDUS_Delirium @geri_doc @WesElyMD

Excellent delirium poster from NHS Greater Glasgow & Clyde (Scotland) Do you have delirium information posters displayed in your institution? Link: nhsggc.scot/downloads/causes…

🤔 Delirium treatment is actually pretty complex. When we say 'delirium treatment' what do we mean? From finding & triggers, to maintaining physiological stability, to treating symptoms & reducing long-term complications, there is a lot to think about. I've cared for people with delirium for many years now, & it takes me at least 20 mins to work through all the variables, make a plan, & communicate it.