{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T10:07:17Z","timestamp":1762078037901,"version":"build-2065373602"},"reference-count":19,"publisher":"Mark Allen Group","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J Palliat Nurs"],"published-print":{"date-parts":[[2022,11,2]]},"abstract":"Background:<\/jats:title>Delirium is common across all palliative care settings. Guidelines exist to support the care of terminally ill people who develop delirium; yet the evidence base is limited. Recent surveys of palliative care specialists have suggested clinical practice is variable.<\/jats:p><\/jats:sec>Aim:<\/jats:title>To explore delirium assessment and management in a hospice inpatient setting.<\/jats:p><\/jats:sec>Methods:<\/jats:title>A mixed-methods study comprising a retrospective case note review of 21 patients admitted to a hospice inpatient unit and semi-structured interviews with seven hospice inpatient doctors and nurses.<\/jats:p><\/jats:sec>Results:<\/jats:title>A total of 62% of patients were screened for delirium on admission using the 4 As tool (4AT). The period prevalence of delirium was 76% during the 2-week study period. The term \u2018delirium\u2019 was documented infrequently in case notes, compared to other more ambiguous terms. Interview data suggested that nurses were unfamiliar with delirium screening tools.<\/jats:p><\/jats:sec>Conclusion:<\/jats:title>Lack of awareness about delirium screening tools and the infrequent use of the term \u2018delirium\u2019 may suggest that delirium goes under-recognised and under-treated. Further education and research are required to support the care of terminally ill people with delirium.<\/jats:p><\/jats:sec>","DOI":"10.12968\/ijpn.2022.28.11.506","type":"journal-article","created":{"date-parts":[[2022,11,23]],"date-time":"2022-11-23T17:34:58Z","timestamp":1669224898000},"page":"506-514","source":"Crossref","is-referenced-by-count":3,"title":["Exploration of delirium assessment and management in a hospice inpatient unit"],"prefix":"10.12968","volume":"28","author":[{"given":"Elizabeth","family":"Arnold","sequence":"first","affiliation":[{"name":"Specialty Doctor in Palliative Medicine, Marie Curie Hospice Edinburgh, Scotland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine","family":"Fairfield","sequence":"additional","affiliation":[{"name":"Clinical Development Fellow in Acute and General Medicine and Medicine for the Elderly, Borders General Hospital, Scotland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juliet A","family":"Spiller","sequence":"additional","affiliation":[{"name":"Consultant in Palliative Medicine, Marie Curie Hospice Edinburgh, Scotland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne M","family":"Finucane","sequence":"additional","affiliation":[{"name":"Marie Curie Senior Research Fellow, Clinical Psychology, University of Edinburgh; Marie Curie Hospice Edinburgh, Scotland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5130","reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1177\/0269216311419884"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afz171"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.12688\/amrcopenres.12973.1"},{"key":"B6","first-page":"CD010206","volume":"1","author":"Beller EM","year":"2015","journal-title":"Cochrane Database Syst Rev"},{"issue":"4","key":"B7","doi-asserted-by":"crossref","first-page":"482","DOI":"10.1136\/bmjspcare-2019-001966","volume":"9","author":"Boland JW","year":"2019","journal-title":"BMJ Support Palliat Care"},{"key":"B8","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"B9","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mdy147"},{"volume-title":"Designing and conducting mixed methods research","year":"1997","author":"Creswell J","key":"B11"},{"key":"B12","doi-asserted-by":"publisher","DOI":"10.1017\/S1478951513000813"},{"key":"B13","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2014.02.005"},{"key":"B14","first-page":"CD004770","volume":"1","author":"Finucane AM","year":"2020","journal-title":"Cochrane Database Syst Rev"},{"key":"B15","first-page":"A44","volume":"7","author":"Fleming E","year":"2017","journal-title":"BMJ Support Palliat Care"},{"key":"B16","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.160.6.786"},{"key":"B18","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2013.0646"},{"key":"B21","doi-asserted-by":"publisher","DOI":"10.1097\/SPC.0000000000000458"},{"key":"B22","doi-asserted-by":"publisher","DOI":"10.1177\/0269216319854944"},{"key":"B23","doi-asserted-by":"publisher","DOI":"10.1038\/s41572-020-00223-4"},{"issue":"2","key":"B24","first-page":"1","volume":"12","author":"Woodhouse R","year":"2020","journal-title":"BMJ Supportive Palliative Care"}],"container-title":["International Journal of Palliative Nursing"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/pdf\/10.12968\/ijpn.2022.28.11.506","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,9]],"date-time":"2024-10-09T12:26:22Z","timestamp":1728476782000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/10.12968\/ijpn.2022.28.11.506"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,2]]},"references-count":19,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2022,11,2]]}},"alternative-id":["10.12968\/ijpn.2022.28.11.506"],"URL":"https:\/\/doi.org\/10.12968\/ijpn.2022.28.11.506","relation":{},"ISSN":["1357-6321","2052-286X"],"issn-type":[{"type":"print","value":"1357-6321"},{"type":"electronic","value":"2052-286X"}],"subject":[],"published":{"date-parts":[[2022,11,2]]}}}