Considering Causes for Hypoactive Delirium

Q- Quick and Accurate Assessment with a validated tool

U- Understand Risk Factor

I- Initiate Discussion of Home Medications, Adequate Pain Control and Minimizing Sedation

E- Encourage Early Mobility, Nutrition, Hydration, and Restraint Release

T- Timing of Care to Promote Sleep

Hypoactive delirium is difficult to detect

Understanding clinical features and risk factors is critical for detection

Standardized assessment tools appropriate for the population should be used

Frequent assessments are needed because delirium fluctuates

Prevention and intervention strategies should be implemented early

Regularly assess medication for delirium risk and response

Strongly consider continuation of home medications,

Promote adequate pain management and reduction of sedation to the minimum dose required

Early mobility, limiting restraint, adequate hydration and nutrition are key to prevention and treatment

Timing of care should promote periods of uninterrupted rest and sleep (i.e. giving up middle of the night bathing, timing of medication administration and routine lab/x-rays)

Establishing day and night routines will reduce risk and help resolve delirium