Greater Manchester Hospital Delirium Toolkit
The Greater Manchester hospital delirium toolkit is designed for hospital staff to use to help them identify and manage delirium in people over the age of 18 and not under the influence of drugs or alcohol. It is based on national evidence and includes resources for both clinicians and people with delirium and their families.
The hospital toolkit has been developed by Dementia United in collaboration with partners from acute hospital settings. It is designed to dovetail in with a similar resource for community settings. Click here for the Greater Manchester Community Delirium Toolkit – Dementia United (dementia-united.org.uk). The community toolkit was piloted in 2020. A report following this pilot is available here Greater Manchester Community Delirium Toolkit Pilot Report March 2021 (1)
Download the Greater-Manchester-Hospital-Delirium-Toolkit-August 2023
The individual documents which make up the toolkit can be found below, along with optional resources. The links will lead directly to the named documents
- Key document 1. Greater Manchester Process for Managing Delirium in a Hospital setting
- Key document 2. The 4AT assessment tool for delirium
- Key document 3. Hospital Delirium TIME Bundle
- Key document 4A Greater Manchester Management and Engagement in relation to delirium for a hospital setting – Medical management
- Key document 4B Greater Manchester Management and Engagement in relation to delirium for a hospital setting – Care and Management
- Key document 5. Greater Manchester Delirium Leaflet Long Version June 2023 and Greater Manchester Delirium Leaflet Short Version June 2023
We also have the shorter version of the leaflet available in 16 languages. These are available as a downloadable document and an audio file. You can find them on the Delirium toolkit training resources page
Optional resources:
6. NEWS2: Additional implementation guidance | RCP London
8. Pain Assessment in Advanced Dementia Scale (PAINAD) – MDCalc
9. Greater Manchester nutrition and hydration material:
A. Paper Weight Arm band can be used to indicate malnutrition
B. Monitoring food, fluid intake, and oral hygiene
10. Health Education England mouth care assessment guide
12. West Essex CCG Anticholinergic side-effects and prescribing guidance
13. Bury Urinalysis in Care Homes
14. Newcastle Urine Collection pack which can be purchased via NHS Supply Chain item FSW1451
15. Fundamental needs in dementia – an animation from the CAIT and Newcastle Model series – YouTube
16. Social Care Institute for Excellence video on practical approaches to minimising restraint.
17. Alzheimer’s Society “This is Me” document
18. DF HOSPITAL CHARTER 2018.cdr (nationaldementiaaction.org.uk)
19. Eating and drinking well – supporting people living with dementia
Guidance for the care of people living with frailty undergoing elective and emergency surgery The Centre for Perioperative Care, working in collaboration with the British Geriatrics Society, has published a Guideline for the care of people living with frailty undergoing elective and emergency surgery | British Geriatrics Society (bgs.org.uk) The guideline encompasses the whole perioperative pathway; which includes specific recommendations for the prevention, detection, assessment and management of delirium in Emergency Departments, preoperative outpatient departments, surgical wards and theatres as well for primary care referrers and transfers out of hospital. The guideline has been written for healthcare professionals involved in delivering care throughout the pathway as well as for patients and their carers, managers and commissioners.
Contact Dementia United if you want to provide feedback or have any questions email: gmhscp.dementiaunited@nhs.net
TRAINING RESOURCES
Click here to find a range of resources that provide useful learning for those using the toolkit.
Click here for the Greater Manchester Community Delirium Toolkit – Dementia United (dementia-united.org.uk)