PICO Analysis of Delirium.docx - Running head PICO ANALYSIS OF DELIRIUM PICO Analysis of Delirium Baylee Knox Walden University NURS 6540 Advanced

Running head: PICO ANALYSIS OF DELIRIUM PICO Analysis of Delirium Baylee Knox Walden University NURS 6540: Advanced Practice Care of Frail Elders July 4, 2019

Running head: PICO ANALYSIS OF DEMENTIA Assignment 1: PICO Analysis of Delirium With the increasing prevalence of delirium in the geriatric population, as advanced practitioners we will likely care for elders with this condition, it is important to be able to treat effectively. Delirium is defined as an acute disturbance of consciousness, change in cognition, and a reduced ability to focus, sustain, or shift attention. Delirium has been identified as the most common complication of hospitalization in older patients and can be avoided if recognized early (Inouye, 2015). The purpose of this paper is to formulate a PICO question on delirium, identify resources and key search terms, summarize evidence based research articles and create an evidence table with article summaries on the best screening assessments for this condition for earlier diagnosis and treatment. PICO Question In the geriatric population with delirium (P), what are screening tools that could be utilized to diagnose delirium (I) compared to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) (C) to effectively treat and manage the population of patients with this disorder (O)? Search Strategy Electronic databases used included the MEDLINE with Full Text, Science Citation Index, CINAHL Plus with Full Text, PsycINFO, Science Direct, [email protected], and ScholarWorks were searched for studies that compared delirium bedside screening tools with the DSM-5 defined diagnosis of delirium in hospital inpatients. The following keywords were used to search: delirium, screening tools, confusion, and diagnosis. Articles that met inclusion criteria were articles that were five years old or less and articles that researched delirium assessment 2

Running head: PICO ANALYSIS OF DEMENTIA screening tools used in the aging or geriatric population. The Boolean search string that was used in this research study was delirium screening tools. 3

Running head: PICO ANALYSIS OF DELIRIUM Analysis of Literature C Citation Concept ual Framewo rk/ Theory Main Finding Resea rch Metho d Strengths of Study Weakn ess Level of Evidence Hendry, K., Quinn, T. J., Evans, J., Scortichini, V., Miller, H., Burns, J., . . .