Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Submit your manuscript here

Click here to sign up for SAGE Journal Email Alerts today!

Sign In to gain access to subscriptions and/or personal tools.
Clinical Nursing Research
This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Wakefield, B. J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Wakefield, B. J.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Risk for Acute Confusion on Hospital Admission

Bonnie J. Wakefield

Iowa City VA Medical Center

Elderly individuals are at risk for acute confusion (AC) during hospitalization. Using a prospective design, this study assessed the relationship between admission risk factors and subsequent development of AC in 117 elderly hospitalized patients. AC was ascertained using the NEECHAM Confusion Scale. Other measures included demographic data, cognitive status, physical function, laboratory data, medications, infections, activity, pain, and nursing acuity. The cumulative incidence estimate was 14%. Patients who developed AC were more likely to be admitted to the hospital from somewhere other than home, to have lower admission NEECHAM and MMSE scores, and to have restricted activity levels, an infection, and abnormal lab values. These patients were more cognitively and physically frail and may have been chronically undernourished and dehydrated on admission to the hospital. Nurses can be trained to routinely assess for acute confusion using easily implemented instruments incorporated into a research-based protocol.

Clinical Nursing Research, Vol. 11, No. 2, 153-172 (2002)
DOI: 10.1177/105477380201100205
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
 West J Nurs ResHome page
L. L. Popejoy, K. Moylan, and C. Galambos
A Review of Discharge Planning Research of Older Adults 1990-2008
West J Nurs Res, November 1, 2009; 31(7): 923 - 947.
[Abstract] [PDF]

Home page
 West J Nurs ResHome page
B. J. Wakefield and J. E. Holman
Functional Trajectories Associated With Hospitalization in Older Adults
West J Nurs Res, March 1, 2007; 29(2): 161 - 177.
[Abstract] [PDF]

Home page
 PsychosomaticsHome page
J.-D. Gaudreau, P. Gagnon, M.-A. Roy, F. Harel, and A. Tremblay
Association Between Psychoactive Medications and Delirium in Hospitalized Patients: A Critical Review
Psychosomatics, August 1, 2005; 46(4): 302 - 316.
[Abstract] [Full Text] [PDF]