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Clinical Nursing Research
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Risk for Acute Confusion in Sensory-Impaired, Rural, Long-Term-Care Elders

Pamela Z. Cacchione

The University of Iowa

Kennith Culp

The University of Iowa

Mary J. Dyck

The University of Iowa

Joan Laing

The University of Iowa

Acute confusion is a common geriatric syndrome in long-term care (LTC) elders with prevalence rates of 10% to 39%. Sensory impairment, specifically vision and hearing impairment, is even more common in LTC, with prevalence rates of 40% to 90%. The purpose of this study was to investigate the risk relationship between sensory impairment and the development of acute confusion in LTC elders. Each resident (N = 114) underwent sensory screening and then was followed for 28 days to monitor for the onset of acute confusion. Twenty residents (17.5%) developed acute confusion, 60 residents (52.6%) were found to be visually impaired, 49 (44.1%) were hearing impaired, and 28 (24.6%) were found to be dually impaired. Significant relationships between vision impairment, odds ratio (OR) = 3.67, confidence interval (CI) (1.13, 11.92), and dual sensory impairment, OR = 2.88, CI (1.04, 8.26), with the development of acute confusion were identified.

Key Words: acute confusion • long-term care • hearing • vision

Clinical Nursing Research, Vol. 12, No. 4, 340-355 (2003)
DOI: 10.1177/1054773803253917
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