A survey of current practices in management of delirium in a geriatric population

Abstract

PURPOSES: The main purpose of the survey is to explore doctors’ awareness of delirium and their experience in the management of this condition among older adults within the Department of Geriatric Medicine in Malta.

METHODOLOGY: An online questionnaire was distributed via electronic mail to all doctors working within the mentioned department between 18th October 2021 and 16th January 2022.

RESULTS: Twenty-six participants (44.8%) answered the questionnaire, with the more responses received from the senior members of the Geriatric department. Twenty- four participants (92.4%) admitted that they commonly encounter delirium, with mixed delirium being the commonest type. Infection, change in environment, urinary retention, constipation, medication use and metabolic reasons were the most commonly identified reasons for delirium. Despite having a vast majority routinely screen for delirium, all participants admitted that there is a need for more awareness about it. Only twelve participants (46.2%) knew about the local guideline about delirium, despite it being published on the local hospital network in 2020.

CONCLUSION: This study shows that doctors working within the department of Geriatric Medicine in Malta appreciate the importance of timely management of delirium. However more education and awareness about the local guideline is necessary.