Name of Media:

SIGN157: Risk reduction and management of delirium


Euan Bremner, Karen Graham, Aimie Little, Domenico Romano, Gaynor Rattray, Carolyn Sleit, Karen Martin, James McKillop, and Rachael Wybrew

Publisher or Source:

NHS Scotland

Type of Media:

Medical Professional Education

Media Originally for:

Critical Care Physicians, General Medical Professionals, Nurses and/or Other Critical Care Medical Professionals

Country of Origin:

United Kingdom

Primary Focus of Media:

Pre-Use of PICS Designation

COVID-19 Related:



This guideline provides recommendations based on current evidence for best practice in the detection, assessment, treatment and follow up of adults with delirium, as well as reducing the risk of delirium. The guideline applies to all settings: home, long-term care, hospital, and hospice. It is important to note that, to date, much of the existing evidence and the focus of other guidelines, is in acute care settings. However, this does not preclude application of the recommendations to other settings, adapted according to clinician judgement. Person-centred care should be the focus of the implementation of this guideline. The guideline excludes delirium secondary solely to alcohol and illicit substances use. It also excludes delirium in children.

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