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American Delirium Society December 2018 BiMonthly Newsletter

Call for Abstracts

The 2019 ADS Annual Meeting Conference Planning Committee is now accepting abstracts for presentation at our 9th Annual Meeting that will be held June 16-18, 2019 at the Boston Park Plaza Hotel in Boston, MA.

Abstracts will be accepted until January 21, 2019 23:59h (PST)

We welcome abstracts from clinicians/researchers/administrators from around the world that pertain to delirium research, practice, quality improvement and/or education.

Abstracts presented at other professional meetings are welcome as long as the abstract results have not been published in the peer-review literature at the time of abstract submission.

Please reach out to the American Delirium Society info@americandeliriumsociety.org with any questions or concerns.

Notification of acceptance will be sent to all abstract authors no later than March 1, 2019.

Thank you for submitting your research to the American Delirium Society!

John Devlin, PharmD, Co-Chair

Babar Khan, MD, Co-Chair

Conference Programming Committee, ADS Boston 2019

Free ADS Membership, When you bring in 3!

This holiday season we encourage you to gift your colleagues with an introduction to the American Delirium Society.

ADS would like to enlarge this vital community by providing you with a free annual ADS membership, when you refer three people to join the American Delirium Society. Once three people have completed their membership application and have noted you referred them, our office will contact you about your one free year of membership.

“This is Delirium” Interactive E-Learning resource.

Aaron Pinkhasov, MD, FAPA Chairman, Department of Behavioral Health NYU Winthrop Hospital

Given the high prevalence of delirium and significant negative impact on healthcare outcomes and economics, the NYU Winthrop Hospital developed an interactive web-based delirium education module geared towards health professionals that will likely encounter patients at risk for delirium. This e-learning program may also serve as an educational resource for families and caregivers. The goal of this training module is to increase healthcare provider’s confidence in recognition and management of delirium. After completion of this program trainees will be able to define signs and types of delirium; to identify common etiology and risk factors for delirium and to describe prophylaxis and treatment interventions for delirium.

This delirium education module is interactive and designed to engage trainees in an active learning process allowing them to navigate through it at their own pace. Trainees are able to return to any section at will by clicking on its title listed in the menu. All citations are hyperlinked and the resources may be accessed using a pull-down menu. Full access to all reference articles is provided. The video case study depicts a classic delirium presentation in an elderly male patient and his experience in the hospital reenacted by professional actors. The educational module includes DSM-5 delirium criteria, each of which is illustrated by a pertinent segment from the video case study. It is followed by important statistics reflecting facts about prevalence, the negative economic impact of delirium on healthcare systems and cognitive decline in delirium survivors. Hyperactive, hypoactive and mixed delirium psychomotor phenotypes are discussed. Delirium risk factors are listed as well as its negative impact on hospital length of stay, mortality and overall prognosis. To emphasize high mortality risk in delirious patients, the mnemonic “I WATCH DEATH” is adopted from the American Psychiatric Press Textbook of Neuropsychiatry to explain its etiology. A brief overview of current theories of delirium pathogenesis involving neurotransmitter and hormonal imbalance is also provided.

The non-pharmacological approach to delirium management is discussed in detail using “ACE- intervention” strategy with the focus on activity, comfort and environment aspects of care. When a non-pharmacological approach is not enough to combat delirium, emphasis is placed on the need to avoid anticholinergics, benzodiazepines and opiates. Examples of low dose antipsychotics used in hyperactive delirium are provided with relevant precautions.

At the end of the module, trainees will take an interactive Assessment Quiz. The first part of the quiz offers a choice between two short videos demonstrating proper staff interaction with an agitated patient experiencing delirium. The second part of the quiz focuses on “ACE intervention” strategies as well as the importance of avoiding benzodiazepines in patients with delirium. The closing section highlights potentially traumatic psychological experiences in delirium survivors. And an optional post-test is offered to trainees interested in obtaining a certificate of completion with professional development CME credits. We hope that this interactive web-based delirium education module will prove practical and useful to anyone interested in detection, prevention and effective management of delirium.

ADS @ EDA

Members of the American Delirium Society presented at the most recent annual meeting of the European Delirium Association in Utrecht, The Netherlands.

ADS Presentations covered a wide variety of topic areas including:

  • Keynote lecture: Delirium in the ICU
  • Clinical delirium care: Delirium in palliative care
  • ICU delirium: Reducing delirium through application of the 2018 SCCM PADIS guidelines
  • ICU delirium: Should delirium be treated with antipsychotics? Results of the MIND Study
  • Long-term outcomes of delirium: Depression, anxiety and PTSD
  • Delirium education and societal impact: Legal implications of delirium
  • Long-term outcomes of delirium: Cognitive decline
  • New-Old Approaches to Delirium: Integrating Detection, Pharmacology and Therapy
  • Delirium research: How to proceed?: Integrating immunology and network science
  • ICU delirium: Pharmacological and non-pharmacological prevention of delirium
  • Delirium research: How to proceed?: Structural imaging

American Delirium Society Listserv

ADS is excited to announce a members only listserv. This is a communication tool which allows the sharing of information, whether you have a question to ask, or a pearl to share. The listserv will facilitate connections between members and expand our knowledge on issues and resources related to delirium. It will archive discussions or information for future retrieval. Examples of how a member might use the listserv include the following:

Pose a question about a specific clinical topic: electronic cognitive screening programs. “Is anyone using an electronic cognitive screening program to assess for delirium in hospitalized patients? Was it difficult to get IT approval?”

Inform others of a new publication that might be of interest to many: Delirium Prevention Using Pet Therapy. (post the url address/link- not the actual article)

Share information regarding an upcoming educational event that might be of interest to others (conferences or webinars). Seek permission for ADS communications chair for events sponsored by organizations other than ADS

Respond to another member’s question

Share an evidence based clinical pearl

Seek input from others on a program or project you are working on.

Comment on a public announcement that involved delirium

Search prior discussions on a topic you currently need more information on.

Save the Date: World Delirium Awareness Day: March 13, 2019

The International Federation of Delirium Societies (iDelirium) is happy to announce the upcoming 3rd annual World Delirium Awareness Day social media awareness campaign. We are looking for all the #deliriumsuperheros to come together on Twitter/Instagram/Facebook and Linkedin to spread the word, your stories and your successes on social media. Save the date for #WDAD2019, March 13, 2019.

Actions to take for #WDAD2019:

  • Commit to using the term 'delirium'
  • Screen your patients for delirium
  • Listen to patient and family stories about the experience of delirium
  • Engage your leadership in a discussion of Delirium
  • Educate health professionals about delirium

What are your WDAD2019 Plans?

Share on Twitter: @iDelirium_Aware

E-mail Stories/Photos to: iDelirium.ifds@gmail.com

Join the ADS Education Committee!

The committee is currently working on how to both increase the value of membership in ADS and to enhance the access to quality education for the delirium community. To learn more contact the Board Liaison: Christine Waszyinski: Christine.Waszynski@hhchealth.org

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