The Confusion Care Pathway

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The Confusion Care Pathway has been developed by the dementia/delirium working group at London North West Healthcare NHS Trust as a guide to best practice in supporting people with dementia, delirium and/or cognitive impairment and their carers.

The Confusion Care Pathway PDF, 268.8 KB

A best practice guide for use by the full multidisciplinary team supporting people who are confused regardless of whether the confusion is due to delirium and / or dementia or undiagnosed cognitive impairment.

The Confusion Care Pathway (CCP) starts with the need to recognise confusion. A confusion identifier (the symbol on the CCP) is applied to the medical notes and a magnetic identifier is applied above the bed. The CCP subsequently guides healthcare staff to assess the cause of the confusion in order to reach a cognitive diagnosis, to avoid moves unless in the patient’s interest and to focus on assessing the patient’s needs for care planning and discharge planning throughout the inpatient stay.

The CCP prompts healthcare staff to work in partnership with the patient and their carer from the outset of their admission by: exploring the patient’s needs and preferences via a document called ‘Important Things About Me’, as well as using the Carer’s Agreement and Carer’s Passport.

Important Things About Me PDF, 201.7 KB

A document via which to explore the patient's needs and preferences.

Carer's Agreement & Carer's Passport PDF, 378.3 KB

Enables the carer to visit flexibly and to request how they wish to support the patient while they are being cared for by the Trust.

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