Delirium in Adult Cancer Patients: ESMO Clinical Practice Guidelines
Annals of Oncology
Bush, S. H., Lawlor, P. G., et al. (2018).
Annals of Oncology, 29(Suppl 4), iv143-iv165.
This Clinical Practice Guideline from the European Society for Medical Oncology provides recommendations for adults with cancer who are at risk of or have been diagnosed with delirium.
European Society for Medical Oncology
<div>For adult cancer patients who are at risk of or who are diagnosed with delirium and who have cognitive impairment, healthcare providers should reorient the patient to their location, their personal information, and information about their providers/care. Additional strategies include the use of tools (e.g., white boards, visible clocks) and the use of cognitively stimulating activities (Unrated).</div>
<div>For hospitalized adult cancer patients who are at risk of delirium, the evidence is insufficient to recommend for or against the routine use of screening tools to assess delirium severity (Grade C; Level III).</div>
<div>For adult cancer patients who are at risk of or who are diagnosed with delirium, information and education on delirium should be provided to the patient's family and/or caregiver(s) by suitably trained staff (Grade A; Level V). Interprofessional delirium education should be provided to the whole healthcare team to improve the recognition, assessment, and management of delirium symptoms in the patient (Grade A; Level II).</div>
<div>For adult cancer patients with hearing loss who are at risk of or who are diagnosed with delirium, hospital staff should ensure: the use of hearing aids or other hearing devices and that the patients' ears are free of wax (Unrated).</div>
