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  5. Delirium diagnosis, risk reduction, and management in acute services (081)
Please update your RDS mobile app to version 4.7.1

We are pleased to advise that deep linking capability, enabling users to directly download individual mobile toolkits, has now been released on the RDS mobile app. When you install the update, you will see that each toolkit has a small QR code icon the header area beside the search icon – see screenshot below. Clicking on this icon will open up a window with a full-size QR code and the alternative of a short URL for sharing with users. Instructions are provided.

You may need to actively install the update to install RDS app version 4.7.1 to see this improvement. Installing this update is also strongly recommended to get the full benefits of the new contingency arrangements – specifically, that if the RDS website should fail, you will still be able to download new mobile app toolkits. 

To check your current RDS version, click on the three dots bottom right of the RDS app screen. This takes you to a “More” page where you will see the version number.  To install latest updates:

On iPhones – go to the Apple store, click on your profile icon top right, scroll down to see the apps waiting to be updated and update the RDS app.

On Android phones – these can vary, but try going to the Google Play store, click on your profile icon top right, click on “Manage apps and device”, select and update the RDS app.

Please get in touch with ann.wales3@nhs.scot with any questions.

Delirium diagnosis, risk reduction, and management in acute services (081)

Warning

Be aware that people in hospital may be at risk of delirium. This can have serious consequences (such as increased risk of dementia and/or death), may increase their length of stay in hospital and their risk of new admission to long-term care.

The TIME checklist should be used to prompt good delirium risk reduction, diagnosis and management – it consists of a 4AT and the 4 steps: Think, Investigate, Manage and Explain & Explore

This guideline can be used in all acute areas managing adult patients with the exception of Anaesthetics and Intensive Care where although the principles are the same there are differing practical implications. Practitioners in these areas should refer to local policies or to SIGN 157. This guideline. does not cover primary care (including care homes), children and young people (under 18 years), people receiving end of life care, people with intoxication and/or withdrawing from drugs or alcohol or with delirium associated with these states. Medical, Nursing and Allied Health Professionals (AHPs) who work in areas where people are at risk of delirium should familiarise themselves with the guideline.

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Editorial Information

Last reviewed: 09/04/2024

Next review date: 01/04/2025

Author(s): Hazel Miller.

Version: 7

Author email(s): Hazel.Miller2@ggc.scot.nhs.uk.

Approved By: Acute Services Division Clinical Governance Forum

Reviewer name(s): Hazel Miller.

Document Id: 081