222 TOWARDS A DELIRIUM FRIENDLY EMERGENCY DEPARTMENT

Abstract Background Delirium affects approx. 10-30 % of patients over the age 65. Up to 70% cases are missed in Emergency Department (ED). results increased morbidity, mortality, length stay and decreased functional status with discharges residential care centres. ED is an independent predictor death within 6 months. Methods We completed audit which showed 40% those > 65 years were delirious 60% had dementia. None these been identified as prior review. have 5,000 >75 attending our annually (1/7th presentations). This was used a catalyst for quality improvement project. established steering group small sub-committee. combed literature, areas costed also looked at reliance on 1:1 carers delirium potential benefits patient, staff management. Results SPARK ignite programme means gain momentum educate ourselves business management change competed finals “delirium package” – focussing orientation, stimulation, safety education. These 4 pillars shown prevent delirium, reduce hospital augment their cycle. Competing winning prize highlighted importance brought project bigger stage. Conclusion Due multi-disciplinary team composed non-consultant doctors, advanced nurse practitioners occupational therapists, we able introduce national dementia early identification emergency department. now space managing received funding put package place. can be replicated hospitals around country highlighting non-pharmacological treatments delirium.