Date Approved

1995

Graduate Degree Type

Thesis

Degree Name

Nursing (M.S.N.)

Degree Program

College of Nursing

First Advisor

Andrea C. Bostrom

Second Advisor

Mary Horan

Third Advisor

Theresa Bacon-Baguley

Abstract

The elderly are the fastest growing segment of the population in the United States. Elderly persons are at high risk for developing delirium when hospitalized. The purpose of this study was to determine if pre-morbid cognitive behaviors were predictive of in-hospital delirium in elderly hip-fracture patients. The ability to predict or diagnose delirium early could prevent complications during hospitalization and decrease the length of hospital stays. The study was descriptive correlational. Subjects were admitted to a metropolitan teaching hospital during February through August 1993, were 60 years or older, and were diagnosed with hip fracture. Admission assessments included the Cognitive Behavior Rating Scales, a family assessment of pre-morbid cognitive behaviors. The Confusion Assessment Method, a delirium specific assessment tool was completed on admission and every shift. Of the 41 subjects, 12% (n = 5) became delirious. None of the subscales on the CBRS were predictive of delirium as defined by the CAM.

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