Delirium Module 2

Term of Approval: January 2014-December 31, 2015

Peer Review: In November 2013, this Internet enduring material was reviewed by Robert Jackson, MD, Internal Medicine, Houston Methodist Hospital, Clinical Professor of Internal Medicine, Weill Cornell Medical College to ensure its continued scientific relevance.

Dr. Jackson has nothing to disclose.

Initial Term of Approval: January 2012-December 31, 2013

Peer Review: In August 2011, this Internet enduring material was reviewed by Timothy Boone, MD, PhD, Chairman, Department of Urology, Houston Methodist Hospital.

Dr. Boone has nothing to disclose.

Program Overview

Studies have shown that in patients over age 70, there is a 14 percent to 24 percent prevalence of delirium upon admission and a 6 percent to 54 percent incidence of delirium in the hospital. However, delirium is often missed and is coded at very low levels. The low recognition factor versus actual incidence is one the most significant problems in geriatrics. Clinicians do not recognize delirium as a severe problem, do not know how to diagnose it and are unaware that it may be prevented with improved methods of care. By using an educational intervention that will include a commonly used diagnostic screening algorithm for delirium and delivering this intervention to all members of the health care team, we hope to significantly increase the rate of recognition of delirium.

Target Audience

This continuing medical education (CME) activity is designed for physicians, nurses, nurse practitioners, physical therapists, occupational therapists and speech therapists in the hospital setting.

Learning Objectives

After completing this activity, the participant should be able to perform several specific tasks:
  • Recognize risk factors for the development of delirium
  • State possible adverse outcomes related to delirium
  • Use the Confusion Assessment Method tool to screen for delirium
  • List strategies to prevent delirium
  • Implement appropriate management techniques in the hospital

Method of Participation
This program will consist of 20 multiple-choice questions on delirium of the geriatric patient in the hospital setting. The module will begin with two questions every other day in a single email from Houston Methodist Qstream.


The funding for the creation of this educational module is by the Texas Consortium Geriatric Education Center (TCGEC) at Baylor College of Medicine. Founded in 1985, the TCGEC is one of 48 such centers funded by the federal Health Resources and Services Administration.

The funding for the ongoing administration and continuing education credits for this educational module is supported by Funding Opportunity Number CMS- 1C1-12-0001 from the Centers for Medicare and Medicaid Services, the Center for Medicare and Medicaid Innovation. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of Houston Methodist or any of its agencies.

Register Now

Register online at Qstream .

Contact Us

Principal Investigator:
Kathyrn Agarwal, MD
Tel. 713.873.4885

Questions regarding physician CME, NP and PA CE:
Office of Continuing Medical Education

Questions regarding nursing CE:
Ladona Cook, RN
Nurse Specialist – Education

Questions regarding physical therapy, occupational therapy and speech therapy:
Judy Ragsdale, PT
Student Clinical Education Coordinator

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