Acute delirium with reversible causes
Educational use only. Not clinically reviewed82-year-old woman for calm delirium recognition, reversible-contributor, safety, and handoff practice. About 6 simulated minutes.
What you will practise
- Reconcile baseline, clock, fluctuation, attention, perception, function, and the whole patient.
- Recognize delirium indicators and the qualified assessment boundary without dementia or single-cause closure.
- Activate qualified medical, nursing, pharmacy, family, safety, capacity, and mobility ownership.
- Review reversible contributors, communication, environment, de-escalation, and treatment boundaries.
- At a strict later report, review contributors and the unresolved cognitive trajectory.
- After another elapsed interval, hand off causes, capacity, safety, medicines, function, recurrence, follow-up, and active risk.
Review and sources
Not clinically reviewed. No clinician has signed this scenario.
- National Institute for Health and Care Excellence. Delirium: prevention, diagnosis and management in hospital and long-term care. NICE guideline CG103. Updated 2023.
- National Institute for Health and Care Excellence. Delirium in adults. NICE quality standard QS63. Updated 2023.
Open Sim Lab is an educational simulator, not for clinical use. It is not a clinical decision-support tool, not a dosing calculator, and is not validated for any decision affecting a real patient.