Open Sim Lab
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Acute delirium with reversible causes

Educational use only. Not clinically reviewed

82-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.

Every scenario in this module

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.