Such patients were twice as likely to die in hospital, and four times more likely to need to move to live in a nursing home – a result that most fear more than dying. The NHFD’s annual report shows that a quarter of all patients were identified as having delirium after surgery. Delirium is the commonest complication of hip fracture, and of the anaesthesia and surgery necessary to treat this injury.ĭelirium can take the form of sudden confusion, drowsiness or agitation, and can be a terrifying experience for frail older patients and their families. The NHFD has championed the routine assessment of people to identify, prevent and treat such problems, and over 80% of all patients received such assessment in 2017. The latest National Hip Fracture Database (NHFD) annual reports the dramatic results of an innovative programme of screening for delirium which has been the focus of attention and investment through NHS England’s best practice tariff. Orthopaedic teams are spearheading routine screening to prevent and treat this complication.This is the commonest complication of emergency surgery and anaesthesia in older people.Ě quarter of hip fracture patients suffer with confusion/delirium following surgery.See corresponding entry in Unabridged disarray, disarrange, disturb.Ī confused state of mind=Ī dog confused a mannequin with a real dogĪt times/occasionally, he was bewildered/confused byīecomes confused / confusing to be understood.NHFD 2018 annual report Rise in older patients receiving innovative tests for delirium See corresponding entry in Unabridged mortify, shame. To embarrass is to cause one to be ill at ease or uncomfortable, so that one's usual judgment and presence of mind desert one: to embarrass someone by unexpected rudeness. To disconcert is to disturb one's mind by irritation, perplexities, etc.: to disconcert someone by asking irrelevant questions. To confuse is to produce a general bewilderment: to confuse someone by giving complicated directions. Confuse, disconcert, embarrass imply temporary interference with the clear working of one's mind.
See corresponding entry in Unabridged mystify, nonplus. ly (kən fyo̅o̅ ′zid lē, -fyo̅o̅zd ′-), USA pronunciation adv.
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