Improving the detection, assessment, management, and prevention of delirium in Specialist Palliative Care Units (SPCUs)

Systematic identification, assessment and management of delirium, common in cancer, is crucial; causes may be reversible, preventing further deterioration and death. Currently clinical guidelines are not implemented in hospices. A relevant and flexible implementation strategy adaptable for hospices and other settings (e.g. care homes) is needed.

Working with three Yorkshire hospices, we will: 1. Co-design a flexible implementation strategy, drawing on the Creating Learning Environments for Collaborative Care 2. Assess the acceptability and flexibility of the co-designed implementation strategy 3. Explore the feasibility of a future effectiveness study of strategy-supported delirium care on clinical outcomes