SOP: treatment of delirium

Table 1 Multi-component, non-pharmagological interventions to prevent and treat delirium

Cognition and orientation	Orienting communication
	Cognitive stimulation
	Avoidance of sensory deprivation
	Daily schedule, name plates of staff
Early Mobilisation	Ambulation and exercises
Early Mobilisation	Avoidance of immobilisation
Hydration and Nutrition	Sufficient fluid intake or fluid supplementation
Hydration and Nutrition	Sufficient nutrition, feeding assistance
Pain management	Screen for pain symptoms (1 x per shift, VAS, NRS, or BPS)
Pain management	Adequate pain treatment
Medication	Check medication daily
Medication	Reduce and eliminate unnecessary medication, especially if an anticholinergic mechanism is part of the pharmacodynamic profile (see also: PRISCUS list [6], FORTA list [7], https://americandeliriumsociety.org/files/ACB_Handout_Version_03-09-10.pdf)
Vision and hearing	Hearing and vision aids
Sleep-wake cycle	Noise reduction at night (schedule adjustment etc.)
Sleep-wake cycle	Activity during daytime

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