T – Toilet
I – Infection
M – Medication
E – Electrolytes

A – Anxiety/Depression
N – Nutrition/Hydration
D – Disorientation

S – Sleep
P – Pain
A – Alcohol/Drugs
C – Constipation
E – Environment

• Assess toileting needs frequently. Monitor for urinary retention avoiding catheters if at all possible
• Treat and monitor any underlying infection if present
• Review medication
• Check for electrolyte disturbance
• Assess and manage anxiety and depression
• Provide adequate attention to nutrition and hydration

• Be aware of disorientation, orientate wherever possible
• Minimise sleep disturbances
• Identify and manage pain
• Be aware of withdrawal from alcohol/drugs
• Prevent and where necessary treat constipation
• Remember that environmental changes can increase the severity of delirium. Where possible, avoid moving people between care settings.