Delirium: Past, Present and Future
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Ms. Marnie Phillips and Mrs. Marcia Phillips
Having cared for Dad and husband, Maurice, during protracted bouts of delirium that contributed greatly to his untimely passing, Marnie and Marcia will speak about the challenges they faced as carers (and Maurice as a sufferer) through this devastating process. They will also highlight the positives and negatives of the care they received from various medical professionals and share some learnings and recommendations from the carers’ perspective. Marnie and Marcia have become passionate about increasing knowledge, awareness and understanding of delirium in the medical and general communities
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Professor Liz Sampson
Liz is professor in the Division of Psychiatry, UCL. Her research focusses on key clinical issues for frail older people. Her main areas of interest are dementia and delirium in acute hospital inpatients (epidemiology and health services research), identifying, better understanding and managing common symptoms, including pain, delirium and difficulty swallowing and using mixed methods (data, cohort studies co-design) to implement better care. She is principal investigator for the NIHR/ESRC-funded Empowering Better End of Life Dementia Care (EMBED-Care) research programme (https://www.ucl.ac.uk/psychiatry/research/marie-curie-palliative-care-research-department/research/centre-dementia-palliative-care). She is a consultant liaison psychiatrist at North Middlesex University Hospital
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Professor Andrew Teodorczuk
Andrew Teodorczuk practices as a Consultant Old Age Psychiatrist at The Prince Charles Hospital. He is also a Professor of Medical Education and MD Program Convenor at the Faculty of Medicine, University of Queensland. Previously he was a board member of the European Delirium Association and he currently holds a position on the Australasian Delirium Association.
His research expertise is in educational approaches to best delirium practice. He has a keen interest in interprofessional education, work based learning and wellbeing and seeks to translate understandings from the education field to drive innovative pedagogical approaches in clinical workplaces. Andrew Teodorczuk has a well-established track record with over 90 peer reviewed publications and has delivered nearly 100 invited presentations at local, national and international conferences. He has received numerous awards in recognition of his teaching and research including the Principal Fellowship of the Higher Education Academy (PFHEA). Lastly, as well as being a deliriumologist, Andrew is a keen but extremely rusty baseball player playing centre field for the Redland Rays Div 6 Mantarays. |
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Professor Alasdair MacLullich
Alasdair’s main research interests are the neuropsychology, pathophysiology and clinical care of delirium. He has developed clinical and research tools for delirium assessment (eg. the 4AT www.the4AT.com). He co-founded the European Delirium Association. Alasdair co-chaired the Scottish Intercollegiate Guidelines Network group for a national Guideline on Delirium, published in 2019. He is Chair of the National Scottish Hip Fracture Audit Steering Group
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Dr Frederick Graham (PhD, BNurs)
Fred is Clinical Nurse Consultant (CNC) and clinical lead of the Dementia and Delirium Nursing Service at Princess Alexandra Hospital (PAH), Brisbane. Fred is a clinical expert in managing changed behaviours and psychological symptoms in dementia and symptoms of distress in delirium. His clinical works has also involved developing, implementing staff education, cognition champions, at-the-bedside care resources and an Acute Cognition Unit. He was principal content author for Dementia Training Australia’s nationally available e-Learning package for care of hospitalised people with dementia – “The View from Here”. His recent PhD research explored whether hospital nurses recognise pain-related agitation in older cognitively impaired patients
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Professor Victoria Traynor
Victoria is a Professor of Nursing at the University of Wollongong where she has worked for the past 15 years. Her current role as Acting Head of School has required a focus on supporting students and staff to manage the impact of COVID. Victoria is the Founding Director of Aged and Dementia Health Education Research (ADHERe). The aim of their research is to contribute to the transformation of the lives of older people and family carers using the evidence-based resources they produce from their research studies. Their research adopts knowledge translation strategies and includes a wide range of qualitative and quantitative research methods. Always at the centre of their research is actively engaging stakeholders to ensure the outputs have high impact for the aged care community
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Professor Alison Mudge
Alison Mudge is a physician, educator and health services researcher based at Royal Brisbane and Women’s Hospital. She works to improve the care, experience and outcomes for older people in hospital through improvement, research, knowledge translation and advocacy. She is the clinical lead for Eat Walk Engage, Queensland’s state-wide delirium prevention program
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Ms. Liz Purcell
Liz is an Advanced Accredited Practicing Dietitian, with more than 20 years’ experience. Throughout her career, Liz has developed extensive clinical expertise in a range of practice domains and across the continuum of care but harbors a particular interest and has advanced clinical knowledge in Gastroenterology - specifically Inflammatory Bowel Disease - and Intensive Care nutrition. Through various roles, including Director of Dietetics in Bundaberg Hospital for 3 years and now her role as Advanced Team Leader at Logan Hospital, she endeavors to make her mark as a renowned Australian health professional. Liz is currently undertaking research in the area of Exclusive Enteral nutrition in the management of adults with Crohn’s Disease
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Dr Maureen Runganga
Dr Maureen Runganga MBChB FRACP Consultant Geriatrician. Senior staff specialist at Ipswich hospital, clinical lead for orthogeriatrics and memory clinic. Senior Lecturer, University of Queensland School of Medicine, Ipswich Clinical Unit.
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Ms. Anne Cumming
Anne is Principal Advisor for Cognitive Impairment at the Australian Commission on Safety and Quality in Health Care. With a clinical background in social work in aged care and disability, Anne has focused her career on health policy related to cognitive impairment
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Conjoint A/Prof Anne Wand
Dr Anne Wand is a psychiatrist of old age and Conjoint Associate Professor at the University of Sydney. She has clinical and research experience in the fields of old age psychiatry, delirium, and psychosomatic medicine. She has published 71 articles in peer-reviewed journals and seven book chapters
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A/Prof Debbie Long
Debbie is an Associate Professor in Paediatric, Child and Youth Health Nursing at the Queensland University of Technology. She has been the Nursing Lead for research in the PICU at Children’s Health Queensland, including both the Royal Children’s and Queensland Children’s Hospitals for the last 16 years. Debbie has been involved in research to minimise harm and improve the outcomes of children during and following critical illness. Early research focused on sedation, delirium, and post-traumatic stress, and more recently on the neurodevelopmental outcomes of PICU. This research has led to significant national and international PICU practice change and clinical guidelines. Debbie was awarded the prestigious Churchill Fellowship in 2018 to explore international practices for PICU liberation and long-term follow up for use in the Australian context and is currently the national paediatric academic lead in this area
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Professor Meera Agar
Professor Meera Agar is Director IMPACCT (improving palliative, aged and chronic care through clinical research and translation) centre at University of Technology Sydney. She also works as a palliative medicine physician at Liverpool Hospital, South West Sydney Local Health District. Her research interest in in brain impacts of advanced illness, including those with brain cancer, dementia and delirium. She has a particular interest in clinical trials to evaluate prevention and treatment of delirium in cancer and palliative care. She is part of a team developing a core outcome set for studies evaluating treatment and/or prevention of delirium. She is a committee member of the Australasian Delirium Association, and on the Board of the European Delirium Association
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Professor Sue Kurrle
Sue is a geriatrician practising at Hornsby Ku-ring-gai Hospital in northern Sydney, at Batemans Bay Hospital in southern NSW, and via videoconference to Armidale in north western NSW. She is the Clinical Network Director for Rehabilitation and Aged Care in Northern Sydney Local Health District, and she holds the Curran Chair in Health Care of Older People in the Faculty of Medicine and Health at the University of Sydney. Her research and practice interests centre on dementia, delirium, frailty, elder abuse, and intergenerational programs. She chairs the Cognitive Impairment Advisory Group for the Australian Commission on Safety and Quality in Health Care, and her recent extracurricular work has included involvement with the International Emmy award winning ABC series ‘Old People’s Home for 4 Year Olds’
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Dr Grace Walpole
Dr Grace Walpole is a palliative medicine specialist at Eastern Health in Melbourne, and is a lecturer at Deakin University and Monash University, with a particular focus on clinical communication skills. Grace has undertaken research on delirium in at the end of life for people in inpatient palliative care, and is working on research and quality improvement projects to evolve the multi-disciplinary screening, recognition, diagnosis, communication, and management of delirium in inpatient palliative care
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Ms Karen Lee-Steere
Karen Lee-Steere is an occupational therapist and Eat Walk Engage Program Manager. She is a PhD candidate at UQ researching patient and family carer involvement in delirium prevention and has leadership roles in the RBWH Patient-Friendly Committee, Metro North Allied Health Assistant Education Committee and Metro North Allied Health Professional Education Committe
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A/Prof Annmarie Hosie
Associate Professor Annmarie Hosie, PhD, RN, MACN is Chair of Palliative Care Nursing at the University of Notre Dame Australia and St Vincent’s Health Network Sydney, and an Adjunct Associate Professor at IMPACCT – Improving Palliative Aged and Chronic Care through Research and Translation, University of Technology Sydney. Her research aims to optimise the care, function and quality of life of older people with advanced illness, with a particular focus on improving delirium care and outcomes
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Dr. Jim Rudolph
Dr. Jim Rudolph is a geriatrician and palliative care physician based at Brown University in Providence Rhode Island (USA). He has devoted his career to improving the lives of older people, particularly those at the vulnerable stage of loss of independence. His work continues to highlight that delirium is a critical event in the lives of older people; fundamentally altering the life-trajectory
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Dr Ajay Verma Macharouthu
He currently works as a Consultation-Liaison Psychiatrist for Older Persons, Chief Training Supervisor & ECT Director in Cairns & Hinterland Hospital and Health Service. His experience spans over 24 years in India, UK (Scotland) and Australia.
Delirium & Dementia are his special interests. He was the Chair of the Scottish Delirium Association (2016-19) and Co-chaired the ‘SIGN (Scottish Intercollegiate Guidelines Network) 157 Delirium Guideline – Risk Reduction and Management of Delirium’, which was published in March 2019. He was a research lead and Principal Investigator for several dementia drug trials. He has a special interest in Medical Education and is keen on Service Development & Innovation of integrating older persons mental health with geriatrics for better outcomes |
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Dr Emily Gallagher
I am a dual training registrar in Geriatrics and General Medicine, currently working as the Hospital in the Home registrar at the Mater Hospital which includes a Rapid Access geriatrics service providing care to frail older people in the community.
For my advanced training research project I evaluated family caregiver education in delirium in order to identify and describe the key components of successful interventions. In the future I hope to build on this work by developing a delirium prevention or management intervention in order to benefit healthcare providers, family caregivers and most importantly patients. |
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Cheryl Davies
Cheryl Davies (Ngati Raukawa, Ngati WehiWehi) has worked in Maori health over the past 36 years and has managed the Tu Kotahi Māori Asthma and Research Trust over the past 29 years. During this time, Cheryl has worked alongside the University of Otago and Massey University on a number of key research studies in Aotearoa with a focus on Maori and cancer. She has extensive experience conducting interviews and focus groups and a comprehensive knowledge of working with Maori communities
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Melinda St Mart
Melinda is a Clinical Risk Manager for Comprehensive Care at Eastern Health who is responsible for organisational oversight of Delirium and Cognitive Impairment. She has a Bachelor in Occupational Therapy and a Masters in Public Health – Health Service Management. She is a registered Occupational Therapist and leader with 20 years plus experience working across various clinical settings and roles within health care organisations in Australia and the United Kingdom. Over the past ten years she has held clinical leadership, project management and quality roles at Eastern Health. Since graduating as an Occupational Therapist, Melinda has been passionate about early identification and quality care for patients with delirium and cognitive impairment . This has evolved over time to supporting organisational leadership and consumer engagement in this space. Melinda has recently completed the SCV Collaborative Pairs program with her consumer pair Peter Michell and is also the secretary of the Australasian Delirium Association
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Margaret Cahill
Margaret Cahill is Clinical Nurse Consultant for the Eat Walk Engage Programme. Margaret has been a practising Registered Nurse since 1985, with extensive experience in Intensive care and acute surgical care both within Australia and internationally. Her work embodies her belief that the primary focus of all hospital workers should be on the provision of high quality, patient-centred care for all older patients, underpinned with appropriate educational support. Margaret completed a Masters of Nursing (Advanced Practice) in care of older acute care inpatients, focussing particularly on those with cognitive impairment.
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Miriam Coyle
Miriam’s role is Acute Dementia Delirium Clinical Nurse Consultant with the Illawarra Shoalhaven Local Health District on the beautiful South Coast of NSW. In this role Miriam is focussed on the development of delirium care education. Collaboration with others and using evidence in the education content and delivery are key. To achieve this Miriam undertakes research in the clinical context. Exploration within the culture of care that seeks to gain understandings able to strengthen knowledge translation and delirium care improvements
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Dr Aisling Fleury
Dr Aisling Fleury is a Consultant Geriatrician and the clinical lead for perioperative medicine at Logan Hospital. She is passionate about improving outcomes and care for older surgical patients through collaborative care models and shared decision making. She led the COOPERATE projects funded by Queensland Health Clinical Excellence Division to describe and operationalise screening and comprehensive assessment for older surgical patient
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