Managing Service Delivery Individual Report Essay

MANAGING SERVICE DELIVERY INDIVIDUAL REPORT Due Date: 26 June 2015 Joahnna Esguerra Lecturer Mujalni C. Karay Jr. 1. SERVICE QUALITY: It is the totality of features and characteristics of a product or service that bears on its ability to satisfy stated or implied needs. (American Society) It is the ability of a product or service to consistently meet or exceed customer expectations. Service quality is the relation of customer’s expectation with company’s performance. A company or business with good quality service will satisfy customer needs and continue to improve its services. It is a benchmark of how well a service was delivered in relation with customers’ expectations. This can be often assessed by customer’s feedback through personal, telephone or e-mail survey or interview. Service quality is a very important characteristics of a business to become successful. It can create good relationship between companies and customers, providing customer loyalty that increases the company’s profit by recommendations of loyal customer to other potential customers by word of mouth. For example, In the Philippines, majority of patients prefer to go to private hospitals than a public hospital even it is expensive because the quality of services of private hospitals are far better than public hospitals. According to David Garvin, there are 9 dimensions of quality namely performance, features, reliability, conformance, durability, serviceability, aesthetics,Show MoreRelatedManaging Change : Managing A Business Essay1438 Words   |  6 Pages Managing a business requires an enormous amount of time, effort, calculation, organization, commitment, examination, dedication, and cohesiveness. 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I will also look at theRead MoreIn His Capacity As An Executive At The Firm, Mr. Harvey1689 Words   |  7 Pagesinvolved with the creation and management of DC Water and Sewer Authority’s Employment Program, which entails the establishment of four (4) Job Centers focused on local hiring. Further, he has led LSC’s participation in the DC Department of Employment Services (DOES) On-the-Job (OJT) training program to hire, train and mentor numerous LSC employees as well as employees for clients. His skills in creating and leading hiring initiatives, employee training programs and employment centers have been honed overRead MoreIn His Capacity As An Executive In The Firm, Mr. Harvey1565 Words   |  7 Pagesinvolved with the creation and management of DC Water and Sewer Authority’s Employment Program, which entails the establishment of four (4) Job Centers focused on local hiring. Further, he has led LSC’s participation in the DC Department of Employment Ser vices (DOES) On-the-Job (OJT) training program to hire, train and mentor numerous LSC employees as well as employees for clients. His skills in creating and leading hiring initiatives, employee training programs and employment centers have been honed overRead MoreEvaluation Of A High Energy, Quality And Results Oriented Manager With Extensive Customer Service Essay853 Words   |  4 PagesPROFILE A high energy, quality and results-oriented manager with extensive customer service experience, leading teams to anticipate, respond to and action requests, via phone, email, web and face-to-face interactions. Oversees teams enthusiastically through day-to-day activities and change, focusing on setting clear expectations, effective feedback, training, documentation and standardized best practices. 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Increasing the number of departments increases the internal complexity of an organisation and each department often develops their own attitudes, values and goals. This regularly creates tensions among employees and can result in internal departments operating as individual silos (Daft et al, 2010). As organisational differentiation increases, coordination and

Homelessness Is A Serious Problem - 1031 Words

Homelessness is a serious problem in our society. So many people of all ages and backgrounds are out on the streets. In the article â€Å"Overview of Homelessness In America† it says that in the U.S. there are more than 3.5 million people that are homeless sometime during the year. This number is extremely high. We cannot ignore it anymore, and it needs to be reduced. Although we already have homeless shelters, they are not able to get everyone off the streets; thus, it would be better to build small, individual houses for the homeless. Most cities have at least one homeless shelter. However they usually house the homeless â€Å"just during the winter† (â€Å"DC’s plan to end homelessness is deceptive†). This does give shelter to the homeless during the cold months of the year, but people with disabilities may also need shelter other times of the year. Homeless shelters are only so big, so they cannot support all the homeless people. People are tu rned away from homeless shelters when they are too full. If homeless shelters are getting too full then we need to try another approach at decreasing homelessness. Homeless shelters alone cannot help all the homeless people. They â€Å"quickly move families out of shelters using temporary rental subsidies. This could create a revolving door into and out of shelters if families can’t make it on their own when their subsidies run out† (â€Å"DC’s plan to end homelessness is deceptive†). In the long run this does nothing to lower the number ofShow MoreRelatedHomelessness Is A Serious Problem896 Words   |  4 Pagesfundamental human need, however, not everyone gets to have a home. Homelessness is a serious problem throughout the world. 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Based on the survey it was estimated that 100 million people were homeless across the world (United Nations, 2005). Due to the lack of data, greater focus should be placed on the issue of homelessness. Considering the well-knownRead MoreEssay Homelessness in Canada1214 Words   |  5 PagesThroughout this paper I will be discussing the issue of homelessness and how it is steadily becoming a more serious problem as time progresses. I will discuss issues that surround homelessness such as the NIMBY, not in my backyard, issue and how it is causing the homeless to not receive the help that they need. This is an issue that needs to change, but due to NIMBYism, it is very difficult create such change. â€Å"One diverse population that has continued to increase over the quarter of a centuryRead MoreThe Effects Of Homeless Conditions, Drug Abuse, And Mental Illness1464 Words   |  6 Pagesconditions, self-medication and Homelessness. 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Journeys- Robert Frost Free Essays

â€Å"It’s the journey not the arrival that matters† as journeys are often a metaphor for that which transcends the physical realms of one’s travels. It is the medium for arrival that allows for the opportunity for self-discovery. The complexities of life as revealed throughout Robert Frost’s poetry, use ordinary, physical journeys in nature to demonstrate how journeys often reach beyond the physical sense in which they are composed. We will write a custom essay sample on Journeys- Robert Frost or any similar topic only for you Order Now Similarly, the novel Thirteen Reasons Why by Jay Asher and the short film, â€Å"Harvie Krumpet,† present the plight of ordinary people and the life changing possibilities of journeys. An equally prominent theme is the occurrence of the need for changing paths as obstacles arise and the effect such change has upon the arrival. These texts demonstrate how the intended destination is often not the final destination. The composers, through the use of a variety of literary and filmic techniques show these similar themes throughout the texts. Consequently, the composers are able to present their understanding of the concept of journeys Frost’s poem, â€Å"The Road Not Taken,† is an extended metaphor for lost possibilities or missed opportunities. The persona reflects upon the impacts of a decision and, perchance, what may have been. This is evident in, â€Å"I shall be telling this with a sigh/ Somewhere ages and ages hence. † Thus, the responder can conceive the persona is dubious as to whether the right decision has been made. Furthermore, the text contains repetition of the image of two roads diverging. This symbolises the arising of pivotal moments where decision are required. This aids the responder to connect with the persona as in every part of life decisions are required and choices are often difficult to arrive at. Frost also conveys the idea that journeys have a tendency to flow smoothly whether the outcomes are positive or negative. This is portrayed through the consistent rhyme scheme throughout the stanzas. The flowing rhyme scheme enables the reader to become immersed within, and to concentrate heavily upon, the hidden meanings within the text. Balanced against this is Asher’s novel, Thirteen Reasons Why, which portrays the notion that journeys are impacted upon by the decisions that individuals make, altering the course rather than sailing smoothly along the original path. Asher suggests that the final destination constantly changes as obstacles arise and are overcome, consequently allowing for self-discovery along the path. Asher demonstrates how journeys are not a solo venture. Often journeys commence within an individual but are impacted upon by the actions of others. For instance, Hannah Baker commits suicide after constant mistreatment by her peers. Her journey commenced trying to find a sense of belonging. Unfortunately, this didn’t occur and dire consequences were to be the result. This is evident in the use of ellipses to represent hesitation, reflection and the severity of consequence when Hannah states, â€Å"Do not take me for granted†¦ again,† and, †A lot of you cared, just not enough. And that†¦ that is what I needed to find out. † As a result, the responder can connect with Hannah through empathy and the understanding that self-discovery relies heavily upon the journey and the events throughout rather than arriving at the destination. Similarly, the short film, â€Å"Harvie Krumpet,† exhibits the similar theme that obstacles will be required to be overcome. Harvie’s journey is one of self-discovery that transcends the physical realms of the loss of his parents, his migration and the development of Alzheimer’s. On the contrary to Thirteen Reasons Why, Harvie retains a positive outlook on life and this enables him to constantly strive for success. Every person is unique, thus, people undertake their own unique journeys. The responder is immediately informed Harvie is unique through the use of subtitles at the commencement of the film. â€Å"Some are born great, some have greatness thrust upon them – others are just different. † Harvie’s life experiences are juxtaposed with his near always-cheerful attitude. Harvie must adapt to a foreign lifestyle after migrating to Australia yet his spirit never dies. This forces the responder into self-reflection, considering things transcending the physical realms and discovering the inner strength to continue the journey. However, Harvie’s unfortunate circumstance isn’t permanent unlike the impermanency of nature as revealed in Frost’s poem, â€Å"Nothing Gold Can Stay. † Frost uses this text to demonstrate that nature’s beauty can never remain when, â€Å"Nature’s first green is gold/ Her hardest hue to hold. The effect of this couplet is to inform the responder that often what is desired can’t last. Contained within the third couplet is an allusion to the Bible and the Garden of Eden, â€Å"Then leaf subsides to leaf/ So, Eden sank to grief. † This demonstrates how the perfection the Garden of Eden was im permanent and shows the responder that change is inescapable. The extremely simple diction of monosyllabic words throughout the entire eight-line poem helps the text to flow smoothly in the same way as â€Å"The Road Not Taken. † Frost also uses â€Å"Nothing Gold Can Stay,† to reveal how innocence changes as self-discovery occurs. Self-discovery transforms the individual and Frost uses the symbolism of a flower to demonstrate the changes occurring during life. â€Å"Her early leaf’s a flower/ But only so an hour. † Ultimately, all the composers demonstrate complimentary themes that demonstrate how it is the journey not the arrival that matters. Journeys are the medium that allows for the transcendence of physical realms and the development as an individual in the process. How to cite Journeys- Robert Frost, Papers

Diagnosis Prevention Management Of Delirium -Myassignmenthelp.Com

Question: Discuss About The Diagnosis Prevention Management Of Delirium? Answer: Introduction Delirium is a common yet often under-diagnosed or mismanaged disorder. As a result of the aging population, the disorder is becoming more prevalent (Martins Fernandes, 2012).Delirium is characterized by an inability to focus, change in cognition, reduced awareness clarity, and distractibility(Martins Fernandes, 2012).Delirium, which affects up to 50% of elderly patients, can be clinically categorized as either hyperactive or hypoactive delirium. This healthcare improvement plan will concentrate on hypoactive delirium. Under hypoactive delirium, patients are usually withdrawn and quiet (Schuurmans, Duursma Shortridge, Baggett, 2001). Although there existstrategies to detect and diagnose delirium, the disorder is oftenmisdiagnosed as dementia or not detected at all (Cole, 2005). Studies by Fick, Agostini Inouye (2002) emphasize the importance of recognizing and consequently preventing delirium. Better knowledge and understanding of delirium among professionals in the healthcare sector can lead to early detection,reduction of risk factors, and better management in the acute phase (Saxena Lowley, 2009). It is important to give attention to the identification of delirium because more than half of the cases are potentially reversible. Immediately delirium is detected, prompt management and intervention arecritical. Early patient mobilization, removal of precipitating factors and environmental changes are all warranted as soon a delirium is recognized. Once detected, delirium should be treated as an emergency. Its important to note that delirium causes a lot of distress to the patient, his or her family, the healthcare staff and even the medical institution.The families delirium patients describe the behavior and emotional manifestations as disturbing(Mailhot et al., 2014). Proper care is necessary especially for patients with hypoactive dementia. The hospital and staff should care for these patients so as to prevent the patients prolonged stay or more adverse effects. Gaps Research and treatment gaps exist in the early detection and management of hypoactive delirium. Hypoactive delirium is characterized by a quiet and withdrawn behavior, and although its presentation is more common than hyperactive delirium, the disorder is usually overlooked(Hosker Ward, 2017). Most of the patients with delirium are therefore often undertreated or underdiagnosed. It is assumed that delirium is not a problem on its own but merely a clinical symptom of other pathologies. Furthermore, although there is growing research on hypoactive delirium, there is no conclusive evidence regarding symptom association and presentation (Peritogiannis, Bolosi, Lixouriotis Rizos, 2015 ). A lot of research focusing on the primary care setting is needed. It is important to regularly assess all patients diagnosed with delirium for signs of hypoactive delirium. Diagnosing delirium earlyon is necessary so as to enable the patient and supporters to understand and accept the changes soas to pl an for the future. Providing an enriching environment to patients with hypoactive delirium is important.Delirium is usually treated through combining the treatment of presumed underlying cause and by optimizing the patient's conditions. This treatment of deliriumshould, however,be supplemented by initiating therapy and person-centered care(Hosker Ward, 2017).To facilitate their recovery, the patients need support from both their families and healthcareprofessionals. Due to the symptoms of their disorder, patients with delirium are often stigmatized. Another critical gap in relation to hypoactive delirium manifests in the educating the medical staff. Professionals and care staff who deal with delirium related cases quite oftenmisdiagnose delirium patients. Measures must be taken to sensitize the staff on ways to detect the onset of delirium at the early stages. Patients with hypoactive delirium due to their characteristic withdrawal are easily ignored. Without proper care mechanisms, these patients may end up staying in hospital longer or even agitating their symptoms. Person-centered care In relation to delirium patients, person-centered care is an approach by a medical institution that treats the staff, patients and their family as partners in developing and administering care to meet their needs. It involves considering what the people desire and want. Person-centered care is a term associated with high-quality care (Brooker, 2003). By utilizing a person-centered approach, operations can provide flexible, responsive and accessible services that meet the preferences and needs of the community. With the demographic shift in Australia and New Zealand whereby the number of old population is rapidly increasing, a person-centered approach is important to provide support in managing delirium(Australian hospital statistics 2008-09, 2010). A person-centered care approach enables patients and staff to make their own decisions and control the services their lifestyle ( Richard, Coulter Wicks, 2015). The medical care staff will have a sense of responsibility for the people they take care. The organization will also be well placed to provide responses that are culturally appropriate especially to patients with delirium. A person-centered approach in treating patients with delirium will consequently help in alleviating issues related to the identification and diagnosis of patients with delirium. The personalized care with also contribute to reducing adverse effects of delirium that often result in a prolonged stay in hospitals ( Brooker Latham, 2015). This approach will especially be significant to patients with hypoactive delirium. Such patients are often ignored because of their undemanding nature. Since the approach is community-based involving friends and family, it enables a wholesome health care system. Therefore, p erson-centered care can have significant effects on the well-being of dementia patients by helping in the prevention of delirium, its early detection, response, and management. (Dewing, 2009) Action plan. Delirium is an overlooked yet pressing concern in our health care system. It is necessary to identify the existing gaps relating to the detection, management and care services provided to the patients. Gaps in the early detection and management of delirium, environmental factors relating to delirium and the level of awareness and education exhibited by the health care practitioners need to be addressedso as to improve delirium care. This healthcare improvement plan utilizes a Plan-Do-Study-Act (PDSA) cycle conducted by a focus group to analyze and provide possible courses of action to address issues the gaps identified. Focus groups are commonly used to discuss a specified topic in a short period.A focus group allows a range of opinion to be discussed in a short period and provides a chance to mingle with others, the groups composition may inhibit some member (Whittaker, 2012). A PDSA cycle is often used to turn an idea into action and in turn connect the action to a learning experience (Langley et al., p. 97).In relation to delirium, the health care improvement plan will provide a plan to improve the healthcare practices and culture, implement the plans, determine their effectiveness in solving the issue and finally refine the procedure based on the findings. By utilizing the PDSA cycle, the first step in the action plan will be to define and design the intervention into the gaps in delirium health care. After planning how to mitigate the gaps, the actual changes will be implemented and documented. The documented information on the intervention process will then be analyzedafterwhich the finding wi ll be used to identify additional gaps or improve on the existing delirium healthcare improvement plan. Early detection and management of hypoactive delirium Hypoactive delirium, whichis characterized by a quiet and withdrawn behavior is usually overlooked (Hosker Ward, 2017). To further complicate its early detection and subsequent management, studies into hypoactive delirium have provided inconclusive evidence regarding symptom association and presentation. These characteristics have resulted in people, and healthcare practitioners having an assumption that delirium is not a problem on its own but merely a clinical symptom of other pathologies. With the number of people with delirium expected to increase as a result of an aging population, it is prudent to improve on the detection and management of hypoactive delirium(Hosker Ward, 2017). Interventions to increase early detection and management of hypoactive delirium include reducing the time between the onset of delirium symptoms and communication of diagnosis, improving on research related to identification and management and, improving the approach of health care practitioners to treating delirium.These interventions will be implemented by improving the quality of healthcare services offered in theinstitution. This will be achieved by improving the processes involved in assessing a potential case of delirium and admitting the diagnosed patient for care(Spiller Keen, 2006). An efficient system will facilitate the quick and accurate communication of diagnosis making the management of delirium easier. The support staff should also be educated on the appropriate methods of taking care of patients. To properly manage delirium, all parties involved should have all the relevant information on how to identify symptoms of hypoactive delirium and how to handle affected pati ents.The success of the intervention will be assessed based on the number of newly detected cases together with the amount of time spent in the institutions. The core limitation to this intervention is the lack of conclusive evidence on symptom association and presentation (Spiller Keen, 2006). Providing enriching environment Most patients portraying symptoms of hypoactive delirium are often misunderstood and even discriminated. An enriching environment comprises of relevant, psychological, physical, and sensory support (Bridges, Flatley Meyer, 2010). Since patients with delirium need a supportive environment of family, friends, and carers, it is necessary to design a plan that facilitates this kind of enriching environment. An enriching environment should also be safe, comfortable, and sensitive to the needs of the diagnosed patient. After discussions in the focus group, a possible strategy to mitigate risks associated with the environmental conditions surrounding delirium patients is to incorporate a comprehensive person-centered care system into the health institutions and community. The relevant institutions should provide a personalized care system that incorporates the patients, their family, and the community. The key objective in delirium management is maintaining the patients and carers quality of life(Young, Murthy, Westby, Akunne O'Mahony, 2010). This can be done by sensitizing the community and carers on the importance of knowing the characteristics of a patient with possible hypoactive delirium and why/how to respond to diagnosed patients. This strategy is expected to create awareness and bring the whole community together to tackle the delirium issue.To improve community care especially in care homes, it is important to reduce the inappropriate use of antipsychotic drugs. With a successful campaign, family, friends, and carers will have the necessary knowledge and understanding of how to take care of patients. The strategy may, however, be limited by the complex nature of hypoactive delirium in that it is characteristically hard to detect and manage. Educating staff The support staff of patients with hypoactive delirium have oftenbeen accused of ignoring the patients due to the reasoning that the patients are un-demanding.' It is therefore important to educate the staff on ways of managing and taking care of patients diagnosed with delirium.To improve the patient and staffs quality of life, an intervention to educate the healthcare staff is necessary. There exists a service delivery gap between the actual services offered by staff and what is appropriate.Patients are often misdiagnosed due to lack of crucial information. Educating the staff will help in early detection of delirium and its management. The healthcare improvement action plan will employ a comprehensive educational package that delivers information on delirium, preventive measures, treatment, and management.This will be done using small group presentations, formal presentations, and guidelines on how to detect, prevent and manage hypoactive delirium coupled with follow-up lessons (L aw, Connelly, Prentice, Rooke, 2009) Evaluation of clinical practice context PARIHS is a conceptual framework that postulates the important elements influencing the successful application of evidence-based practices (Helfrich et al., 2010). To evaluate the clinical practice contexts readiness for the suggested changes, the healthcare improvement plan used the PARIHS framework. The framework explains interactions between the context of a study, the evidence available, and facilitation of the change (Kitson et al., 2008). This tool was embedded in the evaluation because it provided a relevant guide to help in the development of the healthcare improvement plan and evaluation of the implementation process. The PARIHS tool was used to guide decisions on the design of the intervention, collection of data and the analysis of the processes while focusing on early detection and management of hypoactive delirium, providing the enriching environment and educating employees. So as to fully understand the process of implementation and the impacts to the management of deli rium, a process evaluation embedded with PARIHS was designed. Strategies for the implementation of the three evidence-based recommendations were designed. The guidelines include that institutions should adopt a person-centered care approach, the health care staff should be educated and trained on effective ways of caring for delirium patients, and effective ways of detecting and managing delirium.The core purpose of the evaluation is to determine how the interventions will be received in a delirium healthcare setting, impacts observed, and how the changes played out. In relation to the evaluation framework, the hypoactive delirium interventions can function at multiple levels within healthcare organizations context based on an assessment of the readiness using PDSAcycle.Data will be collected pre-intervention and post-intervention from healthcare institutions managing patients with hypoactive delirium.This will be obtained from pre-existing case studies, focus groups and interviews conducted afterward. Interview topics for both staff and patient interviews will be developed based on the framework and hence will include questions on early detection and management of delirium, staff education and provision of an enriching environment. The inductive and deductive analysis will be used based on Ritchie and Spencers (2002) approach to analysis. The influence that contextual factors such the individual patient (micro), the care staff (meso) and healthcare institutions(macro) will have on the implementation of the changes mustbe considered(Rycroft-Malon e et al., 2013). These themes usually interact with each other in a practical setting.Finally, facilitation is necessary to make implementation easier To enhance the chances for successful implementation of the initiatives, the suggested changes may be aligned with existing initiatives related to improving the health care of patients with hypoactive delirium. For the successful implementation of this healthcare practice improvement plan, the recommendations highlighted will need to be used in practice and impacton the management of delirium and related issues(Rycroft-Malone et al., 2013).Findings will be presented based on the main criteria of the PARIHS framework: context, evidence, and facilitation. In a practical clinical setting, it is expected that there will be dynamism and complexity underlying the findings. Quality Plan According to Donabedian (2005), the quality of health care should be measured by taking the processes, structure, and outcomes into account. Under process, we measure thedelivery of services by providers. Structure is concerned with the availability, accessibility, and quality of resources. The outcome indicates the resulting effect of the healthcare process and includes factors such as patient satisfaction, mortality, or improved health status. The healthcare improvement plan will adopt a collaborative approach to come up with a change framework to support improvements. Confusion Assessment Method (CAM) is a harmonized evidence-based method, which gives health practitioners not trained in the psychiatry field the ability to detect and correctly diagnose delirium at an early stage in research and clinical settings (Waszynski, 2004). The method utilizes four steps that collectively provide delirium healthcare practitioners the best ability to differentiate delirium from other types of disorders. The main advantages of the CAM method are that the hospital staff can adopt it in their normal day-to-day evaluation of patients. The method can also be translated into different languages so that as many patients as possible can be treated correctly regardless of the language they understand. Due to its short administering period, this delirium diagnosis and assessment tool can help in the early detection and management of hypoactive delirium. Implementing CAM, therefore, results in an improvement of delirium health care but only if the staffs are properly tr ained (Ely et al., 2001). Nurses from other wards can be trained on how to identify and care for deliriumpatients so that incase they encounter one as they are treating patients, they know how to handle the situation effectively.This will help solve the healthcare gap relating to staff education. Training the nurses the fellow nurses on skills that will help in the early detection and management of hypoactive delirium will contribute to the overall mitigation of delirium in the hospital and community.This will contribute towards bringing about change in the diagnosis and treatment of hypoactive delirium in the long run. An online training course for staff on identifying and managing delirium can be done regularly so that the healthcare practitioners are upto date with the effective ways of preventing, identifying, and managinghypoactive delirium. An online training program is an appropriate tool,especially where the medical staff are on busy schedules or need reference material as and when they suspect manifestations of hypoactive delirium symptoms. This activity will facilitate change in the healthcare system by educating employees on how to detect the onset of delirium and manage diagnosed patients. Although most health carepractitionersare trained on identification and management of delirium, new studies are being conducted to improve our understanding and response to this clinical diagnosis (O'hanlon et al., 2013). Therefore, to facilitate the implementation and success of the suggested interventions into delirium health care, the staff need to be re-trained. While staff members are re-trained on delirium care practices, the training sessions should be well documented so that future groups can reference and learn from them.This will ease the process of conducting similar re-training activities. It is, however, important to note that training activities are costly and time-consuming. Re-training session should, therefore,be conducted on a need basis. This activity will facilitate the reinforcement of existing knowledge while updating the medical staff on recent developments or approaches to hypoactive delirium. To help enforce the changes suggested, being part of the delirium representatives in the ward will provide a field experience on the conditions present in a real-world setting. The best way to ensure that the suggested changes are implemented is by personally facilitating their implementation. By being part of the delirium representatives in the ward, it will be easier to monitor, evaluate and enforce necessary adjustments aimed at implementing changes in the hypoactive delirium health care system in the particular health facility. It will make it possible to contribute towards providing an enriching environment, educate fellow staff members on important issues related to delirium, and improve the detection and management of hypoactive delirium in a clinical setup. According to Rudolf et al., (2011) delirium does not have a single causal pathway.A basicdeliriummanagementpathwaystarts from determining the risk factors for delirium based on a patients history, a clinical assessment to diagnose delirium symptoms, measures to manage the underlying causes, admission, and supervision if its determined to be an emergency, reduction of delirium, and finally managing the diagnosed patient. A person-centered collaborative care system that incorporates the patients, their family, and the community, with help in the management of delirium patients. According to Young, Murthy, Westby, Akunne O'Mahony (2010), the key objective in deliriummanagement is maintaining the patients and carers quality of life. This can be donethrough the collaboration of the patients, their family, hospital staff and thegeneral community on the importance of knowing the characteristics of a patient with possible hypoactive delirium and why/how to respond to diagnosed patients. This care system is expected to create awareness and bring the whole community together to tackle the delirium issue.A successful care plan with becharacterized by a situation where the family, friends, and carers will have the necessary knowledge and understanding of how to take care of patients The effectiveness of this health care improvement plan with be evaluated using a survey on the healthcare facility staff. The survey with collect and evaluate information so as to determine whether there was a significant improvement in early detection of hypoactive delirium and the management of diagnosed cases. This information will be collected from statistics relating to the number of new delirium patients admitted, the gap between the onset of symptoms and diagnosis and the length of stay by hospitalized delirium patients. Information related to the intervention on staff education will be collected by randomly surveying the retaining delirium knowledge. Conclusion In conclusion, hypoactive delirium remains a clinical diagnosis that needs to be critically evaluated and managed. Its presence should be approached as a medical emergency. The overall approach when dealing with delirium should start with assessment using appropriate tools or methods. Once hypoactive delirium is detected, the next step is to identify and remove the underlying cause.The only strategy that conclusively improves outcomes is the early mobilization of delirium patients. It is also important to note that patients without delirium posses the risk of developing delirium in the course of their hospitalization. The examination of delirium provides a chance for us to improve health care service towards the elderly(Inouye, Schlesinger, Lydon, 1999). Fueled by an aging demographic structure, there has been an increased need to focus on effective methods of detecting delirium early so as to better manage the disorder. The healthcare staff overseeing patients with delirium have often misdiagnosed, mistreated or ignored patients with hypoactive delirium. 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