In this fourth episode, we consider what we can do to try and support patients with complex, difficult and prolonged cases of delirium that don't resolve as quickly or as easily as we would like them to.  We consider the concept that behaviour of any kind is a form of communication that is often driven by a need, and we talk through the benefits of therapeutic interactions, including communication, validation, distraction and reminiscence therapies.   We explore the role of the mental health liaison service and also consider, when all else fails, when it may be appropriate to consider pharmacological interventions.   This series really encourages open and honest conversations in exploring the difficulties that can be encountered in an acute hospital setting as we seek to care for our patients with delirium.  

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We look forward to catching up with you in our next episode when we will be discussing how to communicate about delirium with family members and we hear directly from some families about the impact delirium has had on their loved ones.