Supporting the delivery of better care in our hospitals is paramount. The techniques we employed in caring for this lady helped to prevent further deterioration and we were able to meet her needs around nutrition and hydration by ultimately offering a solution that was able to calm her. Joanna James Dementia Lead Nurse Imperial College Healthcare NHS Trust Charing Cross Hospital Using RITA to help with Delirium A lady aged 78 years came into hospital with hyperactive delirium and psychosis, this was alongside her background of advanced dementia. Her delirium had been caused by an infection and she was very unwell. She had severe pressure of speech and was unable to engage at all. She spoke continuously, rapidly and loudly for 52 hours without sleeping. We were unable to feed he

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