Books
Books
Longer-form writing about delirium. The 4AT Manual was published on 30 July 2026 and is available on Amazon, and free to download. A guide for patients, families and carers follows in October 2026.
The 4AT Manual
Published 30 July 2026
The 4AT Manual: A Practical Guide to Delirium Assessment
The 4AT Manual gives clinicians clear, practical guidance on using the 4AT well, from preparing for the assessment and scoring each item to interpreting the result and acting on concerns.
A 102-page guide to using the 4AT: why it was developed, how to administer and score it, how to interpret the result and decide what to do next, worked clinical cases from a range of settings, and notes on implementation and audit. Written for nurses, doctors, allied health professionals, students and educators. Free to download as a PDF or EPUB, with no registration.
Also available as a Kindle e-book from Amazon UK, or from your local Amazon store, with paperback and hardback editions to follow.
What the manual covers
- Why the 4AT was developed, and its role in delirium assessment.
- How to administer and score each of the four items.
- How to interpret the result and decide what to do next.
- Worked clinical cases from a range of settings.
- Common difficulties, special circumstances, and audit.
- An overview of the supporting evidence.
It is written for nurses, doctors, allied health professionals, students, educators, researchers, and teams implementing delirium pathways or electronic health records.
Editions and licence
Page reviewed 31 July 2026.
Delirium (Acute Confusion): A Family Guide
Publishing October 2026
Delirium (Acute Confusion): A Family Guide to Sudden Changes in Thinking and Memory: Includes advice for people living with dementia
A guide for people who have experienced delirium, and for families and carers trying to understand a sudden change in someone they know. It explains what delirium is, what families might see, how clinical teams assess and treat its causes, ways relatives and carers can help, and what recovery can be like.
While the book is in preparation, Delirium Support provides practical information about sudden confusion, getting help, delirium and dementia, supporting someone, and recovery.
Read about the family guide, including publication detailsEnquiries
For media or publishing enquiries, please use the media and speaking page. For information about delirium, use the delirium overview, the4AT.com for professionals, or Delirium Support for patients, families and carers.