In the hospice and palliative care setting, nurses' proximity to patients provides a unique and strategic position to detect delirium. However, subjective cognitive assessments by registered nurses have been shown to be inaccurate. Nurses are limited by their knowledge base and lack of systematic processes to accurately and consistently identify delirium. As a result, patients often receive suboptimal treatment. Thus, meticulous assessment and early identification with clear and precise communication is essential for quality, effective management.