Non-Pharmacological Approaches and Nursing Responsibilities in Delirium Management

Karadas, Canan

doi:10.14744/phd.2019.81994

Cited by 4 publications

(14 citation statements)

References 34 publications

(55 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The United Kingdom National Institute for Health and Care Excellence (NICE) recommends short-term (maximum of one week) use of sedatives in agitated patients who are not communicative and show a risk to harm themselves or others [8,19]. Clinical practice guidelines also do not advise any pharmacological interventions in ICUs in the prevention and treatment of delirium [13].…”

Section: Table 1 Dsm-v Diagnostic Criteriamentioning

confidence: 99%

“…Even though ICU delirium is considered to be a serious problem, the use of medication remains limited in clinical practice [9]. In consideration of these potential side effects, however, nonpharmacological interventions are needed in the prevention and treatment of delirium [8]. In a meta-analysis reviewing 14 studies, it was reported that non-pharmacological interventions reduced the frequency of delirium by 53% in patients hospitalized outside of ICUs and aged 65 and above [22].…”

Section: Table 1 Dsm-v Diagnostic Criteriamentioning

confidence: 99%

“…Delirium is a transient neurocognitive syndrome associated with impaired cognitive functions, clouding of consciousness, inability to maintain attention, and unstable psychomotor activity [7,8]. Delirium often develops rapidly in a few days, worsens the clinical prognosis, and affects health status both in the short-term and long-term [8]. Before COVID-19, the mean incidence of delirium was 20-30% in clinics and 25-87% in Intensive Care Units (ICUs) [9].…”

Section: Introductionmentioning

confidence: 99%

“…Prior to COVID-19, it was reported that only 54% of health professionals involved in cases of delirium were using the correct terminology [10], and awareness of delirium and the capability to diagnose it were not adequate in many ICUs [11]. However, the development of delirium is related positively to morbidity, need for intensive care, length of time of mechanical ventilation and length of hospitalization, nosocomial infections, and mortality [7,8,12,13]. Moreover, patients who experience delirium in the ICU are reported to continue having problems after their discharge and suffer functional deficiencies [12].…”

Section: Introductionmentioning

confidence: 99%

“…In this context, the development of delirium is highly probable in COVID-19 patients, even inevitable, and its management is much more difficult than other diseases [1]. Therefore, it is very important that healthcare professionals acquire the awareness of delirium and the ability to detect sudden metabolic or physiological changes caused by COVID-19, as well as its diagnosis and treatment [7,8,19]. The aim of this paper was to present a literature review regarding nonpharmacological strategies used in delirium management in patients treated for COVID-19 in the ICU.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Nursing Interventions in Management of Covid-19-Related Delirium in Intensive Care Units: Literature Review

Serin

Bülbüloğlu

2021

International Journal of Health Services Research and Policy

View full text Add to dashboard Cite

The development of delirium is highly probable in COVID-19 patients, and its management is much more difficult than other diseases. Nurses have important roles in the management of delirium that may develop in COVID-19 patients. The aim of this paper was to review the literature regarding non-pharmacological interventions in intensive care units (ICUs) to prevent delirium in COVID-19 patients. The terms used in the literature search were 'intensive care' or 'critical care' including their abbreviations, as well as 'delirium,' 'intervention,' 'approach, with Turkish and English words. The literature was scanned using the keywords based on the Medical Subject Headings (MeSH) and Embase Tree (EMTREE) from the databases of Cochrane, CINAHL, PsyInfo PubMed, and EMBASE. A total of 63 studies were included in the review. In this paper, it was found that non-pharmacological interventions had an important place in delirium management; however, the transmission way of COVID-19 via droplets prevents many non-pharmacological attempts. First and foremost, among these interventions is the termination of the sedating drug, preventing isolation, ensuring that the patient spends time with visitors, and weaning from mechanical ventilation. In COVID-19 patients, the latest technology may be used to help prevent social isolation. Based on the findings of this literature review, we recommend a patient-centered approach in the management of delirium in COVID-19 patients and a revision of current strategies in accordance with the profiles of the patient and the disease. It is recommended to raise awareness on interventions for delirium syndrome that may cause problems for nurses regarding COVID-19. .

show abstract

Section: Table 1 Dsm-v Diagnostic Criteriamentioning

confidence: 99%

Section: Table 1 Dsm-v Diagnostic Criteriamentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Nursing Interventions in Management of Covid-19-Related Delirium in Intensive Care Units: Literature Review

Serin

Bülbüloğlu

2021

International Journal of Health Services Research and Policy

View full text Add to dashboard Cite

show abstract

The effect of nonpharmacological interventions applied by nurses to intensive care patients on the duration of delirium: a meta-analysis study

Söylemez,

Uzun

2023

Ir J Med Sci

View full text Add to dashboard Cite

Experiences of surgical intensive care nurses on delirium: A phenomenological study

DENİZ DOĞAN,

KÖSE TOSUNÖZ,

YURTSEVEN

et al. 2023

Acibadem Univ Saglik Bilim Derg

View full text Add to dashboard Cite

Purpose: The study aims to reveal the perceptions and care practices of nurses working in surgical intensive care units towards delirium in more depth. Methods: The study is qualitative research with a phenomenological design. Twenty nurses working in the surgical intensive care units of a university hospital and giving care to patients diagnosed with delirium before were included in the study. The data of the research were obtained by interview method, one of the qualitative data collection methods. The obtained qualitative data were analyzed by content analysis method. Results: The methods used by nurses in the diagnosis of delirium were divided into two main themes subjective and objective. Nurses' care interventions were divided into six themes: providing and maintaining a safe environment, communication, eating and drinking, mobilization, sleeping, and dependent interventions/others. In addition, the difficulties experienced by nurses are divided into three themes: patient-related difficulties, systemic difficulties, and individual difficulties. Conclusion: It is noteworthy that in this study, nurses did not specify some evidence-based interventions related to delirium care. In addition, it was determined in the study that nurses had some difficulties while giving care.

show abstract

Non-Pharmacological Approaches and Nursing Responsibilities in Delirium Management

Cited by 4 publications

References 34 publications

Nursing Interventions in Management of Covid-19-Related Delirium in Intensive Care Units: Literature Review

Nursing Interventions in Management of Covid-19-Related Delirium in Intensive Care Units: Literature Review

The effect of nonpharmacological interventions applied by nurses to intensive care patients on the duration of delirium: a meta-analysis study

Experiences of surgical intensive care nurses on delirium: A phenomenological study

Contact Info

Product

Resources

About