Preventing and identifying hospital-acquired delirium

Volland, Jennifer; Fisher, Anna; Drexler, Diane

doi:10.1097/01.nurse.0000615072.68682.f0

Cited by 7 publications

(7 citation statements)

References 7 publications

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“…The Nu-DESC mean scores of those who stayed in the ICU for longer than one week were found to be higher; however, there was no statistical significance. Delirium symptoms are characterized by blurred or fluctuating levels of consciousness, limited attention, and disorientation (28). In the current study, when disorientation, inappropriate behavior, inappropriate communication, illusion/hallucination, and psychomotor retardation were evaluated according to Nu-DESC, it was found that the rate of deterioration in these areas increased as the length of hospital stay.…”

Section: Discussionmentioning

confidence: 64%

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Determination of the risk factors and delirium in the intensive care unit

Bahar

GÜNER

2023

Anatolian Current Medical Journal

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Aim: The objective of the present study is to increase nurses’ awareness of delirium risk factors, make nurses gain competence in using Nursing Delirium Screening Scale (Nu-DESC), and improve the quality of care by detecting delirium early in intensive care unit patients.Material and Method: The research is a descriptive and correlational study. The sample consisted of 55 patients in an intensive care unit. Data of the study was collected with the Personal Information Form, the Richmond Agitation and Sedation Scale, the Glasgow Coma Scale, and the Nu-DESC.Results: The majority of patients (89%) demonstrated the symptoms of anxiety and agitation. There was a significant correlation between age and the day delirium was detected and the Nu-DESC. In the study, isolation need, ventilator support, and pain were determined as risk factors. Conclusion: The results of the study revealed the necessity of using measurement tools for the early detection of delirium in clinical practice by nurses.

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Section: Discussionmentioning

confidence: 64%

“…Prevention of delirium is possible by nonpharmacological means (e.g. orientation, landscaping) (28,37). Current guidelines recommend routine screening for delirium in all ICU patients.…”

Section: Discussionmentioning

confidence: 99%

Determination of the risk factors and delirium in the intensive care unit

Bahar

GÜNER

2023

Anatolian Current Medical Journal

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“…Thiamine is stored in the body in minimal amounts for up to 18 days [12]. The recommended daily intake of thiamine is 1.1 mg for women and 1.2 mg for men [13]. In addition, there are medical states in which patients are particularly vulnerable to thiamine deficiency and consequently to thiamine-related complications [5].…”

Section: Thiamine and Delirium-pathophysiologymentioning

confidence: 99%

“…Delirium is a neuropsychiatric disorder manifested by acute onset, cognitive impairment, disorientation, and impaired consciousness [13,14]. The incidence of this complication is quite high and may reach up to 80% [9].…”

Section: Thiamine and Delirium-pathophysiologymentioning

confidence: 99%

Delirium in Critical Illness Patients and the Potential Role of Thiamine Therapy in Prevention and Treatment: Findings from a Scoping Review with Implications for Evidence-Based Practice

Lange¹,

Mędrzycka‐Dąbrowska

Friganović

et al. 2021

IJERPH

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Introduction: Thiamine is a water-soluble vitamin and is necessary for energy metabolism. Critically ill patients are at particular risk of developing thiamine deficiency and related complications. One of the complications that can occur is delirium. Delirium is a disorder that affects the body’s response to treatment, length of stay in the ward, mortality, long-term cognitive impairment, and significantly increases treatment costs. In addition, studies show that delirium medication is more effective in preventing than in treating delirium. Given its low cost, availability, and minimal risk of side effects, thiamine supplementation could prove to be a relevant strategy in the prevention and treatment of delirium. Methods: PubMed, Cochrane Library, Ovid, and ClinicalTrials.gov databases were searched using relevant keywords that focus on the use of thiamine to prevent or treat delirium in critically ill patients. Results: Seven articles were included in the analysis. Conclusion: The small number of studies and considerable heterogeneity prevent conclusions supporting the use of thiamine as an adjuvant in the prevention and treatment of delirium among critically ill patients. There is a need for high-quality, large-scale randomized clinical trials to confirm the beneficial effects of thiamine in the prevention and treatment of delirium.

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“…Delirium is defined as an acute cognitive impairment accompanied by fluctuations in mental status and altered attention and awareness [ 1 , 2 ]. This disorder is frequently caused by acute illness, trauma, surgery, adverse drug reactions, or drug withdrawal.…”

Section: Introductionmentioning

confidence: 99%

Non-Pharmacological Nursing Interventions to Prevent Delirium in ICU Patients—An Umbrella Review with Implications for Evidence-Based Practice

Lange

Mędrzycka‐Dąbrowska

Friganović

et al. 2022

JPM

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Delirium in ICU patients is a complication associated with many adverse consequences. Given the high prevalence of this complication in critically ill patients, it is essential to develop and implement an effective management protocol to prevent delirium. Given that the cause of delirium is multifactorial, non-pharmacological multicomponent interventions are promising strategies for delirium prevention. (1) Background: To identify and evaluate published systematic review on non-pharmacological nursing interventions to prevent delirium in intensive care unit patients. (2) Methods: An umbrella review guided by the Joanna Briggs Institute was utilized. Data were obtained from PubMed, Scopus, EBSCO, Web of Science, Cochrane Library, and Google Scholar. The last search was conducted on 1 May 2022. (3) Results: Fourteen reviews met the inclusion criteria. Multicomponent interventions are the most promising methods in the fight against delirium. The patient’s family is an important part of the process and should be included in the delirium prevention scheme. Light therapy can improve the patient’s circadian rhythm and thus contribute to reducing the incidence of delirium. (4) Conclusions: Non-pharmacological nursing interventions may be effective in preventing and reducing the duration of delirium in ICU patients.

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Preventing and identifying hospital-acquired delirium

Cited by 7 publications

References 7 publications

Determination of the risk factors and delirium in the intensive care unit

Determination of the risk factors and delirium in the intensive care unit

Delirium in Critical Illness Patients and the Potential Role of Thiamine Therapy in Prevention and Treatment: Findings from a Scoping Review with Implications for Evidence-Based Practice

Non-Pharmacological Nursing Interventions to Prevent Delirium in ICU Patients—An Umbrella Review with Implications for Evidence-Based Practice

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