A Clinical Update on Delirium: Focus on the Intensive Care Unit Patient |
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| Affiliation: | 1. School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan;2. School of Nursing, Faculty of Science, Medicine and Health, University of Wollongong, Northfields Ave, Wollongong, NSW 2522, Australia;3. Department of Cardiology, Taipei Medical University Shuang Ho Hospital, New Taipei City, Taiwan;4. Illawarra Health and Medical Research Institute, Northfields Ave, Wollongong, NSW 2522, Australia;5. School of Medicine, Chang Gung University, Taoyuan, Taiwan;6. Neurosurgical Department, Chang Gung Memorial Hospital, Keelung, Taiwan;7. Department of Nursing, Far Eastern Memorial Hospital, New Taipei, Taiwan;8. Research Center of Sleep Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan |
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| Abstract: | Acute care nurse practitioners manage a wide range of patient diagnoses and problems encountered in critical care, including management of delirium. As such, they are positioned to be leaders in the prevention, recognition, and management of delirium in the intensive care unit setting. Delirium in the hospitalized patient is linked with a prolonged length of stay, higher risk of death, and cognitive decline. Delirium will occur in up to 87% of intensive care unit patients with severe illness or recovering from major surgery. This overview of current evidence-based practice guidelines and an accompanying case study will assist interdisciplinary teams of health care providers to diagnose, treat, and manage hospitalized patients with delirium, with a focus on the complex care of the critically ill patient population. |
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| Keywords: | ABCDE bundle acute care delirium hyperactive hypoactive intensive care unit |
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