Delirium Prevention for Cognitive, Sensory, and Mobility Impairments

Robinson, S.; Rich, Catherine; Weitzel, Tina; Vollmer, Charlene; Eden, Brenda

doi:10.1891/1541-6577.22.2.103

Cited by 14 publications

(25 citation statements)

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“…Positive patient outcomes in the latter studies included reduced incidence of delirium post intervention [14], shorter duration of delirium [2], fewer complications during hospitalisation [14] and reduced length of postoperative stay [14]. There was no effect on return to independent living or mortality [14]. Indicators of improved staff performance included more nursing assessments for delirium [2,9] and initiation of targeted treatment [2].…”

Section: Resultsmentioning

confidence: 99%

“…Delirium prevention was the primary aim in all but one study [9]. Three studies were classified as type 1, or using a predisposing approach alone [10–12], four as type 2 [2,9,13,14] and one as type 3 study [15]. The remaining 11 type 4 studies mostly used techniques of all three other study types [16–26].…”

Section: Resultsmentioning

confidence: 99%

“…The four type 2 studies used education in conjunction with clinical guidelines and/or protocols for the prevention and management of delirium [2,9,13,14]. Enabling factors included providing equipment for nursing assistants to implement the delirium protocol [14] and making specially trained resource nurses available for ward staff [9]. The provision of a clinical guideline without additional enabling strategies proved ineffective [13].…”

Section: Resultsmentioning

confidence: 99%

“…The provision of a clinical guideline without additional enabling strategies proved ineffective [13]. The other three studies used protocols that more clearly directed clinician behaviour [2,9,14]. Positive patient outcomes in the latter studies included reduced incidence of delirium post intervention [14], shorter duration of delirium [2], fewer complications during hospitalisation [14] and reduced length of postoperative stay [14].…”

Section: Resultsmentioning

confidence: 99%

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Evaluating the effectiveness of educational interventions to prevent delirium

Wand

2011

Australas J Ageing

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The aim of this study was to combine knowledge about how clinicians learn with a review of educational interventions to prevent delirium in hospitalised patients. The primary aim was to evaluate the effectiveness of approaches to delirium education. A detailed search of educational and medical databases was undertaken. The type of intervention used was classified according to the PRECEED model of Green and colleagues, using factors relevant to behaviour change in health promotion. The effectiveness of the intervention was determined by assessing changes in staff performance and patient outcomes. Nineteen studies of variable design and quality were identified. Studies using predisposing, enabling and reinforcing strategies together were more often effective in producing changes in staff behaviour and patient outcomes. Education and guidelines used together or in combination have little effect. When strategies to enable and reinforce changes in clinical practice are used together with education sessions, outcomes for patients are more positive.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Evaluating the effectiveness of educational interventions to prevent delirium

Wand

2011

Australas J Ageing

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“…14,17,18 The authors could find few studies about sleep deprivation in the ICU. 14,17,18 The authors could find few studies about sleep deprivation in the ICU.…”

Section: The High Cost Of Delirium In the Icumentioning

confidence: 99%

Preventing Intensive Care Unit Delirium

Stuck

Clark

Connelly

2011

Dimensions of Critical Care Nursing

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Delirium in the intensive care unit is a disorder with multifactorial causes and is associated with poor outcomes. Sleep-wake disturbance is a common experience for patients with delirium. Care processes that disrupt sleep can lead to sleep deprivation, contributing to delirium. Patient-centered care is a concept that considers what is best for each individual. How can clinicians use a patient-centered approach to alter processes to decrease patient disruptions and improve sleep and rest? Could timing of blood draws and soothing music work to promote sleep?

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Multicomponent, nonpharmacological delirium interventions for older inpatients

Eckstein

Burkhardt

2019

Z Gerontol Geriat

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BackgroundOlder people represent a risk group for acquiring or further development of delirium during hospitalization, therefore requiring suitable nonpharmacological delirium interventions.ObjectiveThis scoping review analyzed nonpharmacological intervention programs for older inpatients with or without cognitive decline on regular or acute geriatric wards to present the range of interventions.MethodsA systematic literature search was conducted using scientific databases. A total of 4652 records were screened by two independent reviewers, leaving 81 eligible articles for full-text screening and 25 studies were finally included. Inclusion criteria were older patients ≥65 years in regular or acute geriatric wards and nonpharmacological multicomponent interventions.ResultsMore than a half of the included studies (14, 56%) recruited patients with pre-existing cognitive decline as part of the study population and 12% focused exclusively on patients with cognitive decline. On average 11 intervention components were integrated in the programs and two programs included full coverage of all 18 identified components.ConclusionOnly few programs were described for older inpatients and even fewer regarding pre-existing cognitive decline. The low numbers of interventions and data heterogeneity restricted the assessment of outcomes; however, delirium incidence, as reported by two thirds of the studies was reduced by nonpharmacological multicomponent interventions.Electronic supplementary materialThe online version of this article (10.1007/s00391-019-01627-y) contains supplementary material, which is available to authorized users.

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Delirium Prevention for Cognitive, Sensory, and Mobility Impairments

Cited by 14 publications

References 0 publications

Evaluating the effectiveness of educational interventions to prevent delirium

Evaluating the effectiveness of educational interventions to prevent delirium

Preventing Intensive Care Unit Delirium

Multicomponent, nonpharmacological delirium interventions for older inpatients

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