Less pharmacotherapy is more in delirium

Chou, Shinn-Te; Pogach, Melanie; Rock, Laura

doi:10.1007/s00134-022-06707-z

Cited by 4 publications

(12 citation statements)

References 16 publications

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“…Table 3 shows the studies that make up the final bibliographic sample and synthesizes the main results that answered the research question [ 2 , 3 , 5 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 ]. The included articles have different methodologies and are from the USA [ 2 , 3 , 13 , 17 , 18 , 22 ], South Korea [ 14 , 23 ], Iran [ 16 ], Germany [ 15 ], Portugal [ 5 ], Canada [ 19 ], Poland [ 20 ], China [ 21 ], and India [ 24 ].…”

Section: Resultsmentioning

confidence: 99%

“…Describe the current state of scientific evidence for diagnostic, preventive, and therapeutic Antipsychotics, dexmedetomidine, statins, and ketamine are not recommended to prevent delirium. Table 3 shows the studies that make up the final bibliographic sample and synthesizes the main results that answered the research question [2,3,5,[13][14][15][16][17][18][19][20][21][22][23][24]. The included articles have different methodologies and are from the USA [2,3,13,17,18,22], South Korea [14,23], Iran [16], Germany [15], Portugal [5], Canada [19], Poland [20], China [21], and India [24].…”

Section: Objective Conclusionmentioning

confidence: 99%

See 1 more Smart Citation

Nursing Intervention to Prevent and Manage Delirium in Critically Ill Patients: A Scoping Review

Fernandes,

Santos,

Anacleto

et al. 2024

Healthcare

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Delirium is an acute neuropsychiatric syndrome of multifactorial etiology with a high incidence in people admitted to intensive care units. In addition to reversible impairment of cognitive processes, it may be associated with changes in thinking and perception. If, in the past, it was considered an expected complication of severe disease, nowadays, delirium is associated with a poor short-term and long-term prognosis. Knowing that its prevention and early identification can reduce morbidity, mortality, and health costs, it is vital to investigate nursing interventions focused on delirium in critically ill patients. This study aimed to identify nursing interventions in the prevention and management of delirium in critically ill adults. The method used to answer the research question was a scoping review. The literature search was performed in the Medline (via PubMed), CINAHL (via EBSCOhost), Scopus, Web of Science, and JBI databases. The final sample included 15 articles. Several categories of non-pharmacological interventions were identified, addressing the modifiable risk factors that contribute to the development of delirium, and for which nurses have a privileged position in their minimization. No drug agent can, by itself, prevent or treat delirium. However, psychoactive drugs are justified to control hyperactive behaviors through cautious use. Early diagnosis, prevention, or treatment can reduce symptoms and improve the individual’s quality of life. Therefore, nursing professionals must ensure harmonious coordination between non-pharmacological and pharmacological strategies.

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Section: Resultsmentioning

confidence: 99%

Section: Objective Conclusionmentioning

confidence: 99%

Nursing Intervention to Prevent and Manage Delirium in Critically Ill Patients: A Scoping Review

Fernandes,

Santos,

Anacleto

et al. 2024

Healthcare

View full text Add to dashboard Cite

show abstract

“…Acute hospital admission is challenging for older people, who are more prone to delirium and functional decline. The correct approach is clearly one of prevention, since pharmacotherapeutic interventions for delirium are associated with adverse events and have limited efficacy ( 2 , 3 ). Aomura et al posed an interesting hypothesis, questioning whether admission to a window-side bed was associated with the development of delirium in older patients admitted to a general ward.…”

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confidence: 99%

Editorial: Insights in geriatric medicine: 2021

Dwolatzky

2024

Front. Med.

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“…We often concluded that increasing respiratory support or drugs did not help much [2], but things like a children's game of word search could change everything. Simple gestures, playing heavy metal music, buying chocolate, a homemade dessert on the tip of the tongue, a hand massage or a few comforting words helped ease their minds.…”

mentioning

confidence: 99%

“…Although this message has often been repeated in the last years [2], it is far from universally implemented. No trial has yet proven that human touch, or sunlight in the ICU improves prognosis [4], but is this not common sense?…”

mentioning

confidence: 99%