Multicomponent intervention strategies for managing delirium in hospitalized older people: systematic review

Abstract

Multicomponent interventions to prevent delirium are the most effective and should be implemented through synergistic cooperation between the various healthcare disciplines. Nurses should play a pivotal role in prevention, early recognition and treatment.

Pathophysiology of Delirium in the Intensive Care Unit

“…Several reports suggest that delirium may be a side effect of anesthesia or surgery [15,[133][134][135][136][137][138][139][140][141][142][143][144][145][146][147][148]. To date, studies examining associations between surgery and delirium have investigated microemboli migration [149][150][151], hypoperfusion [64,137,[152][153][154], inflammatory responses [155][156][157], changes in hormone levels [158][159][160][161], and local and general anesthesia [64,133,162,163].…”

“…Surgery and POCD Aspects of anesthetic and procedural management in the operating room seem logical as etiologies, with some supportive data [15,[133][134][135][136][137][138][139][140][141][142][143][144][145][146].…”

Post stroke delirium

“…Изучение факторов риска развития делирия [2,[31][32][33][34] позволило выделить среди них потенциаль-но модифицируемые и немодифицируемые.…”

Educating staff working in long-term care about delirium: The Trojan horse for improving quality of care?

“…As the strongest evidence is for delirium prevention through addressing common risk factors [32][33][34], this was chosen as the focus of the intervention. Figure 1 lists the broad principles of our intervention.…”

“…We developed a draft intervention based on the research evidence for effective interventions for delirium [20][21][22][23][32][33][34], and for changing practice [4,5,27,[35][36][37][38].…”