PPT-Evidence Behind Pain, Agitation, and Delirium: Assessments and Sedation Management

AHRQ Safety Program for Mechanically Ventilated Patients AHRQ Pub No 1617001843EF January 2017 Learning Objectives After this session you will be able to Identify the objectives and benefits of using the . Niki Hester. Maureen Clifford. Heather Woodard. Jennifer Stephens. Objectives. Define delirium and how delirium impacts the patient.. State the purpose of daily interruption of sedation (DIS). . Describe RASS and explain range.. Agitation . and Delirium in the Critically Ill. Zach R. Smith, . Pharm.D. ., BCPS. Clinical Pharmacist, Critical Care. Henry Ford Hospital. The speaker has no actual or potential conflict of interest in relation to this presentation. Assistant Professor for Anesthesiology/Critical Care. UAMS. Disclosure/Declaration of Commercial Support. Today’s presenter did NOT receive financial support from nor have any commercial relationship with any drug or equipment product manufacturers or vendors that may be mentioned or displayed in the course of this presentation.. Contents:. What is Delirium?. Why is it important?. How do we recognise it?. What causes it?. How do we prevent it?. How do we treat it?. Definition:. An acute state of confusion (NICE, 2010). Acute onset, fluctuating confusion. Collin Lueck. PGY4 Psychiatry. August 2018. Lecture Outline. Defining Agitation. Overview of Commonly-Used Medications. Treatment Approach by Etiology. Lecture Outline. Defining Agitation. Overview of Commonly-Used Medications. ABCDE Protocol ICU Delirium and Cognitive Impairment Study Group www.icudelirium.org delirium@vanderbilt.edu Why the ABCDE Protocol? Need for Sedation and Analgesia Prevent pain and anxiety Decrease oxygen consumption Strategic Medication Review . At End of Life . By: Meri Madison, PharmD . August 16. th. , 2018. Conflict of Interest and Disclosures of Relevant Financial Relationships. The planners and presenters (spouse/domestic partner) of this educational activity have disclosed no healthcare related conflicts of interest, commercial interest, or have any related financial relationships/support.. Orientation Provide visual and hearing aidsEncourage communication and reorient patient Have familiar objects from patient’s home in the roomAllow television during day with daily newsNonverbal m of Pain, Sedation and Delirium in . ICU. Courtesy. Praveenkumar G. Critical Care Medicine. Medanta The MEdicity. Assessment of pain – Visual Analogue Scale . Sedation and Delirium monitoring. Sedation : RASS (. Assistant Professor, Baylor College of Medicine. Staff Psychiatrist General Mental Health Clinic (GMHC). Michael E. DeBakey VA Medical Center. Objectives. Overview of Delirium: . Understand the pathology of delirium and how . Dr Anne Hounsell, Speciality Doctor, The Rowans Hospice. June 2019. Objectives. To consider when sedative medications might be appropriate….. -these as last resort…... Definition of agitation.. Action Card for administration of benzodiazepines . The use of sedatives and anti – psychotic medication should be kept to a minimum. . S. edation should only be considered once other strategies have failed to calm the patient such as distraction/diversion strategies, using 1:1 special to care for the patient. . in . the ICU. Dr. H. Objectives. Discuss goals of sedation. Discuss . nonpharmacologic. interventions for distress. Discuss optimal pharmacologic interventions for distress. Discuss role of continuous infusions and daily interruptions of such. What this talk will cover. Definition of terminal agitation, how common is it. Symptoms and signs. Risk factors for more severe terminal agitation. Causes. General management. Management with medications.