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 . Dr. Dallas Seitz and Dr. Agata Szlanta. Objectives. Understand the differential diagnosis and presentation of delirium in older adults;. Review the risk factors and precipitants for delirium; and . Discuss delirium prevention and management strategies.. A poorly defined, controversial term. aka Excited Delirium. Generally describes. Elevated blood pressure. Elevated heart rate. Paranoia. Hallucinations. Violent impulses. Associated with drug use, mental illness, or the two together. during . Acute Inpatient Rehabilitation . Predict . Length . of Stay . in Acute . Inpatient Rehabilitation . and . Motor . FIMs. TM. . at Discharge. . for . Patients . with Traumatic Brain Injury. MA Bockbrader, A . F/KITOUNI . M/ASSISTANTE EN ANESTHESIE REANIMATION. HMRUC. INTRODUCTION. L’ETAT D’AGITATION EST UNE URGENCE ABSOLUE QUI NECESSITE UNE PRISE EN CHARGE IMMEDIATE.. ELLE PEUT ETRE D’ORIGINE ORGANIQUE METABOLIQUE OU PSYCHIQUE. 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. Dr Holly McGuigan. Specialty Doctor in Palliative Medicine. Strathcarron Hospice. Situation. Anne. ,. 73 year old lady, lung cancer. Admitted for symptom control of pain. “Previously delusional with opioids- not keen for same”. Introduction. Effects of AD Agitation. Agitation Treatment Options. Antipsychotics and AD. CATIE-AD. Discontinuing Antipsychotics. Provisional Definition of Agitation. Agitation Epidemiology. Case 1. 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. 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 for Adults and Children in the Emergency Setting1Updated October 20172PAMI learning module content will sometimes overlap due to similar topics The PAMI website offers access to learning module handou 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 (. 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.. Updated May 2019. Valerie Au, M.D. . Andrew . Infosino. , M.D.. Department of Anesthesia and Perioperative Care. University of California, San Francisco. Disclosures. No relevant financial relationships. 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. .