PDF-d Reducing Delirium in the ICU Deb Baker RN BSN CCRN

REDUCE DELIRIUM THINK T T oxins H H ypoxia I mmobilityInfection N onpharmacologic K electrolytes Sleep 1 4AM Nap 2PM 4PM 9 Lights OFF 9 Reduce Noise 9 Cluster care 9 Change electrodes 10 PM THE ABCDE BUNDLE EARLY AMBULATION 126 ICU ROCKS brPage 6br. Disorganized Thinking 1 ill a stone float on water 2 Are there fish in the sea 3 Does one pound weigh more than two 4 Can you use a hammer to pound a nail Command Hold up this many fingers Hold up 2 fingers Now do the same thing with the other hand 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.. Rose Buckingham MSN. Kelly Goetschkes MSN. Objectives. Describe what delirium is and common . risk factors. Identify common symptoms, and implications of delirium for the hospitalized adult. Summarize TNMC ICU Outcomes Study results and what we learned going forward. ICU Delirium and Cognitive Impairment Study . Group . www.ICUdelirium.org. delirium@vanderbilt.edu. What is Delirium?. Delirium is a common clinical syndrome characterized by:. Inattention. Acute cognitive. 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”. 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.. AHRQ Safety Program for . Mechanically Ventilated Patients. AHRQ Pub. No. 16(17)-0018-43-EF. January 2017. Learning Objectives. After . this session, you will be able . to—. Identify the objectives and benefits of using the . 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. 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 ICU Liberation: How Physical Therapy Is Part of Reducing the Harms of Critical Illness Presented by Heidi Engel, PT, DPT UCSF Department of Rehabilitative Services University of California San Francisco Medical Center Day Two 8:00-5:00. Neurological 12%. Behavioral/Psychosocial 4. %. Hematology/Immunology . 2%. Multisystem 8. %. Renal 6%. Cardiovascular 20%. Cardiovascular cont.. Pulmonary 18%. Endocrine 5%. Gastrointestinal 6%. 121 ISSN: 2638-1621 Volume 3 • Issue 2 • 1000128Madridge J Intern Emerg Med.ISSN: 2638-1621 122 and fluctuates over time.” Many different terms have been used to describe this syndrome of cog 44 cognitive and psychosocial functioning: literature review AUTHORS Daniella Bulic Ba(Sc) Economics (Honours), NAATI 3, BSW, AMHSW, BBH CertEdu, PostGrad Supervision, Master Community Health and Overview and Novel Approaches. John W. Devlin, PharmD, FCCM, FCCP, BCCCP. Professor of Pharmacy, . Northeastern University. Research Scientist and Critical Care Pharmacist,. Division of Pulmonary and Critical Care Medicine, .