Using an Evidence-Based Approach for Assessing and Identifying Delirium Among Medical-Surgical Patients in the Acute Care Setting

2017 ◽  
Vol 10 (1) ◽  
pp. 24-27
Author(s):  
Mary Belding ◽  
Erin Delaney ◽  
Valeria Dworkowitz ◽  
Samuel Osho
Keyword(s):  
Care Setting ◽  
Evidence Based Practice ◽  
Confusion Assessment Method ◽  
Assessment Method ◽  
Evidence Based ◽  
Doctor Of Nursing Practice ◽  
Confusion Assessment ◽  
Surgical Units ◽  
Clinical Problems

Objective:The scholarship of the doctor of nursing practice (DNP) is crucial in the use of evidence-based practice to address clinical gaps in practice. The Confusion Assessment Method (CAM) is a literature supported tool for the assessment of delirium. Registered nurses (RNs) were educated on the application of the CAM for their patients.Method:RNs on two medical-surgical units received education about delirium and use of the CAM. The CAM tool was used for 2 weeks on all admitted patients.Result:There was an 11% increase in knowledge gained during the educational sessions. There were 15 patients identified with a suggestive diagnosis of delirium via the CAM during a 2-week period.Conclusion:Using evidence-based practice to solve clinical problems enhances quality of life. Prompt identification of delirium can help to reverse delirium and adverse sequelae.

Sedation in the Intensive Care Setting

2019 ◽  
Author(s):  
William John Wallisch IV ◽  
Ata Murat Kaynar
Keyword(s):  
Care Setting ◽  
Confusion Assessment Method ◽  
Assessment Method ◽  
Assessment Tools ◽  
Intensive Care Setting ◽  
Sedation Scale ◽  
Richmond Agitation Sedation Scale ◽  
Confusion Assessment ◽  
The Past ◽  
Sedation Program

The recent clinical trials on sedation and delirium in the ICU shifted the scales dramatically in the past 10 to 20 years and less sedation is now the accepted norm with titration goals. Now the art of sedation is in the hands of the clinicians to achieve a balance between alleviation of pain and anxiety while keeping patients calm, cooperative, and part of daily activities in the ICU. In this chapter we summarize the various assessment tools for optimal sedation in the ICU as well as the medications used to achieve sedation. However, the clinicians should not forget the nonpharmacologic approaches such as prevention of sleep interruption as part of a successful comprehensive sedation program in the ICU. This review contains 3 tables, and 22 references. Key Words: confusion assessment method, delirium, dexmedetomidine, etomidate, fentanyl, GABA, ketamine, propofol, Richmond agitation-sedation scale (RASS), sedation-agitation scale (SAS)

Sedation in the Intensive Care Setting

2019 ◽  
Author(s):  
William John Wallisch IV ◽  
Ata Murat Kaynar
Keyword(s):  
Care Setting ◽  
Confusion Assessment Method ◽  
Assessment Method ◽  
Assessment Tools ◽  
Intensive Care Setting ◽  
Sedation Scale ◽  
Richmond Agitation Sedation Scale ◽  
Confusion Assessment ◽  
The Past ◽  
Sedation Program

The recent clinical trials on sedation and delirium in the ICU shifted the scales dramatically in the past 10 to 20 years and less sedation is now the accepted norm with titration goals. Now the art of sedation is in the hands of the clinicians to achieve a balance between alleviation of pain and anxiety while keeping patients calm, cooperative, and part of daily activities in the ICU. In this chapter we summarize the various assessment tools for optimal sedation in the ICU as well as the medications used to achieve sedation. However, the clinicians should not forget the nonpharmacologic approaches such as prevention of sleep interruption as part of a successful comprehensive sedation program in the ICU. This review contains 3 tables, and 22 references. Key Words: confusion assessment method, delirium, dexmedetomidine, etomidate, fentanyl, GABA, ketamine, propofol, Richmond agitation-sedation scale (RASS), sedation-agitation scale (SAS)

Sedation in the Intensive Care Setting

2019 ◽  
Author(s):  
William John Wallisch IV ◽  
Ata Murat Kaynar
Keyword(s):  
Care Setting ◽  
Confusion Assessment Method ◽  
Assessment Method ◽  
Assessment Tools ◽  
Intensive Care Setting ◽  
Sedation Scale ◽  
Richmond Agitation Sedation Scale ◽  
Confusion Assessment ◽  
The Past ◽  
Sedation Program

The recent clinical trials on sedation and delirium in the ICU shifted the scales dramatically in the past 10 to 20 years and less sedation is now the accepted norm with titration goals. Now the art of sedation is in the hands of the clinicians to achieve a balance between alleviation of pain and anxiety while keeping patients calm, cooperative, and part of daily activities in the ICU. In this chapter we summarize the various assessment tools for optimal sedation in the ICU as well as the medications used to achieve sedation. However, the clinicians should not forget the nonpharmacologic approaches such as prevention of sleep interruption as part of a successful comprehensive sedation program in the ICU. This review contains 3 tables, and 22 references. Key Words: confusion assessment method, delirium, dexmedetomidine, etomidate, fentanyl, GABA, ketamine, propofol, Richmond agitation-sedation scale (RASS), sedation-agitation scale (SAS)

Validation of the confusion assessment method in the palliative care setting

2008 ◽  
Vol 23 (1) ◽  
pp. 40-45 ◽  
Author(s):  
K Ryan ◽  
M Leonard ◽  
S Guerin ◽  
S Donnelly ◽  
M Conroy ◽  
...  
Keyword(s):  
Palliative Care ◽  
Care Setting ◽  
Confusion Assessment Method ◽  
Assessment Method ◽  
Confusion Assessment ◽  
Palliative Care Setting

Sedation in the Intensive Care Setting

2019 ◽  
Author(s):  
William John Wallisch IV ◽  
Ata Murat Kaynar
Keyword(s):  
Care Setting ◽  
Confusion Assessment Method ◽  
Assessment Method ◽  
Assessment Tools ◽  
Intensive Care Setting ◽  
Sedation Scale ◽  
Richmond Agitation Sedation Scale ◽  
Confusion Assessment ◽  
The Past ◽  
Sedation Program

The recent clinical trials on sedation and delirium in the ICU shifted the scales dramatically in the past 10 to 20 years and less sedation is now the accepted norm with titration goals. Now the art of sedation is in the hands of the clinicians to achieve a balance between alleviation of pain and anxiety while keeping patients calm, cooperative, and part of daily activities in the ICU. In this chapter we summarize the various assessment tools for optimal sedation in the ICU as well as the medications used to achieve sedation. However, the clinicians should not forget the nonpharmacologic approaches such as prevention of sleep interruption as part of a successful comprehensive sedation program in the ICU. This review contains 3 tables, and 22 references. Key Words: confusion assessment method, delirium, dexmedetomidine, etomidate, fentanyl, GABA, ketamine, propofol, Richmond agitation-sedation scale (RASS), sedation-agitation scale (SAS)

Delir-Diagnostik

2007 ◽  
Vol 20 (2-3) ◽  
pp. 135-139
Author(s):  
B. Dittrich ◽  
G. Gatterer ◽  
T. Frühwald ◽  
U. Sommeregger
Keyword(s):  
Confusion Assessment Method ◽  
Assessment Method ◽  
Psychische Störung ◽  
Confusion Assessment

Zusammenfassung: Das Delir (“akuter Verwirrtheitszustand”) bezeichnet eine psychische Störung, die plötzlich auftritt, durch eine rasche Fluktuation von Bewusstseinslage und Aufmerksamkeitsleistung gekennzeichnet ist und eine organische Ursache hat. Dieses Störungsbild nimmt bei Patienten im höheren Lebensalter deutlich an Häufigkeit zu und verursacht durch verlängerte Krankenhausaufenthalte und ungünstige Krankheitsverläufe erhebliche Kosten im Gesundheitssystem. Daher erscheint eine möglichst frühe Erkennung deliranter Zustandsbilder gerade im Rahmen der Geriatrie von großer Bedeutung. Zu diesem Zweck wurde eine deutsche Version der international weit verbreiteten Confusion Assessment Method entwickelt, die für die Bedürfnisse einer Abteilung für Akutgeriatrie modifiziert wurde. Dargestellt werden die Entwicklung und erste Erfahrungen mit diesem Instrument.

3-Minute Diagnostic Interview for Confusion Assessment Method--Chinese Version

2020 ◽  
Author(s):  
Dong-Liang Mu ◽  
Pan-Pan Ding ◽  
Shu-Zhe Zhou ◽  
Mei-Jing Liu ◽  
Xin-Yu Sun ◽  
...  
Keyword(s):  
Confusion Assessment Method ◽  
Assessment Method ◽  
Diagnostic Interview ◽  
Chinese Version ◽  
Confusion Assessment
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