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Related Experiment Videos

Delirium in the intensive care unit.

Margaret Cole Marshall1, Mark D Soucy

  • 1Department of Family Nursing Care, School of Nursing, University of Texas Health Science Center, San Antonio, TX 78229-3900, USA. PeggyMarshall@bigplanet.com

Critical Care Nursing Quarterly
|August 22, 2003
PubMed
Summary

Delirium in intensive care units (ICUs) is a common issue impacting patient recovery and survival. Early identification and nursing interventions are crucial for managing this condition, especially in older adults.

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Area of Science:

  • Critical Care Medicine
  • Geriatrics
  • Neuroscience

Background:

  • Delirium is a frequent and serious complication in intensive care units (ICUs).
  • It negatively impacts patient healing, increases mortality, and prolongs hospital stays.
  • The aging population (over 65) is growing and at higher risk for delirium in ICUs.

Purpose of the Study:

  • To define delirium and explore its pathogenesis.
  • To review clinical practice guidelines and novel assessment tools for ICU delirium.
  • To outline nursing interventions for delirium prevention and early detection.

Main Methods:

  • Literature review and synthesis of current knowledge on ICU delirium.
  • Discussion of diagnostic criteria and assessment tools.

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  • Examination of evidence-based nursing interventions.

    • Main Results:

    • Delirium is often underrecognized and misdiagnosed in ICUs.
    • Specific assessment tools can improve identification rates.
    • Proactive nursing interventions can aid in prevention and early management.

    Conclusions:

    • Effective management of ICU delirium requires accurate diagnosis and timely intervention.
    • Nursing plays a vital role in preventing and identifying delirium.
    • Addressing delirium is essential for improving patient outcomes in the ICU.