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Extending the ABCDE bundle to the post-intensive care unit setting
Michele Balas1, Rose Buckingham, Tami Braley
1University of Nebraska Medical Center, College of Nursing, Department of Community Based Health, Omaha, NE 68198, USA. mbalas@unmc.edu
Journal of Gerontological Nursing
|June 14, 2013
Summary
The Awakening and Breathing Coordination, Delirium Monitoring and Management, and Early Mobility (ABCDE) bundle improves ICU care for older adults. Extending this evidence-based approach beyond the ICU can enhance recovery and overall quality of care.
Area of Science:
- Geriatric Medicine
- Critical Care Medicine
- Evidence-Based Practice
Background:
- Intensive Care Unit (ICU)-acquired delirium and weakness significantly impact older adults.
- Current care models may not fully address the complex needs of critically ill older adults.
- The ABCDE bundle offers a structured approach to mitigate these effects.
Purpose of the Study:
- To explore the rationale and benefits of extending the ABCDE bundle into the post-ICU setting.
- To advocate for a comprehensive care strategy for older adults transitioning from ICU.
- To improve long-term outcomes for critically ill older patients.
Main Methods:
- Review of existing evidence on the ABCDE bundle.
- Exploration of application in post-ICU care settings.
- Presentation of a case study illustrating potential benefits.
Main Results:
- The ABCDE bundle empowers interdisciplinary teams to implement evidence-based practices.
- Extending the bundle offers potential for improved patient-centered care.
- Adoption can enhance quality of care during hospitalization and recovery.
Conclusions:
- The ABCDE bundle is a promising strategy for older adults in the ICU.
- Extending the ABCDE bundle beyond the ICU is a logical progression for comprehensive care.
- This approach has the potential to transform care for critically ill older adults.
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