Video Monitoring for Agitated Delirium in Palliative Care: Secondary Analysis of the RECORD Trial
These videos have been matched automatically. Contact us if they are not relevant.
These videos have been matched automatically. Contact us if they are not relevant.
View abstract on PubMed
Summary
This summary is machine-generated.Video monitoring effectively assesses agitated delirium in palliative care, showing good agreement with in-person methods and identifying more agitation episodes. This technology offers higher resolution data for better patient care.
Area Of Science
- Palliative Care Medicine
- Geriatric Psychiatry
- Clinical Monitoring Technologies
Background
- Video recording is established for monitoring agitated delirium but underutilized in inpatient palliative care.
- Assessing agitated delirium in palliative care is crucial for patient comfort and quality of life.
Purpose Of The Study
- To investigate the benefits of video monitoring for assessing persistent agitated delirium in an inpatient palliative supportive care unit (PSCU).
- To evaluate the agreement between video and in-person assessments of agitation.
Main Methods
- Prospective observational study, secondary analysis of the RECORD trial.
- Used modified Richmond Agitation-Sedation Scale (RASS) scores documented via in-person and video methods (intermittent and continuous).
- Compared assessments by registered nurses (RNs) and physicians (MDs) over 24 hours.
Main Results
- Video monitoring showed good interrater agreement (73-95%) with in-person and physician assessments.
- Video intermittent RN assessments identified 16% more agitation episodes than in-person assessments.
- Video continuous MD assessments identified 28% more episodes and revealed distinct agitation patterns.
Conclusions
- Video monitoring demonstrates potential for assessing agitated delirium in palliative care with high agreement.
- It offers higher resolution data, capturing more agitation episodes and patterns than traditional methods.
- This technology may improve the management of agitated delirium in supportive care settings.
These videos have been matched automatically. Contact us if they are not relevant.
These videos have been matched automatically. Contact us if they are not relevant.
Related Concept Videos
Statistical software is pivotal in data analysis and clinical trials by providing tools to analyze data, draw conclusions, and make predictions. These software packages range from simple data management applications to complex analytical platforms, supporting various statistical tests, models, and simulation techniques. Their significance lies in their ability to handle vast amounts of data with precision and efficiency, enabling researchers to validate hypotheses, identify trends, and make...
One example of how cells use the energy contained in electrochemical gradients is demonstrated by glucose transport into cells. The ion vital to this process is sodium (Na+), which is typically present in higher concentrations extracellularly than in the cytosol. Such a concentration difference is due, in part, to the action of an enzyme “pump” embedded in the cellular membrane that actively expels Na+ from a cell. Importantly, as this pump contributes to the high concentration of...
Clinical trials are prospective experimental studies conducted on humans to determine the safety and efficacy of treatments, drugs, diet methods, and medical devices. Using statistics in clinical trials enables researchers to derive reasonable and accurate conclusions from the collected data, allowing them to make wise decisions in uncertain situations. In medical research, statistical methods are crucial for preventing errors and bias.
There are four phases in a clinical trial. A phase one...
Clinical development focuses on how the drug will interact with the human body and encompasses four key phases of clinical trials, each serving a specific purpose in assessing the safety and effectiveness of new drugs. These phases overlap and build upon one another. Phase I involves a small group of healthy volunteers (typically 20-80 individuals) or, in cases where significant toxicity is expected, patients with the targeted disease, such as cancer or AIDS. The volunteers are tested for...
A problem-solving strategy is a plan of action used to find a solution. Different strategies have distinct action plans. Trial and error involves trying different solutions until one works. For instance, to fix a broken printer, you might check ink levels, ensure the paper tray isn't jammed, and verify the printer's connection to your laptop. This method can be time-consuming but is commonly used. Thomas Edison, for example, used trial and error to find a suitable filament for the light...
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...