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Quiet Time For Mechanically Ventilated Patients In The Medical Intensive Care Unit, Natalie S. Mcandrew, Jane Leske, Jill L. Guttormson, Sheryl Talcott Kelber, Kaylen Moore, Sylvia Dabrowski
Quiet Time For Mechanically Ventilated Patients In The Medical Intensive Care Unit, Natalie S. Mcandrew, Jane Leske, Jill L. Guttormson, Sheryl Talcott Kelber, Kaylen Moore, Sylvia Dabrowski
College of Nursing Faculty Research and Publications
Objective: Sleep disruption occurs frequently in critically ill patients. The primary aim of this study was to examine the effect of quiet time (QT) on patient sedation frequency, sedation and delirium scores; and to determine if consecutive QTs influenced physiologic measures (heart rate, mean arterial blood pressure and respiratory rate).
Method: A prospective study of a quiet time protocol was conducted with 72 adult patients on mechanical ventilation.
Setting: A Medical Intensive Care Unit (MICU) in the Midwest region of the United States.
Results: Sedation was given less frequently after QT (p = 0.045). Those who were agitated prior …
Educating Family Caregivers For Older Adults About Delirium: A Systematic Review, Margaret J. Bull, Lesley Boaz, Martha G. Jermé
Educating Family Caregivers For Older Adults About Delirium: A Systematic Review, Margaret J. Bull, Lesley Boaz, Martha G. Jermé
College of Nursing Faculty Research and Publications
Background
Delirium in older adults is considered a medical emergency; it contributes to a cascade of functional decline and to increased mortality. Early recognition of delirium symptoms is critical to prevent these negative consequences. Family caregivers who are educated about delirium could partner with nurses and other healthcare professionals in early recognition of delirium symptoms. Before implementing such partnership models, it is important to examine the effectiveness of educating family caregivers about delirium.
Aims
To examine whether providing education on delirium to family caregivers improved their knowledge, emotional state, or response in reducing the incidence of delirium in older adults. …