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Full-Text Articles in Medicine and Health Sciences
Relationship Between Delirium And Night-Time Interruptions In Icu, Amy R. Stuck Phd, Rn
Relationship Between Delirium And Night-Time Interruptions In Icu, Amy R. Stuck Phd, Rn
Dissertations
Background: This dissertation examined the phenomenon of delirium in the intensive care unit (ICU) setting. Delirium is a form of cognitive disturbance with a physiologic etiology and complex, multifactorial mechanisms of causation and risk. Delirium in the ICU patient presents a significant risk for adverse outcomes including increased mortality, length of stay, falls, and restraint use. ICU delirium can lead to persistent cognitive impairment beyond discharge and frequent skilled nursing placement. Identifying delirium requires accurate diagnosis that is optimized when validated instruments are used. Sleep deprivation has been linked to adverse health consequences including delirium. Previous studies investigating the relationship …
Documentation: Delirium In The Hospitalized Older Adult, Jacqueline Fitzgerald Close Phd
Documentation: Delirium In The Hospitalized Older Adult, Jacqueline Fitzgerald Close Phd
Dissertations
Background: Delirium is a common, life threatening and preventable geriatric syndrome. Because this condition is frequently addressed by administering dangerous antipsychotic drugs, it is imperative that accurate systematic assessments are charted to determine the actual need for these medications. The purpose of the study was to describe medical record documentation of a systematic assessment of delirium in older adults who had been administered an antipsychotic medication. Methods: A descriptive correlational retrospective design was used for this medical record data based study. The setting was a 107 bed acute care community hospital located in southern California. Inclusion criteria were medical records …