Critical Care Nursing Commons^™

The Effect Of The Sleep Promotion Interventions On Incidence Of Delirium In Intensive Care Patients: An Integrative Literature Review, Sarah Lee

Nursing Masters Papers

Sleep is vital to our health, and prolonged sleep deprivation can result in serious health problems. Yet, patients in the intensive care unit (ICU) commonly experience sleep deprivation due to the environment and necessary treatments. High noise levels, bright lights, frequent patient care activities, mechanical ventilator desynchrony, pain, anxiety, and medications are the main factors that disrupt patients’ sleep architecture and affect sleep quality. Sleep deprivation is a significant contributor to the development of delirium, which is associated with poor patient outcomes and added financial burden. Implementation of sleep promotion interventions may decrease the incidence of this detrimental illness. The …

A Case For Delirium Risk Prediction Models To Aid In Triaging Resources To Those Most At Risk An Integrative Literature Review, Tammy Perttula

Nursing Masters Papers

Abstract

Delirium is a complex syndrome resulting from compounding effects of acute illness, comorbidities, and the environment. It results in adverse outcomes: elevated mortality rates, length of stay, readmissions, institutionalization, long-term cognitive changes, and diminished quality of life. The rate of iatrogenic delirium is astounding, ranging from 10%-89%. There are no curative treatments; thus, primary prevention is the key. The purpose of this literature review is to identify and critique the research for the accuracy of risk stratification and feasibility in practice. Support for interventions that prevent delirium is mounting; however, interventions are resource-intensive and often not implemented. Researchers have …