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Keywords

Delirium

Disciplines

Nursing

Description

Delirium presents a significant dilemma for patients in the hospital setting. Delirium not only prolongs the amount of time that the patient’s body requires to properly heal, but can negatively impact their emotional and physical sense of well-being as well. Patients that become delirious may not have the ability to participate in upcoming daily activities and mobilization due to safety concerns, can become emotionally distraught due to confusion/frustration, and may cause un-intentional self-injury from pulling at invasive medical devices such as arterial and central lines. When a patient progresses to this state, they often require non-violent soft restraints for their own protection or pharmaceutical agents, which can further increase their agitation.

Various delirium reduction studies have been performed around the world in efforts to prevent this prevalent issue. In a study projected by Matsuura et al. 2022, evidence found that 20%-50% of patients on Intensive Care Units (ICUs) struggle with hospital-acquired delirium. A separate project project conducted by Baldwin et al., summarized that intense patient-monitoring combined with high levels of noise and bright light throughout the night increased the rates in which patients became confused.

Due to the amount of time that hospital nursing staff spends providing direct patient care, nurses have the chance to directly affect patient outcomes during their stay. We have chosen to implement a non-pharmacological sleep bundle on our unit in efforts to decrease the rate of ICU delirium.

The purpose of this study is to investigate if incorporating a non-pharmacological sleep bundle in adult patients in the Cardiovascular Surgical Intensive Care Unit (CVSICU) will decrease the prevalence of patient delirium during their length of stay on the unit.

Publication Date

5-6-2024

Comments

Nurses Week at Corewell Health William Beaumont University Hospital, Royal Oak, MI, May 6-12, 2024.

Delirium Reduction in Patients in an Intensive Care Unit

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