SCCM Resource Library-D: Delirium: Assess, Prevent, and Manage

Video Transcription

Video Summary

The speaker discusses the importance of delirium management and the challenges of treating delirious patients. They highlight the DSM definition of delirium and the three types: hyperactive, hypoactive, and mixed. The speaker emphasizes that delirium is a multifactorial problem that requires a multi-component strategy for management. They discuss the various assessment tools such as the sedation agitation scale, the RAS, and the CAM-ICU. The speaker also addresses the use of antipsychotics for delirium and states that there is no data to support their use. They stress the importance of non-pharmacological interventions and highlight the ICU liberation or A to F bundle as a multi-component strategy for delirium management. The speaker mentions the potential role of rehab assistants in delirium management and suggests incorporating cognitive training and activities to engage patients' minds. They also mention the importance of physical therapists in helping mobilize patients and stress the need to recognize that medical ICU patients are similar to neuro ICU patients and should be treated accordingly.

Asset Subtitle

Neuroscience, Quality and Patient Safety, 2020

Asset Caption

This is a presentation from the 2020 Critical Care Congress precourse, ICU Liberation. D: Delirium: Assess, Prevent, and Manage was presented by Brenda Pun, DNP, RN, FCCM.

The course covered knowledge developed to improve ICU patient care through the implementation of the ICU Liberation Bundle based on the pain, agitation/sedation, delirium, immobility, and sleep disruption (PADIS) guidelines.

Meta Tag

Content Type Presentation

Knowledge Area Neuroscience

Knowledge Area Quality and Patient Safety

Knowledge Level Foundational

Knowledge Level Intermediate

Knowledge Level Advanced

Learning Pathway Delirium and Sedation Managment

Membership Level Select

Membership Level Professional

Membership Level Associate

Tag Delirium

Tag Guidelines

Year 2020

Keywords

delirium management

challenges

DSM definition

multi-component strategy

assessment tools

non-pharmacological interventions

rehab assistants

physical therapists

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