SCCM Resource Library-Nonpharmacologic Management and Nursing Care of Refractory ICU Delirium

Video Transcription

Video Summary

In this lecture, the speaker discusses the non-pharmacologic management and nursing care of refractory ICU delirium. They begin by highlighting the need for a non-pharmacologic approach to delirium prevention and management. They reference evidence from clinical practice guidelines, which suggest that medications have little role in the management of ICU delirium. Instead, they emphasize the importance of non-pharmacologic interventions, such as routine delirium monitoring, early mobilization, optimizing sleep, and reducing stimuli in the ICU environment. The speaker also mentions the benefits of multi-component non-pharm interventions for preventing delirium in hospitalized non-ICU patients. They stress the need for nurses to assess delirium regularly, involve family members in care, and use a pragmatic and humanistic approach. They conclude by advocating for safe RN staffing levels and greater support for nurses in providing comprehensive care to delirious patients.

Asset Subtitle

Neuroscience, 2022

Asset Caption

Delirium is common in many critically ill patients and is associated with increased duration of mechanical ventilation, duration of ICU and hospital lengths of stay, and long-term cognitive impairment. Patients may be refractory to multiple standard treatment modalities requiring alterative pharmacologic and nonpharmacologic treatment regimens. There are many research gaps in this area, and this session will help provide insight into multifaceted management strategies for refractory ICU delirium.

Meta Tag

Content Type Presentation

Knowledge Area Neuroscience

Knowledge Level Advanced

Learning Pathway Delirium and Sedation Managment

Membership Level Select

Tag Delirium

Year 2022

Keywords

non-pharmacologic management

nursing care

refractory ICU delirium

delirium prevention

non-pharmacologic interventions

routine delirium monitoring

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