Essay about Preventing and Assessing Intensive Care Unit...

Abstract Delirium in the Intensive Care Unit (ICU) has become a genuine phenomenon and can be problematic for the patient and the staff caring for them. Delirium occurs when a patient is placed in an unfamiliar environment and has to endure the stress of not just the hospitalization but the stimuli of the environment, which can cause disturbances in consciousness. Patients can become confused, anxious, and agitated; making this difficult for the staff to correctly diagnosis and care for them. Sleep deprivation and environmental factors along with neurotransmitters are strongly related to the occurrence of ICU delirium. ICU staff needs to become more educated on prevention, detection, and proper treatment for the patient experiencing this†¦show more content†¦This may lead to illusions or hallucinations (Figueroa-Ramos, Arroyo-Novoa, Lee, Padilla, Puntillo, 2009). Some signs of delirium are restlessness, anxiety, hallucinations, agitation, disorientation, and any abnormal behavior. S ome causes of ICU delirium are due to drugs, stress, environmental factors, and sleep deprivation. Studies show a strong connection between sleep deprivation and delirium. Alterations in specific neurotransmitters are the basis of current research (Figueroa-Ramos, Arroyo-Novoa, Lee, Padilla, Puntillo, 2009). Enhanced assessment and nursing implementations to better prevent and detect ICU delirium will bring improved outcomes for this particular patient population. There are many ways to assess for ICU delirium. Two of the most reliable and easiest methods are basic observations from the bedside nurse and The Confusion Assessment Method (CAM). The CAM includes nine different criteria for delirium (1) acute onset and fluctuation, (2) inattention, (3) disorganized thinking, (4) altered level of consciousness, (5) disorientation, (6) memory impairment, (7) perceptual disturbances, (8) psychomotor agitation or retardation, and (9) altered sleep-wake cycle. A delirium diagnosis is given when criteria one and two and either three or four are present. The second assessment tool for delirium detection is made from nursing observations. The nurse observes the patient throughout theirShow MoreRelatedThe Importance Of Complications In Healthcare1186 Words   |  5 Pagescomplications (IVAC). Being able to meet my HealthPeople 2020 objective of decreasing VAE’s within my agency’s intensive care unit (ICU) goal, I will be focusing on the ABCDEF care bundle along with oral care that pertains to our mechanical ventilated patients. Patients in the ICU are much sicker and have more complicated needs in care. For our agencies nursing staff to perform safe and quality care practice to patients, it is necessary to provide them with tools and resources. 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