A Clinical Update on Delirium: Focus on the Intensive Care Unit Patient

Nichole A. Crenshaw, Carmen R. Presti

Research output: Contribution to journalArticle

Abstract

Acute care nurse practitioners manage a wide range of patient diagnoses and problems encountered in critical care, including management of delirium. As such, they are positioned to be leaders in the prevention, recognition, and management of delirium in the intensive care unit setting. Delirium in the hospitalized patient is linked with a prolonged length of stay, higher risk of death, and cognitive decline. Delirium will occur in up to 87% of intensive care unit patients with severe illness or recovering from major surgery. This overview of current evidence-based practice guidelines and an accompanying case study will assist interdisciplinary teams of health care providers to diagnose, treat, and manage hospitalized patients with delirium, with a focus on the complex care of the critically ill patient population.

Original languageEnglish (US)
Pages (from-to)777-781
Number of pages5
JournalJournal for Nurse Practitioners
Volume15
Issue number10
DOIs
StatePublished - Nov 1 2019

Fingerprint

Delirium
Intensive Care Units
Nurse Practitioners
Evidence-Based Practice
Critical Care
Practice Guidelines
Critical Illness
Health Personnel
Length of Stay
Population

Keywords

  • ABCDE bundle
  • acute care
  • delirium
  • hyperactive
  • hypoactive
  • intensive care unit

ASJC Scopus subject areas

  • Advanced and Specialized Nursing

Cite this

A Clinical Update on Delirium : Focus on the Intensive Care Unit Patient. / Crenshaw, Nichole A.; Presti, Carmen R.

In: Journal for Nurse Practitioners, Vol. 15, No. 10, 01.11.2019, p. 777-781.

Research output: Contribution to journalArticle

@article{c8bd0960011f46c297ed57b2e379cbf0,
title = "A Clinical Update on Delirium: Focus on the Intensive Care Unit Patient",
abstract = "Acute care nurse practitioners manage a wide range of patient diagnoses and problems encountered in critical care, including management of delirium. As such, they are positioned to be leaders in the prevention, recognition, and management of delirium in the intensive care unit setting. Delirium in the hospitalized patient is linked with a prolonged length of stay, higher risk of death, and cognitive decline. Delirium will occur in up to 87{\%} of intensive care unit patients with severe illness or recovering from major surgery. This overview of current evidence-based practice guidelines and an accompanying case study will assist interdisciplinary teams of health care providers to diagnose, treat, and manage hospitalized patients with delirium, with a focus on the complex care of the critically ill patient population.",
keywords = "ABCDE bundle, acute care, delirium, hyperactive, hypoactive, intensive care unit",
author = "Crenshaw, {Nichole A.} and Presti, {Carmen R.}",
year = "2019",
month = "11",
day = "1",
doi = "10.1016/j.nurpra.2019.08.029",
language = "English (US)",
volume = "15",
pages = "777--781",
journal = "Journal for Nurse Practitioners",
issn = "1555-4155",
publisher = "Elsevier Inc.",
number = "10",

}

TY - JOUR

T1 - A Clinical Update on Delirium

T2 - Focus on the Intensive Care Unit Patient

AU - Crenshaw, Nichole A.

AU - Presti, Carmen R.

PY - 2019/11/1

Y1 - 2019/11/1

N2 - Acute care nurse practitioners manage a wide range of patient diagnoses and problems encountered in critical care, including management of delirium. As such, they are positioned to be leaders in the prevention, recognition, and management of delirium in the intensive care unit setting. Delirium in the hospitalized patient is linked with a prolonged length of stay, higher risk of death, and cognitive decline. Delirium will occur in up to 87% of intensive care unit patients with severe illness or recovering from major surgery. This overview of current evidence-based practice guidelines and an accompanying case study will assist interdisciplinary teams of health care providers to diagnose, treat, and manage hospitalized patients with delirium, with a focus on the complex care of the critically ill patient population.

AB - Acute care nurse practitioners manage a wide range of patient diagnoses and problems encountered in critical care, including management of delirium. As such, they are positioned to be leaders in the prevention, recognition, and management of delirium in the intensive care unit setting. Delirium in the hospitalized patient is linked with a prolonged length of stay, higher risk of death, and cognitive decline. Delirium will occur in up to 87% of intensive care unit patients with severe illness or recovering from major surgery. This overview of current evidence-based practice guidelines and an accompanying case study will assist interdisciplinary teams of health care providers to diagnose, treat, and manage hospitalized patients with delirium, with a focus on the complex care of the critically ill patient population.

KW - ABCDE bundle

KW - acute care

KW - delirium

KW - hyperactive

KW - hypoactive

KW - intensive care unit

UR - http://www.scopus.com/inward/record.url?scp=85073715742&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85073715742&partnerID=8YFLogxK

U2 - 10.1016/j.nurpra.2019.08.029

DO - 10.1016/j.nurpra.2019.08.029

M3 - Article

AN - SCOPUS:85073715742

VL - 15

SP - 777

EP - 781

JO - Journal for Nurse Practitioners

JF - Journal for Nurse Practitioners

SN - 1555-4155

IS - 10

ER -