Paper for Nursing: Intensive Care Unit (ICU) Delirium

Paper for Nursing: Intensive Care Unit (ICU) Delirium

Paper for Nursing: Intensive Care Unit (ICU) Delirium
ICU delirium is a significant clinical issue that I have chosen to investigate further. Working in an ICU has given me firsthand experience with ICU delirium. Because there are no windows in my hospital’s Trauma ICU, it is quite common. ICU delirium is a serious problem because it has been linked to poor patient outcomes such as longer hospital stays and a higher risk of death. It’s a serious problem because it can be difficult to detect until it’s too late. There are suggested tools and precautions, but no definitive treatment.
Every ICU patient is at risk of developing ICU delirium. On my floor, I would estimate that at least 25% of the patients have ICU delirium. At my hospital, the CAM-ICU scale is used once per shift to assess for delirium. When reviewing a patient’s chart, it is common to see “unable to assess” in the comments. This is due to the patient being sedated or intubated, as well as the nurse not knowing the patient’s baseline. Another gap in knowledge is that there are different types of ICU delirium. “Physicians and other caregivers in the ICU usually notice agitation as a result,” Jun Gwon (2013) writes, “whereas patients with hypoactive delirium, which is a more common subtype… go unnoticed” (p. 195). It is easy to notice when a patient has become aggressive and irritated, but it is much more difficult to notice when a patient has become less talkative or engaged.
Chamberlain Nursing School (2015). Lesson on reading research literature and the research process. [Week 2 online lecture] Nursingonline.chamberlain.edu was accessed.
J. Houser (2015). Reading, utilizing, and producing evidence in nursing research (3rd ed.). Jones & Bartlett, Sudbury, MA.

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C. Jun Gwon (2013). In the intensive care unit, there is delirium. kjae/2013.65.3.195

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