2.50
Hdl Handle:
http://hdl.handle.net/10755/163174
Category:
Abstract
Type:
Presentation
Title:
Monitoring Delirium in the Hospitalized Elderly
Author(s):
Sandhaus, Sonia; Harrell, Faith; Valenti, Donna; Zalon, Margarete Lieb; Atav, Serdar
Author Details:
Sonia Sandhaus, MS, RNC, CRNP, Moses Taylor Hospital, Scranton, Pennsylvania, USA, email: ssandhaus@mth.org; Faith Harrell; Donna Valenti, RNC; Margarete Lieb Zalon, PhD, RN, APRN, BC, University of Scranton; Serdar Atav, PhD, Binghamton University
Abstract:
Purpose: Delirium is a complex problem in the hospitalized elderly associated with functional decline and increased mortality. The Hospital Elder Life Program (HELP) is effective in reducing the incidence of delirium in the hospitalized elderly (Inouye, et al., 1999). It consists of interdisciplinary staff with geriatric expertise and trained volunteers who carry out interventions addressing older adults' needs. As adapted, the program is staffed by a nurse practitioner, certified gerontological nurse and an administrative elder life specialist. Volunteers perform therapeutic activities including communication/comfort, relaxation, meal assistance and recreation. The purpose is to illustrate the evaluation of health outcomes when monitoring the hospitalized elderly for delirium. Specifically, a proxy measure of hyperactive delirium, parenteral haloperidol and lorazepam use (Rubin, et al. 2006) in relation to patient enrollment in the HELP program is used in a retrospective analysis. Theoretical Framework: The Quality of Health Outcomes Improvement Model (Mitchell, et al. 1998) is used to evaluate parenteral haloperidol and lorazepam use and illustrate the complexities systematic outcome evaluation for the HELP program. Methods (Design, Sample, Setting, Measures, Analysis): Patients are enrolled into the HELP program upon nurse or physician request. The sample consists of patients aged 70 years and older admitted to one of three medical-surgical units over a four-month period (N = 1024) at a community hospital. Patients who also were in intensive care were excluded. Results: Preliminary results indicate no significant difference in the use of parenteral haloperidol or lorazepam between patients enrolled or not enrolled in the HELP program. Additional analyses will be reported. Conclusions and Implications: Generally, patients referred to the HELP program have an identified need for intervention. Lack of differences in parenteral haloperidol or lorazepam use between the HELP and non-HELP patients indicates that the program interventions may have an impact on the incidence of hyperactive delirium. Systematic evaluation of delirium prevention efforts requires a multi-faceted approach.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
19th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
Providence, Rhode Island, USA
Description:
Conference theme: Building Communities of Scholarship and Research, held April 12-14, 2007 at The Westin Providence.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleMonitoring Delirium in the Hospitalized Elderlyen_GB
dc.contributor.authorSandhaus, Soniaen_US
dc.contributor.authorHarrell, Faithen_US
dc.contributor.authorValenti, Donnaen_US
dc.contributor.authorZalon, Margarete Lieben_US
dc.contributor.authorAtav, Serdaren_US
dc.author.detailsSonia Sandhaus, MS, RNC, CRNP, Moses Taylor Hospital, Scranton, Pennsylvania, USA, email: ssandhaus@mth.org; Faith Harrell; Donna Valenti, RNC; Margarete Lieb Zalon, PhD, RN, APRN, BC, University of Scranton; Serdar Atav, PhD, Binghamton Universityen_US
dc.identifier.urihttp://hdl.handle.net/10755/163174-
dc.description.abstractPurpose: Delirium is a complex problem in the hospitalized elderly associated with functional decline and increased mortality. The Hospital Elder Life Program (HELP) is effective in reducing the incidence of delirium in the hospitalized elderly (Inouye, et al., 1999). It consists of interdisciplinary staff with geriatric expertise and trained volunteers who carry out interventions addressing older adults' needs. As adapted, the program is staffed by a nurse practitioner, certified gerontological nurse and an administrative elder life specialist. Volunteers perform therapeutic activities including communication/comfort, relaxation, meal assistance and recreation. The purpose is to illustrate the evaluation of health outcomes when monitoring the hospitalized elderly for delirium. Specifically, a proxy measure of hyperactive delirium, parenteral haloperidol and lorazepam use (Rubin, et al. 2006) in relation to patient enrollment in the HELP program is used in a retrospective analysis. Theoretical Framework: The Quality of Health Outcomes Improvement Model (Mitchell, et al. 1998) is used to evaluate parenteral haloperidol and lorazepam use and illustrate the complexities systematic outcome evaluation for the HELP program. Methods (Design, Sample, Setting, Measures, Analysis): Patients are enrolled into the HELP program upon nurse or physician request. The sample consists of patients aged 70 years and older admitted to one of three medical-surgical units over a four-month period (N = 1024) at a community hospital. Patients who also were in intensive care were excluded. Results: Preliminary results indicate no significant difference in the use of parenteral haloperidol or lorazepam between patients enrolled or not enrolled in the HELP program. Additional analyses will be reported. Conclusions and Implications: Generally, patients referred to the HELP program have an identified need for intervention. Lack of differences in parenteral haloperidol or lorazepam use between the HELP and non-HELP patients indicates that the program interventions may have an impact on the incidence of hyperactive delirium. Systematic evaluation of delirium prevention efforts requires a multi-faceted approach.en_GB
dc.date.available2011-10-27T11:02:42Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:02:42Z-
dc.conference.date2007en_US
dc.conference.name19th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationProvidence, Rhode Island, USAen_US
dc.descriptionConference theme: Building Communities of Scholarship and Research, held April 12-14, 2007 at The Westin Providence.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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