2.50
Hdl Handle:
http://hdl.handle.net/10755/182643
Category:
Abstract
Type:
Presentation
Title:
Early Detection and Intervention for Delirium in Patients with Cancer
Author(s):
Slusser, Kim
Author Details:
Kim Slusser, RN, BSN, CHPN, Northwestern Memorial Hospital, Chicago, Illinois, USA, email: kslusser@nmh.org
Abstract:
Poster Presentation: During a falls improvement project, 35% of patients on the oncology units who fell developed mental status changes. Delirium was also reported in patients anecdotally by nurses. An Evidence Based Practice journal club formed to develop a plan for early detection of delirium and identification of evidence based nursing interventions to prevent/minimize the experience and negative outcomes of delirium. The journal club met every three weeks. The initial screening tool decided on was the portable mini mental status exam. It was an excellent screening tool for admission to determine if the patient has any underlying cognitive disorders. Multiple delirium assessment scales were reviewed for reliability, validity, and applicability for the oncology population. The instrument had to be short and easy for the staff nurse to utilize, ensuring compliance and accuracy. The Confusion Assessment (CAM) instrument was chosen. It met the criteria and had established use within oncology. Published practice guidelines were used for developing delirium interventions. Oncology nurses were educated on the importance of assessing mental status changes and interventions for delirium. Delirium assessment/interventions were added to annual oncology RN competencies. As a result of the journal club, change in practice is being pursued which includes the portable mini mental status exam on admission, CAM assessments every 12 hours, and implementation of delirium interventions based on CAM results. It is in its final stages of approval with implementation by winter 2007. The use of the assessment tools and interventions will be audited for compliance and impact on patient's mental status.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2007
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Atlanta, Georgia, USA
Description:
"Connect, Empower and Celebrate" was the theme of the 11th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 3-5 October, 2007 at the Georgia World Congress Center in Atlanta, Georgia, USA.
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.titleEarly Detection and Intervention for Delirium in Patients with Canceren_GB
dc.contributor.authorSlusser, Kimen_US
dc.author.detailsKim Slusser, RN, BSN, CHPN, Northwestern Memorial Hospital, Chicago, Illinois, USA, email: kslusser@nmh.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/182643-
dc.description.abstractPoster Presentation: During a falls improvement project, 35% of patients on the oncology units who fell developed mental status changes. Delirium was also reported in patients anecdotally by nurses. An Evidence Based Practice journal club formed to develop a plan for early detection of delirium and identification of evidence based nursing interventions to prevent/minimize the experience and negative outcomes of delirium. The journal club met every three weeks. The initial screening tool decided on was the portable mini mental status exam. It was an excellent screening tool for admission to determine if the patient has any underlying cognitive disorders. Multiple delirium assessment scales were reviewed for reliability, validity, and applicability for the oncology population. The instrument had to be short and easy for the staff nurse to utilize, ensuring compliance and accuracy. The Confusion Assessment (CAM) instrument was chosen. It met the criteria and had established use within oncology. Published practice guidelines were used for developing delirium interventions. Oncology nurses were educated on the importance of assessing mental status changes and interventions for delirium. Delirium assessment/interventions were added to annual oncology RN competencies. As a result of the journal club, change in practice is being pursued which includes the portable mini mental status exam on admission, CAM assessments every 12 hours, and implementation of delirium interventions based on CAM results. It is in its final stages of approval with implementation by winter 2007. The use of the assessment tools and interventions will be audited for compliance and impact on patient's mental status.en_GB
dc.date.available2011-10-28T15:33:29Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:33:29Z-
dc.conference.date2007en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationAtlanta, Georgia, USAen_US
dc.description"Connect, Empower and Celebrate" was the theme of the 11th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 3-5 October, 2007 at the Georgia World Congress Center in Atlanta, Georgia, USA.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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