2.50
Hdl Handle:
http://hdl.handle.net/10755/203191
Type:
Presentation
Title:
Alcohol Withdrawal Syndrome with Delirium Tremens- Development of a Standardized Order Set
Abstract:
(Summer Institute) Problem: Alcohol Withdrawal Syndrome (AWS) is plaguing area hospitals and creating a puzzle for health care professionals to solve in terms of how to manage patient care. Excessive alcohol consumption is the third leading preventable cause of death in the United States. Evidence: Excess consumption is associated with multiple adverse health effects such as cancers, liver cirrhosis, unintentional injuries and violence.1 Research has shown the development of a standardized order set will assist in coordinating the care of patients affected by AWS.2 Strategy: The purpose of the presentation is to educate health care professionals regarding AWS as a disease, offer the best treatment options and to describe one nurse's commitment to developing a standardized order set to improve patient outcomes. The order set is divided into three sections and each has escalating doses of benzodiazepines used to treat alcohol withdrawal. Practice Change: The nursing staff has received education on the form and how to closely assess the patient population using the Riker Sedation-Agitation Scale. 3 Medical staff will also be educated and the enthusiasm heard from all health care staff for proper treatment recommendations is astounding. The order set promotes collaboration between nursing and physician colleagues. Evaluation & Results: Baseline data is being collected on the way we currently treat patients experiencing AWS in regard to length of stay, outcomes and type of treatment. There are no results to report at this time. Recommendations: If patients are treated in an appropriate way, the end result for the patients and health care staff is positive. Given the seriousness of this dilemma, the value of appropriate treatment in preventing morbidity and mortality, the development of an evidence-based guideline would have widespread value.4 Lessons Learned: Developing and implementing new protocols/order sets can be challenging. Providing education regarding the topic and the importance of interdisciplinary teamwork helps to facilitate the process. Bibliography: 1. Centers for Disease Control (2004). National Center for Chronic Disease Prevention and Health Promotion. Alcohol-Attributable Deaths and Years of Potential Life Lost, United States 2001. Retrieved October 16, 2010, from the Centers for Disease Control web site. 2. Riddle, E., Bush, J., Tittle, M., & Dilkhush, D. (2010). Alcohol withdrawal: development of a standing order set. Critical Care Nurse. 30(3 ), 38-47. 3. Riker, R. (1999). Prospective evaluation of the Sedation-Agitation Scale for Adult Critically Ill Patients. Critical Care Medicine, 27, 1325-1329. 4. Mayo-Smith, M., Beecher, L.H., Fischer, T.L., Gorelick, D.A., Guillaume, J.L., Hill A.,… Melbourne, J. (2004). Management of alcohol withdrawal delirium: An evidence-based practice guideline. Arch Intern Med. 164: 1405-1412. [© Academic Center for Evidence-Based Practice, 2011. http://www.acestar.uthscsa.edu]
Keywords:
Alcohol; Delirium
Repository Posting Date:
16-Jan-2012
Date of Publication:
3-Jan-2012
Sponsors:
UTHSCSA Summer Institute

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleAlcohol Withdrawal Syndrome with Delirium Tremens- Development of a Standardized Order Seten_GB
dc.identifier.urihttp://hdl.handle.net/10755/203191-
dc.description.abstract(Summer Institute) Problem: Alcohol Withdrawal Syndrome (AWS) is plaguing area hospitals and creating a puzzle for health care professionals to solve in terms of how to manage patient care. Excessive alcohol consumption is the third leading preventable cause of death in the United States. Evidence: Excess consumption is associated with multiple adverse health effects such as cancers, liver cirrhosis, unintentional injuries and violence.1 Research has shown the development of a standardized order set will assist in coordinating the care of patients affected by AWS.2 Strategy: The purpose of the presentation is to educate health care professionals regarding AWS as a disease, offer the best treatment options and to describe one nurse's commitment to developing a standardized order set to improve patient outcomes. The order set is divided into three sections and each has escalating doses of benzodiazepines used to treat alcohol withdrawal. Practice Change: The nursing staff has received education on the form and how to closely assess the patient population using the Riker Sedation-Agitation Scale. 3 Medical staff will also be educated and the enthusiasm heard from all health care staff for proper treatment recommendations is astounding. The order set promotes collaboration between nursing and physician colleagues. Evaluation & Results: Baseline data is being collected on the way we currently treat patients experiencing AWS in regard to length of stay, outcomes and type of treatment. There are no results to report at this time. Recommendations: If patients are treated in an appropriate way, the end result for the patients and health care staff is positive. Given the seriousness of this dilemma, the value of appropriate treatment in preventing morbidity and mortality, the development of an evidence-based guideline would have widespread value.4 Lessons Learned: Developing and implementing new protocols/order sets can be challenging. Providing education regarding the topic and the importance of interdisciplinary teamwork helps to facilitate the process. Bibliography: 1. Centers for Disease Control (2004). National Center for Chronic Disease Prevention and Health Promotion. Alcohol-Attributable Deaths and Years of Potential Life Lost, United States 2001. Retrieved October 16, 2010, from the Centers for Disease Control web site. 2. Riddle, E., Bush, J., Tittle, M., & Dilkhush, D. (2010). Alcohol withdrawal: development of a standing order set. Critical Care Nurse. 30(3 ), 38-47. 3. Riker, R. (1999). Prospective evaluation of the Sedation-Agitation Scale for Adult Critically Ill Patients. Critical Care Medicine, 27, 1325-1329. 4. Mayo-Smith, M., Beecher, L.H., Fischer, T.L., Gorelick, D.A., Guillaume, J.L., Hill A.,… Melbourne, J. (2004). Management of alcohol withdrawal delirium: An evidence-based practice guideline. Arch Intern Med. 164: 1405-1412. [© Academic Center for Evidence-Based Practice, 2011. http://www.acestar.uthscsa.edu]en_GB
dc.subjectAlcoholen_GB
dc.subjectDeliriumen_GB
dc.date.available2012-01-16T11:02:28Z-
dc.date.issued2012-01-03en_GB
dc.date.accessioned2012-01-16T11:02:28Z-
dc.description.sponsorshipUTHSCSA Summer Instituteen_GB
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