Reducing the Impact of Delirium using an Inter-professional Team

2.50
Hdl Handle:
http://hdl.handle.net/10755/308372
Category:
Abstract
Type:
Presentation
Title:
Reducing the Impact of Delirium using an Inter-professional Team
Author(s):
Butcher, Amanda J
Lead Author STTI Affiliation:
N/A
Author Details:
Amanda J Butcher, RN, BSN, OCN, AButcher1@iuhealth.org
Abstract:

Poster presented on: Sunday, November 17, 2013, Saturday, November 16, 2013

Introduction

Implementing a standard of practice requires leadership and collaboration among inter-professional disciplines. Three learning domains were facilitated in implementing a standard of practice for patients with hospital acquired delirium: individual leadership development, advancing nursing practice, and expanding scope of influence.

Delirium is a serious medical condition that is under-diagnosed and under-recognized by healthcare professionals. The geriatric population is at high risk for developing delirium, and with the aging population, it will become more of a reality. The effects of delirium can be devastating; therefore, prompt recognition and treatment are essential.

Method

The Confusion Assessment Method (CAM) screening tool was implemented as a standard of practice on two medical-surgical units. The nurses were required to screen every adult patient, every 12 hours. If a patient screened positive for delirium, the nurse was expected to initiate the delirium protocol, delirium plan of care, pharmacy consult, case management/social services consult, notify the physician, and educate the patient and family.

Pending Institutional Review Board (IRB) approval, data will be collected monthly, to monitor for compliance and evaluate patient outcomes.

Results

Expected outcomes include, but are not limited to: an increased number of delirium diagnoses, decreased length of stay, decreased cost, improved cognition and/or return to baseline, discharge disposition as expected (based on patient condition prior to delirium episode), and preserved or improved functional level.

Conclusion

Expanding nursing practice in the geriatric environment through effective leadership can impact the care of patients through collaboration with inter-professional disciplines.

Providing evidence-based care to hospitalized patients requires healthcare professionals to promptly recognize and effectively treat patients who suffer from delirium. Implementing the CAM as a standard of practice for delirium screening among adult patients is highly recommended in the literature.

More research is needed to determine precise interventions for the care of patients with delirium.

Keywords:
Delirium; Leadership; Confusion
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
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.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleReducing the Impact of Delirium using an Inter-professional Teamen_GB
dc.contributor.authorButcher, Amanda Jen_GB
dc.contributor.departmentN/Aen_GB
dc.author.detailsAmanda J Butcher, RN, BSN, OCN, AButcher1@iuhealth.orgen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308372-
dc.description.abstract<p>Poster presented on: Sunday, November 17, 2013, Saturday, November 16, 2013</p><b>Introduction</b><p>Implementing a standard of practice requires leadership and collaboration among inter-professional disciplines. Three learning domains were facilitated in implementing a standard of practice for patients with hospital acquired delirium: individual leadership development, advancing nursing practice, and expanding scope of influence. <p>Delirium is a serious medical condition that is under-diagnosed and under-recognized by healthcare professionals. The geriatric population is at high risk for developing delirium, and with the aging population, it will become more of a reality. The effects of delirium can be devastating; therefore, prompt recognition and treatment are essential. <p><b>Method</b><p>The Confusion Assessment Method (CAM) screening tool was implemented as a standard of practice on two medical-surgical units. The nurses were required to screen every adult patient, every 12 hours. If a patient screened positive for delirium, the nurse was expected to initiate the delirium protocol, delirium plan of care, pharmacy consult, case management/social services consult, notify the physician, and educate the patient and family. <p>Pending Institutional Review Board (IRB) approval, data will be collected monthly, to monitor for compliance and evaluate patient outcomes. <p><b>Results</b><p>Expected outcomes include, but are not limited to: an increased number of delirium diagnoses, decreased length of stay, decreased cost, improved cognition and/or return to baseline, discharge disposition as expected (based on patient condition prior to delirium episode), and preserved or improved functional level. <p><b>Conclusion</b><p>Expanding nursing practice in the geriatric environment through effective leadership can impact the care of patients through collaboration with inter-professional disciplines. <p>Providing evidence-based care to hospitalized patients requires healthcare professionals to promptly recognize and effectively treat patients who suffer from delirium. Implementing the CAM as a standard of practice for delirium screening among adult patients is highly recommended in the literature. <p>More research is needed to determine precise interventions for the care of patients with delirium.en_GB
dc.subjectDeliriumen_GB
dc.subjectLeadershipen_GB
dc.subjectConfusionen_GB
dc.date.available2013-12-19T17:30:28Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:30:28Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
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.en_GB
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