Early Detection and Management of Delirium Through Routine Nurse Screening on Older Adult Hospitalized Patients

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Hdl Handle:
http://hdl.handle.net/10755/621089
Category:
Full-text
Format:
Text-based Document
Type:
DNP Capstone Project
Level of Evidence:
Clinical Practice Guideline(s)
Research Approach:
Translational Research/Evidence-based Practice
Title:
Early Detection and Management of Delirium Through Routine Nurse Screening on Older Adult Hospitalized Patients
Author(s):
Delvo-Favre, Elaine Duterte
Additional Author Information:
Elaine Delvo-Favre, MSN, RN, RN-BC, NEA-BC
Advisors:
Matheson, Linda; Pape, Theresa; Whittet, Wanda
Degree:
DNP
Degree Year:
2016
Grantor:
Capella University
Abstract:

Nurses play a crucial role in implementing care designed to reduce delirium’s duration and severity. Unmanaged delirium in the older adult patient population can result in prolonged hospitalization, profound decline in health status, and possible short or long-term institutionalization. A nurse-driven delirium management protocol was piloted on an orthopedic surgical unit over a period of four weeks. The goal was to detect delirium early in the postoperative period for early management and thus, the patient would be free of delirium symptoms at discharge.

All patients age 65 years old and over were assessed for delirium every shift and a delirium nursing care plan was implemented on those identified as positive for delirium. A total of 81 patients were assessed for delirium with nine percent (9%, n=8) testing positive at some point during their hospitalization. Delirium nursing care plans were implemented on all these patients and none of these patients exhibited delirium symptoms at discharge. The nurses’ ability to recognize delirium using a standardized assessment tool can lead to early management and reduce delirium’s severity and duration.

Keywords:
Delirium; Nursing Care; Aging; Older Adult
CINAHL Headings:
Delirium; Delirium--In Old Age; Delirium--Nursing; Delirium--Prevention and Control; Aged, Hospitalized; Nursing Assessment; Gerontologic Nursing
Note:
This work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.
Repository Posting Date:
2016-10-20T16:33:36Z
Date of Publication:
2016-10-20

Full metadata record

DC FieldValue Language
dc.contributor.advisorMatheson, Lindaen
dc.contributor.advisorPape, Theresaen
dc.contributor.advisorWhittet, Wandaen
dc.contributor.authorDelvo-Favre, Elaine Duterteen
dc.date.accessioned2016-10-20T16:33:36Z-
dc.date.available2016-10-20T16:33:36Z-
dc.date.issued2016-10-20-
dc.identifier.urihttp://hdl.handle.net/10755/621089-
dc.description.abstract<p>Nurses play a crucial role in implementing care designed to reduce delirium’s duration and severity. Unmanaged delirium in the older adult patient population can result in prolonged hospitalization, profound decline in health status, and possible short or long-term institutionalization. A nurse-driven delirium management protocol was piloted on an orthopedic surgical unit over a period of four weeks. The goal was to detect delirium early in the postoperative period for early management and thus, the patient would be free of delirium symptoms at discharge.</p> <p>All patients age 65 years old and over were assessed for delirium every shift and a delirium nursing care plan was implemented on those identified as positive for delirium. A total of 81 patients were assessed for delirium with nine percent (9%, <em>n</em>=8) testing positive at some point during their hospitalization. Delirium nursing care plans were implemented on all these patients and none of these patients exhibited delirium symptoms at discharge. The nurses’ ability to recognize delirium using a standardized assessment tool can lead to early management and reduce delirium’s severity and duration.</p>en
dc.formatText-based Documenten
dc.language.isoen_USen
dc.subjectDeliriumen
dc.subjectNursing Careen
dc.subjectAgingen
dc.subjectOlder Adulten
dc.titleEarly Detection and Management of Delirium Through Routine Nurse Screening on Older Adult Hospitalized Patientsen_US
dc.typeDNP Capstone Projecten
thesis.degree.grantorCapella Universityen
thesis.degree.levelDNPen
dc.description.noteThis work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.-
dc.primary-author.detailsElaine Delvo-Favre, MSN, RN, RN-BC, NEA-BCen
thesis.degree.year2016en
dc.type.categoryFull-texten
dc.evidence.levelClinical Practice Guideline(s)en
dc.research.approachTranslational Research/Evidence-based Practiceen
dc.subject.cinahlDeliriumen
dc.subject.cinahlDelirium--In Old Ageen
dc.subject.cinahlDelirium--Nursingen
dc.subject.cinahlDelirium--Prevention and Controlen
dc.subject.cinahlAged, Hospitalizeden
dc.subject.cinahlNursing Assessmenten
dc.subject.cinahlGerontologic Nursingen
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