Nonpharmacological Interventions to Prevent Delirium: An Evidence-Based Systematic Review

Author(s): Ryan M. Rivosecchi, PharmD, Pamela L. Smithburger, PharmD, MS, BCPS, Susan Svec, RN, BSN, CCRN Shauna Campbell, RN, BSN, Sandra L. Kane-Gill, PharmD, MS

Contact Hours 1.00

CERP A 1.00

Expires Feb 01, 2018

Topics: Behavioral/Psychosocial

Population: Adult

Role: Staff

Fees
Member: Free
NonMember: $10.00

Added to Collection

Activity Summary

Development of delirium in critical care patients is associated with increased length of stay, hospital costs, and mortality. Delirium occurs across all inpatient settings, although critically ill patients who require mechanical ventilation are at the highest risk. Overall, evidence to support the use of antipsychotics to either prevent or treat delirium is lacking, and these medications can have adverse effects. The pain, agitation, and delirium guidelines of the American College of Critical Care Medicine provide the strongest level of recommendation for the use of nonpharmacological approaches to prevent delirium, but questions remain about which nonpharmacological interventions are beneficial.

Objectives

  • Describe the nursing literature on nonpharmacological interventions to prevent delirium
  • Discuss nonpharmacological interventions that have been shown to be effective in preventing delirium
  • Explain the tools developed for the measurement of delirium in intensive care unit patients

Continuing Education Disclosure Statement

Successful Completion

Learners must attend/view/read the entire activity and complete the associated evaluation to be awarded the contact hours or CERP. No partial credit will be awarded.

Disclosure

This activity has been reviewed by the Nurse Planner. It has been determined that the material presented here shows no bias. Approval of a continuing education activity does not imply endorsement by AACN or ANCC of any commercial products displayed or discussed in conjunction with the activity.

Accreditation

The American Association of Critical-Care Nurses (AACN) is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s (ANCC's) Commission on Accreditation, ANCC Provider Number 0012 (60 min contact hour). AACN has been approved as a provider of continuing education in nursing by the California State Board of Nursing, California Provider number CEP01036 for 1.2 contact hours (50 min contact hour).

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