Delirium is a medical condition that occurs in 60–80% of adults treated with mechanical ventilation (MV). Yet, it is undertreated, underdocumented, and unrecognized in most patients. Authors Smith and Grami tested the effectiveness of a 5-component, nurseled prevention bundle that included: (1) sedation cessation for MV patients (2) pain management (3) sensory stimulation (4) early mobilization and (5) sleep promotion. They found the following:

  • Overall, use of the bundle was effective in reducing delirium incidence and preventing delirium.

  • Similar to other studies, patients more likely to develop delirium were more than 64 years of age, on MV, in restraints, and spent more than 3 days in the intensive care unit (ICU).

Although there were limitations with some of the bundle components, the authors suggest consistent use of a bundle can decrease delirium incidence and improve both patient and hospital outcomes.

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