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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