Reaction Paper On Delirium

Insomnia is a common sleep disorder which makes falling asleep very hard, or cause you to stay up or wake up, or make you unable to get back to sleep. In addition, insomnia can deplete your energy and reduce disturb your mood. Moreover, it can spoil your work performance, health, and quality of life. Also, you may still suffer feeling tired and ruin your temper. when you wake up.

Excited delirium syndrome is a rare but dangerous disease generally recognized by agitation, aggression, disorientation, and sometimes sudden death. Often associated with drug usage. There has been some documentation as early as the 1800s, but it manly started to come back around in the 1980s. These patients will often need to be restrained, usually by law enforcement, and pose a great danger to the crew’s safety until restrained and sedated. Excited deliriums cause is somewhat unknown. There is much conflict from researcher’s on the why and how.

This assignment is much like a Case Study and is intended to be a comprehensive learning experience that synthesizes essential psychiatric and medical/surgical nursing theory. Your finished product will demonstrate mastery of principles needed for nurses working with mentally impaired patients.

Delirium is a serious condition that can affect patients in and outside the hospital. With its presence being unknown to many nurses and providers, delirium has significant long term complications that can last well beyond discharge. Noise, medication, and infection are significant in the development and progression of delirium and these are more than abundant within intensive care patients. The importance of nurse’s knowledge cannot be stressed enough regarding the assessment, symptoms, and interventions of delirium, in an effort to decrease its occurrence

Taking on this role has shown me how I can integrate care in the same way as an Adult Nurse Practitioner. As a nurse in the Emergency room I find myself consistently advocating for my patients. Unfortunately there are a lot of disparities in care when a patient presents to the ED with any Psychiatric History. Thanks to my knowledge in medicine and Psychiatry I successfully advocate for these patients. There have been situations in which patients have come in for medical concerns that were diminished because of their Psychiatric presentation or psychiatric history.

Delirium and Pandemonium by Lauren Oliver are two amazing books part of a series. Delirium is the story of Lena Haloway who lives in a dystopian society where love is forbidden. It is the deadliest of all things in their world. In the begining Lena starts out a good girl who follows all the rules, is scared of love and believes everything that shes been told about love. All until she meets Alex. Once she meets Alex, everything changes. In Pandemonium Lena lived in the wilds and has been through so much hardship that it has roughened her soul like summer time roughenes your feet. She is now is living in New York City and returned from the wilds.

Delirium poses many risks to the elderly population. This condition has been associated with "increased mortality, long-term cognitive decline, and loss of autonomy" (Kukreja, Gunher, & Popp, 2015, p. 655). The course of delirium is acute, and without accurate differentiation and intervention, outcomes can be deleterious (Resmick, 2016). This research question will focus on exploring the care team's knowledge about delirium prevention and assessment and its contribution to outcomes.

My coworker had a 40-year-old patient who came to the hospital for alcohol withdrawal. All the nurses on our floor knew him really well because he visits our hospital frequently. At around 7:30 pm, our telemetry showed that the patient was having a heart rate of 180s to190s. We all were still getting report. Charge nurse went to assess the patient, patient started yelling in a loud voice, throwing pillows and a blanket. It turned out that the patient went to the delirium tremens (DT) phase. He was confused, disoriented, hallucinating, agitated, irritated and had muscle tremor. When reviewing the medication administration record (MAR), charge nurse noticed that CIWA scale was not done as ordered and as a result patient did not get enough Lorazepam

To assess a patient’s risk for hospitalization, a screening tool will be implemented. The screening tool is called Care at Hand (CAH) (Care at Hand, 2017). This is a validated tool that assesses an individual’s risk for hospitalization. CAH asks two sets of screening questions. The first set of questions assesses an individual’s overall risk for hospitalization (Care at Hand, 2017). The second set of questions assesses active issues (Care at Hand, 2017). These issues could be medical or social. The tool can assess for medical as well as social determinants. Once the assessment is complete the individual is given a risk score. The scores range from a low, moderate to high risk for hospitalization. The health coach and the RN work with the client to resolve the identified issues. This intervention would continue until the identified issue was resolved. Thereafter the health coach would conduct bi-monthly follow-up at which time the individual would be reassessed for hospitalization risk (Care at Hand, 2017). There is no end date for the program the client would

Enhanced assessment and nursing implementations to better prevent and detect ICU delirium will bring improved outcomes for this particular patient population. There are many ways to assess for ICU delirium. Two of the most reliable and easiest methods are basic observations from the bedside nurse and The Confusion Assessment Method (CAM). The CAM includes nine different criteria for delirium (1) acute onset and fluctuation, (2) inattention, (3) disorganized thinking, (4) altered level of consciousness, (5) disorientation, (6) memory impairment, (7) perceptual disturbances, (8) psychomotor agitation or retardation, and (9) altered sleep-wake cycle. A delirium diagnosis is given when criteria one and two and either three or four are present. The second assessment tool for delirium detection is made from nursing observations. The nurse observes the patient throughout their

According to Mc Donnell & Timmons (2012), “Acute delirium is a preventable, treatment, disorder of consciousness and cognition that commonly presents across many healthcare settings, including older care facilitates, medical and surgical ward, intensive care units and children’s ward”(p.2488). In their article, A quantitative exploration of the subjective burden experienced by nurses when caring for patients with delirium, Mc Donnell and Timmins outline a descriptive study. Even though prevention and treatments are well recognized, dealing with delirium can be very difficult. The purpose of this study is to examine the subjective burden nurses experience when caring for patients with delirium and to identify the individual aspects of delirium that nurses find most difficult to deal with. In the introduction of the article, the authors argue that beyond qualitative studies there is insufficient practical research on the impact and burden of delirium on nurses in practice (Mc Donnell & Timmins, 2012). This argument outlines the premise behind the research. It is not a research question, but a statement of belief upon which they draw in framing the purpose and focus of their research. The authors articulate their recognition of the fact that many researchers have only focused on the diagnosis, treatment, and prevention for delirium. In addition, they also recognized that nurses often lack knowledge and understanding

Patient focused practice would be key to ensure the nursing staff in charge of her care at this stage are able to clearly explain any procedures and to administer pain relief. Frequent reassessment of the patient will identify early signs of confusion and delirium. Avoidance of the use of overly technical medical language and treating the patient as an individual can help to calm anxiety about the

Roseann. I enjoyed reading your post. Nurses should perform a comprehensive assessment when caring for elderly patients to detect geriatric syndromes. Confusion, dizziness, urinary incontinence, falls, pressure ulcer, and sleep difficulties are classified geriatric syndromes that need special attention. Elderly patients who have acute confusion, weakness, and urinary incontinence should be ruled out for urinary tract infection. I agree diagnostic work-up, vital signs, and thorough head-to-toe assessments are important to evaluate the patient for the underlying cause of the geriatric syndromes. Early identification of the signs and symptoms could prevent complications, decreased mortality, and shorter hospital stay. Using an appropriate assessment

In a world where love is a disease, Lena falls ill. “Love, the deadliest of all deadly things: It kills you both when you have it and when you don’t...Love: It will kill you and save you, both” (Oliver 395). In the novel Delirium by Lauren Oliver there is a cure for love, to create stability. The only problem with it is the cure is only effective after you turn 18. Lena, a shy and outspoken girl, can no longer wait for the cure the time her evaluations come around, but then she meets Alex. Getting to know Alex ,Lena knows what it is like to be happy, sad, and to be loved. Lena fights against the stern government rules, sneaking around past curfew to see her love. She refuses to let them pull them apart, until an incident appears that may jeopardize their whole future together. Lena fights against her family, the government,

This course has taken me on a pleasant journey and taught me more about compassion and my role as a care giver than my previous courses. It has been rewarding to work with you (my instructor) and learn more about the older adult. The final chapter on delirium and dementia certainly taught me more skills than I had going into it. I haven't had any personal interaction with anyone who has had delirium or dementia yet. I now feel better equipped to deal with those situations now.