Research Paper On Delirium

As a busy mother, partner, worker etc. I find it hard to allocate appropriate time especially for studying.

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.

Delirium continues to be a major concern in the adult intensive care setting, as many as 60-80 percent of patients on mechanical ventilation and 20-50 percent of patients without mechanical ventilation are affected by delirium through their course of treatment (Brummel & Girard, 2013). Delirium is a serious concern for intensive care units (ICU) given the detrimental consequences it can lead to. It is associated with actions that can compromise the safety of the patient, such as self extubation and an increased rate in the use of patient restraints, it can lead to longer hospital stays along with an increase in mortality rates (Brummel & Girard, 2013). Further, another factor to consider is the possible residual long-term cognitive impairment it often leads to (Rivosecchi, Kane-Gill, Svec, Campbell, & Smithburger, 2016). Based on the prevalence of delirium in adult critical care patients, it is evident that new interventions must be explored in order to reduce its incidence. In current studies, one of the proposed interventions to alleviate this issue is through the implementation of cycled lighting, in an effort to improve patients’ sleep patterns, which in turn reduce the incidence of delirium (Chong, Tan, Tay, Wong, & Ancoli-Israel, 2013). (Mireya)

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.

There are common misconceptions about what you should do before a big exam. People are often cramming one or two days before the big final or pulling all nighters in hopes of learning a semester’s worth of material. This method is very unrealistic and does not yield the desired results most of the time. Now that midterm season is coming to an end, finals are fast approaching and some have realized this is their only chance to recover in a class. In order to bounce back, students should organize routine study time to decrease the probability of cramming, continue to move while studying, and limit the number of distractions around you.

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

Delirium is a serious decline in mental capacity of an individual that results in confused thinking and reduced awareness. Although difficult to accurately define, delirium is a major factor in reducing quality of life for inpatients and affects up to half the hospitalized elderly. However, despite its prevalence and seriousness, delirium is often undiagnosed and can lead to poorer prognosis through noncompliance or risky activities such as unsupervised movement. Some risk factors of delirium are nonmodifiable such as prior dementia, advancing age or other previous neurological diseases, but others can be controlled such as emotional distress, environment and medical interventions. Thus, to reduce the load on medical interventions required for progressed delirium, it is important to educate and support patients and their families to reduce the risk of delirium occurring. This can happen in the hospital through staff of volunteers who are trained to recognise and help delirium or confusion before it can progress to a more permanent dementia. This assignment details the

I spend countless hours retaining the information that is provided to me via textbook or online resources. Malcom X, author of “Saved”, writes “I spent two days just riffling uncertainly through the dictionary’s pages. I’d never realized so many words existed.” When I read this line I can relate to how I feel when first opening up a new chapter. The more I read, the more interested I become in the rest of the book and I never want to put it down. My day usually consists of waking up and consuming some type of breakfast. I then move on, cranking open a textbook to the recommend chapter and begin to read. After a couple of hours of reading, I go back to analyze and record the presented data. Usually by this time I am three to four hours deep into my studies. I remove my curious mind from the text book and start to get ready to go to work from two to nine. While attending work, I continuously thinking about the materials I just read, trying to place common words or phrases throughout the chapter to everyday aspects in my life. Malcom X states “Three or four hours of sleep a night was enough for me.” This is the same attitude I portray when I come to working diligently on my homework or research. I feel like the little bit of sleep I get, cannot compare to the endless education I will receive if I continue to keep

decision to return back to school and complete my degree at first was an overwhelming course of

Delirium tremens is the most severe form of alcohol withdrawal . It involves sudden and severe changes in your nervous system and your mental state. Delirium tremens usually begins 2 to 4 days after the last drink, but it may occur up to 7 to 10 days after the last drink. Many people keep drinking to get rid of the discomfort felt during delirium tremens.

Mayo Clinic describes delirium as "a serious disturbance in mental abilities that results in confused thinking and reduced awareness of your environment." The signs and symptoms of delirium can have a sudden onset, but, typically, they show up over a few days. Delirium rarely presents as a constant stage, but come and goes through the day. In fact, for many parts of the day, there my be no symptoms at all, but the situation can quickly change. Often, symptoms are worse in the night and in the dark. According to the National Institute of Health, one in three seniors over 70 years of age experience bouts of delirium, and the numbers top 50 percent for seniors who are in intensive care or recovering from surgery.

Delirium is defined as “a disturbance of consciousness and cognition that develops over a short period of time and fluctuates over time” (Boogaard, et al., 2010, p. 2). While delirium is transient and often reversible, research has shown that it is also a valid predictor of mortality in critically ill patients. Timothy D. Girard states in his article, Delirium in the intensive care unit, that “patients with delirium have longer hospital stays and lower 6-month survival than do patients without delirium, and preliminary research suggests that delirium may be associated with cognitive impairment

Over the past decade, various studies have been directed on the recognition of delirium in acute care settings. Though most studies have focused on the optimal intervention for improving care among patients who have delirium, there is no quality evidence regarding the treatment of delirium with antipsychotics outside the ICU setting. Delirium affects approximately 60-80% and 20-50% of mechanically and non- ventilated patients, respectively. In the ICU, delirium is directly linked to high healthcare costs, prolonged ICU and hospital stays, and higher mortality rates. The risk of delirium-related mortality doubles when the patients are hospitalized. The predisposing factors for delirium included age, dementia, mechanical ventilation, delirium

All that I thought wanted to become at that moment was gone. I remember immediately scheduling an appointment to talk to a career counselor in campus. I felt as if I had lost two years and I wanted to make sure I made the right choice. I did my own research and took my skills and interest into consideration and made a choice.

Keeping a personal schedule or calendar can assist in prioritizing important dates, deadlines, and goals (Martinez Tucker, 2002). Asking for assistance from friends, family, and neighbors can also provide support. Finally, engaging in various stress relieving activities may prevent students from feeling overwhelmed.