DELIRIUM
Ikke-farmakologisk primær forebygging er foretrukket; imidlertid er en viss grad av delirium uunngåelig på intensiv avdelinger.
ENGELSK:
Although there are no data on primary prevention (non-pharmacologic) trials in the ICU, the data in non-ICU settings focuses on minimizing risk factors.The strategies include the following interventions:
- repeated reorientation of patients
- provisions of cognitively stimulating activities for the patients multiple times a day
- a non-pharmacological sleep protocol
- early mobilization activities
- range of motion exercises
- timely removal of catheters and physical restraints
- use of eye glasses and magnifying lenses
- hearing aids and earwax disimpaction
- early correction of dehydration
- use of a scheduled pain management protocol
- minimization of unnecessary noise/stimuli
Strategies for the prevention and management of delirium in the ICU are important areas for future investigation.