Delirium: nursing interventions directed to the hospitalized adult patient – a bibliographic review

Detalhes bibliográficos
Autor(a) principal: Bento, Marta Sofia Pão Mole
Data de Publicação: 2018
Outros Autores: Marques, Rita Margarida Dourado, Sousa, Patrícia Pontífice
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10400.14/34587
Resumo: Delirium is a neuropsychiatric syndrome, characterized by an acute attention and cognition deficit disorder, of multifactorial etiology. It has a high prevalence in the elderly population and it’s an indicator of a poor prognosis. It leads to a negative impact, provoking deterioration in the person’s quality of life. Objectives: This study aimed to identify the nursing interventions directed to the hospitalized adult / elderly, for the control of delirium. Methodology: Using a PICO question as a reference, a review of articles published between 2012 and 2017 was carried out. That identified, which nursing interventions aimed at the adult / elderly person hospitalized with delirium. Results: In this bibliographic review 5 studies were selected, in common, they present tendentially, non-pharmacological dynamic strategies of preventive character towards the delirium. This evidences the role of nursing in carrying out preventive actions (preferentially directed to risk factors, which may trigger this neurological alteration), such as the maintenance of the sensorial balance, assessing the local environment, monitoring pain, sleep and the stimulation of the early mobility. Conclusion: The interventions for delirium should include the identification of predisposing and precipitating factors with adequate actions, for its resolution. Research is imperative, to recognize and validate witch interventions may control delirium (prevent/ treat) and thus reduce its consequences.
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spelling Delirium: nursing interventions directed to the hospitalized adult patient – a bibliographic reviewDelirium: intervenções de enfermagem dirigidas ao adulto hospitalizado - uma revisão bibliográficaDeliriumEvidence-based practiceHospitalized adult patientsNursing interventionsIntervenções de enfermagemAdulto hospitalizadoPrática baseada na evidênciaDelirium is a neuropsychiatric syndrome, characterized by an acute attention and cognition deficit disorder, of multifactorial etiology. It has a high prevalence in the elderly population and it’s an indicator of a poor prognosis. It leads to a negative impact, provoking deterioration in the person’s quality of life. Objectives: This study aimed to identify the nursing interventions directed to the hospitalized adult / elderly, for the control of delirium. Methodology: Using a PICO question as a reference, a review of articles published between 2012 and 2017 was carried out. That identified, which nursing interventions aimed at the adult / elderly person hospitalized with delirium. Results: In this bibliographic review 5 studies were selected, in common, they present tendentially, non-pharmacological dynamic strategies of preventive character towards the delirium. This evidences the role of nursing in carrying out preventive actions (preferentially directed to risk factors, which may trigger this neurological alteration), such as the maintenance of the sensorial balance, assessing the local environment, monitoring pain, sleep and the stimulation of the early mobility. Conclusion: The interventions for delirium should include the identification of predisposing and precipitating factors with adequate actions, for its resolution. Research is imperative, to recognize and validate witch interventions may control delirium (prevent/ treat) and thus reduce its consequences.O delirium é uma síndrome neuropsiquiátrica, caracterizada por um transtorno agudo da atenção e cognição de etiologia multifactorial. Tem uma elevada prevalência na população idosa e trata-se de um indicador de mau prognóstico. Incita a um impacto negativo, conduzindo à deterioração da qualidade de vida da pessoa. Objetivos: Identificar as intervenções de enfermagem, dirigidas ao adulto/idoso hospitalizado, para o controlo do delirium. Metodologia: Utilizando como referência uma questão PICO, realizou-se a revisão de artigos publicados entre 2012 e 2017, que identificaram quais as intervenções de enfermagem dirigidas à pessoa adulta/idoso, hospitalizada apresentando delirium. Resultados: Identificaram-se 5 estudos nesta revisão bibliográfica que apresentam estratégias dinâmicas, de carácter preventivo e tendencialmente não farmacológicas, perante o delirium. Tal, evidencia o papel do enfermeiro em desempenhar acções de prevenção (dirigidas essencialmente, aos fatores de risco desencadeantes desta alteração neurológica) na manutenção do equilíbrio sensorial, gestão do ambiente, nutrição/hidratação adequadas, monitorização da dor, sono e estimulação da mobilidade precoce. Conclusão: A intervenção face ao delirium, deve incluir a identificação de fatores predisponentes, precipitantes e o recurso a acções adequadas, visando assim a resolução do quadro. A investigação torna-se imperativa, no sentido de reconhecer e validar quais as acções, que permitem controlar o delirium (prevenir/tratar) e desta forma diminuir as suas consequências.Veritati - Repositório Institucional da Universidade Católica PortuguesaBento, Marta Sofia Pão MoleMarques, Rita Margarida DouradoSousa, Patrícia Pontífice2021-09-01T15:47:59Z2018-102018-10-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfapplication/pdfhttp://hdl.handle.net/10400.14/34587eng1695-614110.6018/eglobal.17.4.30297185097550771info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-09-26T01:43:38Zoai:repositorio.ucp.pt:10400.14/34587Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T18:28:02.219487Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Delirium: nursing interventions directed to the hospitalized adult patient – a bibliographic review
Delirium: intervenções de enfermagem dirigidas ao adulto hospitalizado - uma revisão bibliográfica
title Delirium: nursing interventions directed to the hospitalized adult patient – a bibliographic review
spellingShingle Delirium: nursing interventions directed to the hospitalized adult patient – a bibliographic review
Bento, Marta Sofia Pão Mole
Delirium
Evidence-based practice
Hospitalized adult patients
Nursing interventions
Intervenções de enfermagem
Adulto hospitalizado
Prática baseada na evidência
title_short Delirium: nursing interventions directed to the hospitalized adult patient – a bibliographic review
title_full Delirium: nursing interventions directed to the hospitalized adult patient – a bibliographic review
title_fullStr Delirium: nursing interventions directed to the hospitalized adult patient – a bibliographic review
title_full_unstemmed Delirium: nursing interventions directed to the hospitalized adult patient – a bibliographic review
title_sort Delirium: nursing interventions directed to the hospitalized adult patient – a bibliographic review
author Bento, Marta Sofia Pão Mole
author_facet Bento, Marta Sofia Pão Mole
Marques, Rita Margarida Dourado
Sousa, Patrícia Pontífice
author_role author
author2 Marques, Rita Margarida Dourado
Sousa, Patrícia Pontífice
author2_role author
author
dc.contributor.none.fl_str_mv Veritati - Repositório Institucional da Universidade Católica Portuguesa
dc.contributor.author.fl_str_mv Bento, Marta Sofia Pão Mole
Marques, Rita Margarida Dourado
Sousa, Patrícia Pontífice
dc.subject.por.fl_str_mv Delirium
Evidence-based practice
Hospitalized adult patients
Nursing interventions
Intervenções de enfermagem
Adulto hospitalizado
Prática baseada na evidência
topic Delirium
Evidence-based practice
Hospitalized adult patients
Nursing interventions
Intervenções de enfermagem
Adulto hospitalizado
Prática baseada na evidência
description Delirium is a neuropsychiatric syndrome, characterized by an acute attention and cognition deficit disorder, of multifactorial etiology. It has a high prevalence in the elderly population and it’s an indicator of a poor prognosis. It leads to a negative impact, provoking deterioration in the person’s quality of life. Objectives: This study aimed to identify the nursing interventions directed to the hospitalized adult / elderly, for the control of delirium. Methodology: Using a PICO question as a reference, a review of articles published between 2012 and 2017 was carried out. That identified, which nursing interventions aimed at the adult / elderly person hospitalized with delirium. Results: In this bibliographic review 5 studies were selected, in common, they present tendentially, non-pharmacological dynamic strategies of preventive character towards the delirium. This evidences the role of nursing in carrying out preventive actions (preferentially directed to risk factors, which may trigger this neurological alteration), such as the maintenance of the sensorial balance, assessing the local environment, monitoring pain, sleep and the stimulation of the early mobility. Conclusion: The interventions for delirium should include the identification of predisposing and precipitating factors with adequate actions, for its resolution. Research is imperative, to recognize and validate witch interventions may control delirium (prevent/ treat) and thus reduce its consequences.
publishDate 2018
dc.date.none.fl_str_mv 2018-10
2018-10-01T00:00:00Z
2021-09-01T15:47:59Z
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