Identification of delirium in the elderly hospitalized in intensive care units: integrative review

Authors

DOI:

https://doi.org/10.33448/rsd-v9i5.3090

Keywords:

Nursing; Delirium; Elderly.

Abstract

Objective: To analyze the measures that nursing uses to detect elderly people with delirium admitted to intensive care units. Method: This is an integrative review. The data collection period occurred from 11/1/18 to 1/3/19. Results: The total of analyzed articles 56.25% address the use of instruments for detecting and evaluating delirium, 37.5% reflect that nursing is an essential team for the detection of delirium and 12.5% report on the level of knowledge as a determining factor for the detection of delirium and the application of nursing care. Conclusion: Brazilian scientific production is still progressing, pointing out that nursing, in general, needs strategies for detecting delirium in the elderly. Thus, it is necessary that education be the driving force for the recognition of the syndrome and, therefore, it is important to improve knowledge so that the quality of nursing practices meets the needs of patients with delirium.

Author Biography

Harlon França de Menezes, Universidade Federal Fluminense

Enfermeiro, Mestre em Enfermagem, Aluno do Curso de Doutorado Acadêmico em Ciências do Cuidado em Saúda, da Escola de Enfermagem Aurora de Afonso Costa, da Universidade Federal Fluminense.

References

Amba, K. T. (2014). Delirium in the elderly adult in critical care. Crit Care Nurs Clin North Am, 26 (1): 139-145.

Brasil. (2018). F00-F09 Transtornos mentais orgânicos, inclusive os sintomáticos. Brasil: Classificação Estatística Internacional de Doenças e Problemas Relacionados à Saúde.

Brooks, P., Dick, K. & Shor, E. S. (2014). Developing a Strategy to Identify and Treat Older Patients With Postoperative Delirium. AORN J, 99 (2): 256-276.

Céspedes, A. A., Cantos, N. G., Teruel, M. M. G., García, M. M., Bocanegra, E., Carbonell, J. L. O. & Abizanda, P. (2016). Pilot study of a preventive multicomponent nurse intervention toreduce the incidence and severity of delirium in hospitalized olderadults: MID-Nurse-P. Maturitas, 86: 86-94.

Chagas, N. M. S., Borges, D. G. S. & Chagas, M. H. N. (2016). Delirium como fator de risco para demência em idosos: uma atualização. J. bras. Psiquiatr, 65 (1): 94-98.

Eberle, C. C., Santos, A. A., Júnior, L. J. J. M. & Martins, J. B. (2019). O Manejo Não Farmacológico do Delirium Sob a Ótica de Enfermeiros de uma Unidade de Terapia Intensiva Adulto. Rev Fund Care Online, 11 (5): 1242-1249.

Faustino, T. N., Pedreira, L. C., Freitas, Y. S. & Silva, R. M. O. (2016). Conhecimentos e práticas da equipe de enfermagem para prevenção e monitorização do delirium em idosos. Rev. baiana enferm, 30 (3): 1-10.

Faustino, T. N., Pedreira, L. C., Freitas, Y. S., Silva, R. M. O. & Amaral, J. B. (2016). Prevention and monitoring of delirium in older adults: an educational intervention. Rev Bras Enferm, 69 (4):725-32.

Freter, S., Koller, K., Dunbar, M., MacKnight, C. & Rockwood, K. (2017). Translating delirium prevention strategies for elderly adults with hip fracture into routine clinical care: a pragmatic clinical trial. J Am Geriatr Soc, 65 (3): 567-573.

Hare, M., Arendts, G., Wynaden, D. & Leslie, G. (2014). Nurse Screening for Delirium in Older Patients Attending the Emergency Department. Psychosomatics, 55 (3): 235-242.

Hosie, A., Lobb, E., Agar, M., Davidson, P. M. & Philips, J. (2014). Identifying the Barriers and Enablers to Palliative Care Nurses’ Recognition and Assessment of Delirium Symptoms: A Qualitative Study. J Pain Symptom Manage, 48(5): 815-830.

Hussein, M. & Hirst, S. (2016). Tracking the footsteps: a constructivist grounded theory of the clinical reasoning processes that registered nurses use to recognise delirium. J Clin Nurs, 25 (3-4):381-91.

Karabulut, N. & Aktas, Y. Y. (2016) Nursing Management of Delirium in the Postanesthesia Care Unit and Intensive Care Unit. J Perianesth Nurs, 31 (5): 397-405.

Ljkema, R., Langelaan, M., Steeg, L. & Wagner, C. (2014). Do Patient Characteristics Influence Nursing Adherence to a Guideline for Preventing Delirium? J Nurs Scholarsh, 46 (3):147-56.

Luna, A. A., Entriger, A. P. & Silva, R. C. L. (2016). Prevalência do subdiagnóstico de delirium entre pacientes internados em unidade de terapia intensiva.

Rev. enferm. UERJ, 24 (1): 1-5.

Malik, A., Harlan, T. & Cobb, J. (2016) Stop. Think. Delirium! A quality improvement initiative to explore utilising a validated cognitive assessment tool in the acute inpatient medical setting to detect delirium and prompt early intervention. J Clin Nur, 25 (21-22): 3400-3408.

Mori, S., Takeda, J. R. T., Carrata, S. A., Cohrs, C. R., Zanei, S. S. V. & Whitaker, I. Y. (2016). Incidence and factors related to delirium in an Intensive Care Unit. Rev Enfem Esc USP, 50 (4): 585-591.

Numan, T., Boogard, M., Kamper, A. M., Rood, P. J. T., Peelen, L. M. & Slooter, A. J. C. (2017). Recognition of Delirium in Postoperative Elderly Patients: A Multicenter Study. J Am Geriatr Soc, 65 (9):1932-1938.

Oh, S. H., Park, E. J., Jin, Y., Piao, J. & Lee, S. M. (2013). Automatic delirium prediction system in a Korean surgical intensive care unit. Nurs Crit Care, 19 (6):281-291.

Pereira, A.S. et al. (2018). Metodologia da pesquisa científica. [e-book]. Santa Maria. Ed. UAB/NTE/UFSM. Disponível em: https://repositorio.ufsm.br/bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf?sequence=1. Acesso em: 24 março 2020.

Pérez, A. A., Poza, S. C., Catalán, C. C., Fernández, A. G. & Vidal, J. M. M. (2014). Valoración de la concordancia entre la escala CAM-ICU y la nursing delirium screening scale en el postoperatorio de cirugía cardiaca en una unidad de críticos. Enferm Intensiva, 25 (3): 100-106.

Pryce, R., Quaresma, F. & Neto, I. G. (2018). Delirium: o 7º parâmetro vital? Acta Med Port, 31(1): 51-8.

Silva, M. H. O., Camerini, F. G., Henrique, D. M., Almeida, L. F., Franco, A. & Pereira, S. R. M. (2018). Delirium na terapia intensiva: fatores predisponentes e prevenção de eventos adversos. Rev. baiana enfem, 32: 1-12.

Steeg, L. V. D., Maaike, L., Ijekema, R., Nugus, P. & Wagner, C. (2014). Improving delirium care for hospitalized older patients. A qualitative study identifying barriers to guideline adherence. J Eval Clin Pract, 20(3): 813-819.

Tostes, I. C. G. O., Pereira, S. R. M., Almeida, L. F. & Santos, M. M. (2018). Delirium em terapia intensiva: utilização do Confusion Assessment Method for the Intensive Care Unit pelo enfermeiro. Rev Fund Care Online, 10 (1): 2-8.

Published

28/03/2020

How to Cite

SILVA, M. A. P. da; CAMACHO, A. C. L. F.; LEITE, B. S.; SILVA, T. da; MENEZES, H. F. de; SANTOS, K. L. D. dos; MATOS, T. L. de M. Identification of delirium in the elderly hospitalized in intensive care units: integrative review. Research, Society and Development, [S. l.], v. 9, n. 5, p. e51953090, 2020. DOI: 10.33448/rsd-v9i5.3090. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/3090. Acesso em: 24 apr. 2024.

Issue

Section

Health Sciences