Unit 5 - Factors of Delirium Flashcards
1
Q
What are predisposing factors to delirium? (7)
A
- age
- dementia
- functional status
- sensory impairment
- decreased oral intake
- Med: psychoactive medications
- Coexisting medication conditions
2
Q
What are precipitating factors od delirium? (9)
A
- medications
- primary neurological diseases
- Illnesses: infections, dehydration, poor nutrition, low serum albumin, metabolic derangement
- surgery
- environment
- pain
- emotional stress
- sleep deprivation
- restraints (urinary catheter)
3
Q
What are risk factors for delirium severity in LTC? (4)
A
absence of the following:
- adequate nutrition
- aids to orientation
- family members
- reading glasses
4
Q
What are the risk factors that are present for delirium in LTC? (6)
A
- antipsychotic prescription
- bedrails or other restraints
- dementia
- depression
- hearing impairment
- pain
5
Q
Interventions to prevent delirium include Hospital Elder Life Program. How does this help in preventing delirium? (2)
A
- recognition of predisposing and precipitating risk factors
- interventions must be multifactorial
6
Q
What are the interventions in the Hospital Elder Life Program? (4) (9)
A
- fluid intake supported
- meal assistance
- interdisciplinary core
- staff education
- daily visitors
- therapeutic activities
- early mobilization
- nonpharmacologic sleep protocols
- hearing + vision protocols
7
Q
What is the outcome of the HELP? (9)
A
- 40% reduction in the incidence of delirium
- decrease in the days and episodes of delirium and prevention of functional decline
