Delirium and Coronavirus Disease 2019: Looking Back, Moving Forward.
| Autor: | Potter KM; Department of Critical Care Medicine, CRISMA Center, University of Pittsburgh, Pittsburgh, PA, USA. Electronic address: kelly.potter@pitt.edu., Pun BT; Department of Medicine, Pulmonary and Critical Care, Critical Illness, Brain Dysfunction, and Survivorship Center, Vanderbilt University Medical Center, Nashville, TN, USA., Maya K; Sutter Health System, Sacramento, CA, USA., Young B; Hospital of the University of Pennsylvania, Philadelphia, PA, USA., Williams S; Monroe Carrell Jr Children's Hospital at Vanderbilt, Nashville, TN, USA., Schiffman M; Weill Cornell Medicine, New York, NY, USA., Hosie A; School of Nursing & Midwifery Sydney, University of Notre Dame Australia, Sydney, New South Wales, Australia; Cunningham Centre for Palliative Care, St Vincent's Health Network Sydney, Sydney, New South Wales, Australia; IMPACCT- Improving Palliative, Aged and Chronic Care Through Research and Translation, University of Technology Sydney, Sydney, New South Wales, Australia., Boehm LM; School of Nursing, Vanderbilt University, Nashville, TN, USA; Critical Illness, Brain Dysfunction, and Survivorship (CIBS) Center, Vanderbilt University Medical Center, Nashville, TN, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Critical care nursing clinics of North America [Crit Care Nurs Clin North Am] 2024 Sep; Vol. 36 (3), pp. 415-426. Date of Electronic Publication: 2024 Jan 02. |
| DOI: | 10.1016/j.cnc.2023.12.003 |
| Abstrakt: | During the coronavirus disease 2019 pandemic, crisis changes in clinical care increased rates of delirium in the intensive care unit (ICU). Deep sedation, unfamiliar environments with visitor restrictions, and such factors due to high workload and health system strain contributed to the occurrence of delirium doubling in the ICU. As the pandemic wanes, health care systems and ICU leadership must emphasize post-pandemic recovery, integrating lessons learned about delirium management, evidence-based care, and family involvement. Strategies to empower clinicians, creatively deliver care, and integrate families pave the way forward for a more holistic approach to patient care in the post-pandemic era. (Crown Copyright © 2023. Published by Elsevier Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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