Delirium, transtornos neurocognitivos, delírios
Conditions
Interventions
Personal patient photos will be attached to the side walls of the bed
will be given to the family a booklet containing information on: what is delirium
what can cause it
Experimental group: 70 patients admitted to the ICUs of the study will receive the usual multiprofessional care directed to their clinical condition and a package composed of 5 non-pharmacological int
the family will be directed to bring personal / symbolic objects to the patient
the family will be instructed to bring a small radio to leave in the patients bed during hospitalization
the patient will be encouraged to perform the activities of daily living: feeding himself and doing the hygiene activities
the research team will perform three cognitive training activities with the patient (twice a day - morning and afternoon): executive function, memory and attention.
- Periodic reorientation (will be
The patients family will be encouraged to participate in the patients reorientation process
the importance of the family in the reorientation of the patient and in the stimulus to the accomplishment of the cognitive acti
Other
Sponsors
Universidade do Estado da Bahia
Hospital Santa Izabel
Eligibility
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Participants will be those over 18 years of age, with an expected length of stay in these units over 48 hours, who score in the E-PRE-DELIRIC score greater than or equal to 10% and who voluntarily agree to participate in the study
Exclusion criteria
Exclusion criteria: Patients who: are admitted to delirium; admitted to these ICUs, but who had had delirium in the previous hospitalization; are admitted in contact and / or respiratory precaution; receptive aphasia; Have severe hearing and / or visual disturbances that prevent adequate communication; To present psychiatric disorders, in acute phase, that cause cognitive alterations, like attention deficit and / or hallucinations; They are unable to understand Portuguese; Present scores on the Richmond Agitation-Sedation Scale (RASS) less than or equal to -3
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Occurrence of delirium in critically ill patients detected through the application of the flowsheet CAM-ICU scale. The delirium subtype will be identified from the score on the RASS scale | — |
Secondary
| Measure | Time frame |
|---|---|
| Duration of delirium during intensive care unit admission, which will be determined by the total number of days of CAM-ICU positive flowsheet from patient admission to ICU to discharge;Days of hospitalization in the ICU characterized by the number of days of hospitalization in the ICU until discharge to the ward, residence or death;Days of hospitalization in the hospital characterized by the number of days of hospitalization in the hospital until discharge or death;Mortality in 30 days characterized by the number of patients who died within 30 days after admission to the ICU;Mortality in 90 days characterized by the number of patients who died within 90 days after admission to the ICU;Removal of devices characterized by the number of withdrawal episodes of devices in use - catheter, probes, tubes - during ICU admission;Days in mechanical ventilation characterized by the number of days in mechanical ventilation;Re-intubation characterized by the number of episodes of reconnection to the ventilator during the period of hospitalization in the ICU;Fall characterized by the number of episodes in which the patient was found on the floor after falling from the hospital bed or armchair;Delirium / coma free days characterized by the number of days in which the patient did not take delirium and was not in coma from the inclusion in the study. In this study, comatose patients will be defined as those with RASS -4 or -5 or those who do not present ocular opening to painful stimuli.;Episodes of delirium characterized by the number of episodes in which verification of the CAM-ICU flowsheet was positive.;Period of onset of episodes of delirium characterized by the period in which the first episode of delirium occurred in quartiles of time: day 0-1; Day 2; day 3-6; above day 6. | — |
Countries
Brazil
Contacts
Public ContactTássia Faustino
Universidade do Estado da Bahia
Outcome results
None listed