- Intensive Care Unit Cognitive Disorders
- Anesthesia and Sedative Agents
- Family and Patient Care in Intensive Care Units
- Long-Term Effects of COVID-19
- Healthcare Decision-Making and Restraints
- Nursing Diagnosis and Documentation
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Cardiac, Anesthesia and Surgical Outcomes
- Anesthesia and Neurotoxicity Research
- Emergency and Acute Care Studies
- Dementia and Cognitive Impairment Research
John Cochran VA Medical Center
2024
Carolinas Medical Center
2021-2024
Woodward (United States)
2022
Atrium Medical Cente
2021
Delirium is a common complication of older people in hospitals, rehabilitation and long-term facilities. To assess the worldwide use validated delirium assessment tools presence management protocols. Secondary analysis one-day point prevalence study on World Awareness Day, 15 March 2023. Cross-sectional online survey including Participating clinicians reported data delirium, protocols, assessments, delirium-awareness interventions, non-pharmacological pharmacological ward/unit-specific...
Delirium is an acute brain dysfunction associated with increased risk of mortality and future dementia. To describe the prevalence clinically documented delirium in United States on World Awareness Day 2023. This a sub-analysis prospective, cross-sectional, online, international survey. All health care settings were eligible, exception operating rooms outpatient clinics. Health clinicians, administrators, researchers completed The primary outcome was at 8:00 a.m. p.m. March 15, Secondary...
Background Delirium is an acute change in mental status that affects more than 2.6 million hospitalised adults annually. Patients who experience delirium suffer extended hospital stays and increased mortality morbidity. screening fundamental driving prevention early detection. This project aimed to examine assessment, recognition for patients over 18, barriers implementing treatment, report qualitative findings care. Method In mid-March 2023, 11 Clinical Nurse Leaders the Southeast Region of...
Background: Delirium has been associated with poor outcomes in hospitalized older adults. Rates of delirium have increased the context coronavirus disease 2019 (COVID-19). Purpose: To explore prevalence adult patients COVID-19 as well correlations age, gender, length stay (LOS), occurrence an intensive care unit admission or transfer, and in-hospital mortality 2 hospitals southeast United States. Methods: A retrospective study 1502 admitted between 2020 2021 was completed. Results: Older...
Central Division Geriatric Clinical Nurse Leader/NICHE Coordinator, Carolinas Medical Center, Charlotte, NC. Correspondence: Tru Byrnes, DNP, RN-BC, CNL, CMSRN, Atrium Health-Carolinas 1000 Blythe Blvd NC 28203, ([email protected]). The author declares no conflicts of interest. Published ahead print: January 28, 2021
Background: Older adult patients with COVID-19 and delirium experience higher rates of adverse outcomes. Early recognition at-risk implementation management strategies improve outcomes, though understanding barriers to acute care nurses implementing these is limited. Purpose: This study's purpose was understand the experiences providing older adults delirium. Experiences explored included assessment, nursing interventions, care. Methods: Purposive sampling recruit for semistructured focus...
Up to 40% of delirium cases are preventable, and early identification is key improve patient outcomes.To implement evaluate a multidisciplinary intervention program.The program targeted patients at high risk for included nurse education, stratification, rounds, nonpharmacological bundle, treatment order set.After implementation, there was reduction in length stay 6.3 days ( P = .01), 24% decrease disposition skilled nursing facility .05), increased detection by nurses.Positive outcomes were...
Abstract Delirium is a disturbance of attention accompanied by change in baseline cognition that commonly seen acute care settings, and effects up to 80% ICU patients. The development delirium has adverse on patient outcomes high health costs. Of patients aged 65+ admitted our hospital 2019, non-delirious had five-day length stay (LOS) compared 10-14 days LOS delirious A five increase adds an additional $ 8,325 per for extra annual cost 15 million dollars. Additionally, often not recognized....