Delirium Risk Factors & Interventions

Delirium Risk Factors & Interventions Bingo Card
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This bingo card has a free space and 24 words: Avoid Restraints and Anti-psychotics, Electrolyte Disturbances, lung, liver, lack of sleep,long ED Stay, Infection,latrogenic effects Infarct, Restraints, lack of mobility, Hypoactive Delirium (Lethargy, reduced motor activity, withdrawn, incoherent speech, and lack of interest), Drug side effects/withdrawal, discomfort, Antipsychotics should be reserved only for patients who are a risk to harm themselves or others, Mixed Delirium (Hyper & Hypo combination throughout 24 hours), Unfamiliar environment, Delirium Comprehensive Order Set, Primary prevention is the best approach to treating delirium, Metabolic (TSH, Glucose), Cognitive impairments-> use reality orientation and cognitive stimulating activities, Visual Hearing Impairments-> Make sure patient has hearing aids and/or glasses, CAM screening done accurately every 8 hours to recognize delirium early, Hyperactive Delirium (Heightened arousal with restlessness, agitation, hallucinations, and inappropriate behavior), CAM assessement is a screening tool, Collaborate with Interdisciplinary team, Immobilization-> get patients moving, OOB for meals, avoid restraints, dehydration-> encourage fluids. Identify dehydration early, Psychoactive Medication use-> use nonpharmacologic methods to treat anxiety and sleeplessness, Sleep Deprivation-> employ noise reeducation strategies, good sleep hygiene strategies and Use chemical and physical restraints ONLY if the patient is endangering their care, or harming themselves/others.

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