Visual HearingImpairments->Make surepatient hashearing aidsand/or glassesElectrolyteDisturbancesSleep Deprivation-> employ noisereeducationstrategies, goodsleep hygienestrategiesMixed Delirium(Hyper & Hypocombinationthroughout 24hours)AvoidRestraintsand Anti-psychoticsMetabolic(TSH,Glucose)PsychoactiveMedication use->usenonpharmacologicmethods to treatanxiety andsleeplessnessUse chemical andphysical restraintsONLY if the patientis endangeringtheir care, orharmingthemselves/othersCognitiveimpairments-> usereality orientationand cognitivestimulatingactivitiesCAM screeningdone accuratelyevery 8 hoursto recognizedelirium earlyUnfamiliarenvironmentImmobilization-> get patientsmoving, OOBfor meals, avoidrestraintsInfection,latrogeniceffects InfarctHypoactiveDelirium (Lethargy,reduced motoractivity, withdrawn,incoherentspeech, and lackof interest)lung, liver,lack ofsleep,longED StayRestraints,lack ofmobilityDeliriumComprehensiveOrder SetPrimaryprevention isthe bestapproach totreatingdeliriumAntipsychoticsshould bereserved only forpatients who are arisk to harmthemselves orothersHyperactive Delirium(Heightened arousalwith restlessness,agitation,hallucinations, andinappropriatebehavior)CAMassessementis ascreeningtoolDrug sideeffects/withdrawal,discomfortCollaboratewithInterdisciplinaryteamdehydration-> encouragefluids. IdentifydehydrationearlyVisual HearingImpairments->Make surepatient hashearing aidsand/or glassesElectrolyteDisturbancesSleep Deprivation-> employ noisereeducationstrategies, goodsleep hygienestrategiesMixed Delirium(Hyper & Hypocombinationthroughout 24hours)AvoidRestraintsand Anti-psychoticsMetabolic(TSH,Glucose)PsychoactiveMedication use->usenonpharmacologicmethods to treatanxiety andsleeplessnessUse chemical andphysical restraintsONLY if the patientis endangeringtheir care, orharmingthemselves/othersCognitiveimpairments-> usereality orientationand cognitivestimulatingactivitiesCAM screeningdone accuratelyevery 8 hoursto recognizedelirium earlyUnfamiliarenvironmentImmobilization-> get patientsmoving, OOBfor meals, avoidrestraintsInfection,latrogeniceffects InfarctHypoactiveDelirium (Lethargy,reduced motoractivity, withdrawn,incoherentspeech, and lackof interest)lung, liver,lack ofsleep,longED StayRestraints,lack ofmobilityDeliriumComprehensiveOrder SetPrimaryprevention isthe bestapproach totreatingdeliriumAntipsychoticsshould bereserved only forpatients who are arisk to harmthemselves orothersHyperactive Delirium(Heightened arousalwith restlessness,agitation,hallucinations, andinappropriatebehavior)CAMassessementis ascreeningtoolDrug sideeffects/withdrawal,discomfortCollaboratewithInterdisciplinaryteamdehydration-> encouragefluids. Identifydehydrationearly

Delirium Risk Factors & Interventions - Call List

(Print) Use this randomly generated list as your call list when playing the game. There is no need to say the BINGO column name. Place some kind of mark (like an X, a checkmark, a dot, tally mark, etc) on each cell as you announce it, to keep track. You can also cut out each item, place them in a bag and pull words from the bag.


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