HypoactiveDelirium (Lethargy,reduced motoractivity, withdrawn,incoherentspeech, and lackof interest)Hyperactive Delirium(Heightened arousalwith restlessness,agitation,hallucinations, andinappropriatebehavior)CAM screeningdone accuratelyevery 8 hoursto recognizedelirium earlyCognitiveimpairments-> usereality orientationand cognitivestimulatingactivitiesRestraints,lack ofmobilityAntipsychoticsshould bereserved only forpatients who are arisk to harmthemselves orothersDeliriumComprehensiveOrder SetMetabolic(TSH,Glucose)dehydration-> encouragefluids. IdentifydehydrationearlyCollaboratewithInterdisciplinaryteamPrimaryprevention isthe bestapproach totreatingdeliriumElectrolyteDisturbancesSleep Deprivation-> employ noisereeducationstrategies, goodsleep hygienestrategieslung, liver,lack ofsleep,longED StayImmobilization-> get patientsmoving, OOBfor meals, avoidrestraintsAvoidRestraintsand Anti-psychoticsPsychoactiveMedication use->usenonpharmacologicmethods to treatanxiety andsleeplessnessCAMassessementis ascreeningtoolMixed Delirium(Hyper & Hypocombinationthroughout 24hours)Use chemical andphysical restraintsONLY if the patientis endangeringtheir care, orharmingthemselves/othersVisual HearingImpairments->Make surepatient hashearing aidsand/or glassesDrug sideeffects/withdrawal,discomfortInfection,latrogeniceffects InfarctUnfamiliarenvironmentHypoactiveDelirium (Lethargy,reduced motoractivity, withdrawn,incoherentspeech, and lackof interest)Hyperactive Delirium(Heightened arousalwith restlessness,agitation,hallucinations, andinappropriatebehavior)CAM screeningdone accuratelyevery 8 hoursto recognizedelirium earlyCognitiveimpairments-> usereality orientationand cognitivestimulatingactivitiesRestraints,lack ofmobilityAntipsychoticsshould bereserved only forpatients who are arisk to harmthemselves orothersDeliriumComprehensiveOrder SetMetabolic(TSH,Glucose)dehydration-> encouragefluids. IdentifydehydrationearlyCollaboratewithInterdisciplinaryteamPrimaryprevention isthe bestapproach totreatingdeliriumElectrolyteDisturbancesSleep Deprivation-> employ noisereeducationstrategies, goodsleep hygienestrategieslung, liver,lack ofsleep,longED StayImmobilization-> get patientsmoving, OOBfor meals, avoidrestraintsAvoidRestraintsand Anti-psychoticsPsychoactiveMedication use->usenonpharmacologicmethods to treatanxiety andsleeplessnessCAMassessementis ascreeningtoolMixed Delirium(Hyper & Hypocombinationthroughout 24hours)Use chemical andphysical restraintsONLY if the patientis endangeringtheir care, orharmingthemselves/othersVisual HearingImpairments->Make surepatient hashearing aidsand/or glassesDrug sideeffects/withdrawal,discomfortInfection,latrogeniceffects InfarctUnfamiliarenvironment

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