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Hypoactive Delirium (Lethargy, reduced motor activity, withdrawn, incoherent speech, and lack of interest)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