Posted on August 5, 2008 in by admin8 Comments »

Delirium bundle

Basically attention to detail and excellent nursing care, a “delirium bundle” directed at the risk factors (See Table 2 and Table 3) has been shown to decrease the incidence, duration, length of hospitalization and mortality. While admittedly it is not known if this translates to better longer-term outcomes it makes good clinical sense.

  • Establish baseline cognitive function from family/friends.
  • Improved psychotropic medication use.
  • Organization of nursing care to promote continuity of care and personal knowledge.
  • Provide visual and hearing aids.
  • Reorientate patient verbally and visually – clock/calendar.
  • Attention to causes of sleep deprivation.
  • Mobilize early.
  • Ensure adequate pain control.
  • Avoid physical restraints.
  • Avoid constipation.