What kind of Delirium Superhero are you?
Question 1: An 81 year old lady arrives to the ED with her husband following a fall. She is stable but febrile and sleepy. What is the first thing you want to do?
|Engage husband early to understand history and background|
|Ensure patient has hearing aids, glasses, and pain is addressed|
Question 2: To you, which intervention is most helpful when caring for a patient with hyperactive delirium?
|Engaging family to assist with care and bringing in familiar items from home|
|Educating your colleagues about avoiding restraints and the importance of non-pharmacological approaches|
Question 3: An 85 year old widowed man with known dementia is admitted with pneumonia from a nursing home at 1pm. He is disoriented, distractible and fidgeting with his nasal prongs. After stabilizing him medically, what is your next step?
|Gently explain that he needs the oxygen for his pneumonia. Draw the blinds so that he can get some rest.|
|Complete a thorough examination and then call the nursing home to find out his baseline function and history of presenting symptoms.|
Question 4: What do you find most satisfying when you care for patients with delirium?
|Remembering to screen for delirium when admitting a patient at risk.|
|Noticing the positive effects of engaging families in delirium care - both for the patient and their family.|
Question 5: A 35 year old male was intubated and admitted to ICU after a severe motor vehicle accident. He is sedated with a benzodiazepine. He becomes agitated with decreased sedation. His wife is at the bedside and is very worried. Would you:
|Suggest switching sedation to dexmedetomidine.|
|Educate the wife on delirium symptoms and how she can help to reduce his distress through touch and voice.|