intensiv 2014; 22(04): 198-201
DOI: 10.1055/s-0034-1383876
Intensivpflege
Delirpatienten
Georg Thieme Verlag KG Stuttgart · New York

Delir und Angehörige auf ITS – ein ganzheitlicher Ansatz

Susanne Krotsetis
,
Peter Nydahl
Further Information

Publication History

Publication Date:
07 July 2014 (online)

Zusammenfassung

Ein Delir nach einem operativen Eingriff kann jeden treffen, vor allem ältere Menschen sind gefährdet und nicht immer verschwindet der Zustand der Verwirrtheit wieder. Angehörige können in dieser Phase den Patienten unterstützen, ihm Stabilität und Sicherheit geben und somit den Weg zurück in die Realität erleichtern. Welche Möglichkeiten sie dafür haben, zeigt dieser Beitrag.

 
  • Literatur

  • 1 Pun BT, Ely EW. The Importance of Diagnosing and Managing ICU Delirium. Chest 2007; 132 (2) 624-636
  • 2 Thomason JWW, Shintani A, Peterson JF et al. Intensive care unit delirium is an independent predictor of longer hospital stay: a prospective analysis of 261 non-ventilated patients. Crit Care 2005; 9 (4) R375-R381
  • 3 Van den Boogaard MW, Schoonhoven L, van der Hoeven JG et al. Incidence and short-term consequences of delirium in critically ill patients: A prospective observational cohort study. Journal of Nursing Studies 2012; 49 (7) 775-783
  • 4 Lin SM et al. The impact of delirium on the survival of mechanically ventilated patients. Crit Care Med 2004; 32 (11) 2254-2259
  • 5 Girard DG, Jackson JC, Pandharipande PP et al. Delirium as a predictor of long-term cognitive impairment in survivors of critical illness. Crit Care Med 2010; 38 (7) 1513-1520
  • 6 Brummel NE, Jackson JC, Pandharipande PP et al. Delirium in the ICU and Subsequent Long-Term Disability Among Survivors of Mechanical Ventilation. Crit Care Med 2014; 42 (2) 369-377
  • 7 Morandi A, Brummel NE, Ely EW. Sedation, delirium and mechanical ventilation: the „ABCDE“ approach. Current Opinion in Critical Care 2011; 17 (1) 43-49
  • 8 Davidson JE, Harvey MA, Schuller J et al. Post-intensive care syndrome: what is it and how to help prevent it. American Nurse today 2013; 8 (5) 32-38
  • 9 Peterson JF, Pun BT, Dittus RS et al. Delirium and Its Motoric Subtypes: A Study of 614 Critically Ill Patients. Journal of the American Geriatrics Society 2006; 54 (3) 479-484
  • 10 Agard AS, Harder I. Relatives’ experiences in intensive care – Finding a place in a world of uncertainty. Intensive and Critical Care Nursing 2007; 23: 170-177
  • 11 Black P, Boore JRP, Parahoo K. The effect of nurse-facilitated family participation in the psychological care of the critically ill patient. Journal of Advanced Nursing 2011; 67 (5) 1091-1101
  • 12 Nydahl P, Köpke S, Krotsetis S. Umgang mit Delirpatienten – Aufklärung aus England. intensiv 2014; 22 (2) 70-73
  • 13 National Institute for Health and Clinical Excellence. 2010 Delirium: diagnosis, prevention and management. Online unter http://guidance.nice.org.uk/CG103 letzter Zugriff: 10.7.2012
  • 14 Wesch C, Schäfer UB, Frei IA et al. Einbezug der Angehörigen in die Pflege bei Patient(inn)en mit Delir auf Intensivstationen. Pflege 2013; 26 (2) 129-141
  • 15 Khalifezadeh A, Safazadeh S, Tayebeh Mehrabi T et al. Reviewing the effect of nursing interventions on delirious patients admitted to intensive care unit of neurosurgery ward in Al-Zahra Hospital, Isfahan University of Medical Sciences. Iran J Nurs Midwifery Res 2011; 16 (1) 106-112
  • 16 Nagl-Cupal M. Den eigenen Beitrag leisten – Krankheitsbewältigung von Angehörigen auf der Intensivstation. Hungen: Hpsmedia; 2011
  • 17 Jones C, Bäckman C, Griffith C. Intensive care diaries and relatives’ symptoms of posttraumatic stress disorder after critical illness: a pilot study. Am J Crit Care 2012; 21 (3) 172-176
  • 18 Storli SL, Lindseth A, Asplund K. A journey in quest of meaning: a hermeneutic-phenomenological study on living with memories from intensive care. Nurs Crit Care 2008; Mar-Apr 13 (2) 86-96
  • 19 Egerod I, Christensen D, Schwartz-Nielsen KH et al. 2011; b Constructing the illness narrative: A grounded theory exploring patients’ and relatives’ use of intensive care diaries. Crit Care Med 2011; 39 (9) 1922-1928
  • 20 Balas MC, Burke WJ, Gannon D et al. Implementing the awakening and breathing coordination, delirium monitoring/management, and early exercise/mobility bundle into everyday care: opportunities, challenges, and lessons learned for implementing the ICU Pain, Agitation, and Delirium Guidelines. Crit Care Med 2013; Sep 41 (9) (Suppl. 01) 116-127