Delirium Patients in the ICU Research Paper Assignment

Delirium Patients in the ICU Research Paper Assignment

Please follow the grading rubric. The paper should be 900 words APA format, based on the attached outline, and about the subject mentioned in the PICO question. The outline and annotated bibliography documents from down below will help you write this paper with ease.

You have to be very specific to the PICO question!

P:
 Adult critical care patients.

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I:
 Implement policies and interventions to reduce and eliminate ICU delirium.

C:
 Patients who are not on sedation drugs in the ICU.

O:
 Decrease the incidence or even eliminate delirium in ICU patients and decrease the length of stay of patients in the ICU.

PICO Question

Does limited use of sedation drugs with limited length of stay in critical care reduce delirium in critically ill patients compared to patient who are not on sedation drugs in the ICU?

NURS 6990-D02 Middle Tennessee State University

OUTLINE – Research Paper on Delirium Patients in the ICU Assignment

Effect of Limited Sedation on Delirium

Introduction

Delirium is a primary adverse event in ventilated patients who receive long-term treatment.

Too much sedation is associated with a longer duration of mechanical ventilation and a longer intensive care unit (ICU) stay. Delirium Patients in the ICU Research Paper Assignment.

Limited sedation may reduce these adverse effects.

Previous studies demonstrated that patients under mechanical ventilation exhibit a higher risk of experiencing delirium than non-mechanically ventilated patients.

This study will evaluate risk factors for delirium in limited sedation patients

Methods

Patients

In this planned study patients will be selected from a previous study

Patients who underwent sequential sedation will be enrolled.

Clinical Data
. Patient demographic characteristics included age, gender, body mass index (BMI), allergic history, drinking and smoking status, and medical history, including the presence or absence of hypertension. Delirium Patients in the ICU Research Paper Assignment.

Delirium Assessment.
 The primary endpoint of this study will be the occurrence of delirium.

Statistical Analysis.
 Statistical analyses were performed using SPSS

Results

Table will be used to presents demographic data and baseline characteristics of patients with or without delirium.

Data will be used to evaluate risk factors for delirium in sequential sedation patients

Univariate and multivariate Cox proportional hazards regressions will be used to predict risk factors.

Clinical data will include the use of sedative and analgesic medications, mechanical ventilation status, and sequential sedation characteristics.

It will involve Delirium Assessment among the patients.

The results of this study should demonstrate that sequential sedation with dexmedetomidine was a protective method to prevent delirium. Delirium Patients in the ICU Research Paper Assignment.

Results should show that management strategies may sometimes require alteration to reduce the incidence and severity of delirium in sequential sedation patients.

Conclusion:

The results used demonstrated that limited sedation is a protective method to prevent delirium.

Results should suggest that management strategies may sometimes require alteration to reduce the incidence and severity of delirium in sequential sedation patients.

Research Paper on Delirium Patients in the ICU Assignment References

Djaiani, G., Silverton, N., Fedorko, L., Carroll, J., Styra, R., Rao, V., & Katznelson, R. (2016). Dexmedetomidine versus propofol sedation reduces delirium after cardiac surgery a randomized controlled trial. 
Anesthesiology: The Journal of the American Society of Anesthesiologists
, 
124
(2), 362-368.

Jackson, P., & Khan, A. (2015). Delirium in critically ill patients. 
Critical care clinics
, 
31
(3), 589-603.

Lee, J., Choi, S., Park, Y., Lee, C. H., Lee, S. M., Yim, J. J., … & Kim, Y. (2017). C53 CRITICAL CARE: DELIRIUM AND THE EXPECTED AND UNEXPECTED CONSEQUENCES OF SEDATION/ANALGESIA IN THE ICU: Effect of Recent Alcohol, Smoking and Psychotropic Drug Use on Delirium In ICU. 
American Journal of Respiratory and Critical Care Medicine
, 
195
.

Lee, J., Choi, S., Park, Y., Lee, C. H., Lee, S. M., Yim, J. J., … & Kim, Y. (2017). C53 CRITICAL CARE: DELIRIUM AND THE EXPECTED AND UNEXPECTED CONSEQUENCES OF SEDATION/ANALGESIA IN THE ICU: Effect of Recent Alcohol, Smoking and Psychotropic Drug Use on Delirium In ICU. 
American Journal of Respiratory and Critical Care Medicine
, 
195
.

Lyons, P. G., Snyder, A. M., Edelson, D. P., Mokhlesi, B., & Churpek, M. M. (2016). C50 CRITICAL CARE: DELIRIUM AND SEDATION IN THE ICU: The Association Between Opioid and Benzodiazepine Use on Clinical Deterioration in Hospitalized Patients on The Wards. 
American Journal of Respiratory and Critical Care Medicine
, 
193
, 1. Delirium Patients in the ICU Research Paper Assignment.

Lyons, P. G., Snyder, A. M., Edelson, D. P., Mokhlesi, B., & Churpek, M. M. (2016). C50 CRITICAL CARE: DELIRIUM AND SEDATION IN THE ICU: The Association Between Opioid and Benzodiazepine Use on Clinical Deterioration in Hospitalized Patients On The Wards. 
American Journal of Respiratory and Critical Care Medicine
, 
193
, 1.

Salluh, J. I., Wang, H., Schneider, E. B., Nagaraja, N., Yenokyan, G., Damluji, A., … & Stevens, R. D. (2015). Outcome of delirium in critically ill patients: systematic review and meta-analysis. 
bmj
, 
350
, h2538.

Traube, C., Silver, G., Reeder, R. W., Doyle, H., Hegel, E., Wolfe, H. A., … & Buttram, S. D. (2017). Pediatric delirium in critically-ill children: An international point prevalence study. 
Critical care medicine
, 
45
(4), 584.

Vallabhajosyula, S., Kanmanthareddy, A., Morrow, L. E., & Esterbrooks, D. J. (2016). C50 CRITICAL CARE: DELIRIUM AND SEDATION IN THE ICU: Role Of Statins in Delirium Prevention In Critically Ill And Cardiovascular Surgery Patients: A Meta-Analysis. 
American Journal of Respiratory and Critical Care Medicine
, 
193
, 1.

Search Methods Draft

Scholarly Synthesis

NURS 6990-D02

Spring 2019

NURS 6990 Scholarly Synthesis

Search activity

My research question:

 

In critically ill patients in the ICU (P), with limited use of sedation drugs (I), compared to not using sedation drugs (C), reduce delirium (P)?

Places to search for information:

 

School online library, and google scholar Delirium Patients in the ICU Research Paper Assignment

List of sources searched:

Date of search

Search strategy used, including any limits

Total number of results found

Comments

1.      Lee, J., Choi, S., Park, Y., Lee, C. H., Lee, S. M., Yim, J. J., … & Kim, Y. (2017). C53 CRITICAL CARE: DELIRIUM AND THE EXPECTED AND UNEXPECTED CONSEQUENCES OF SEDATION/ANALGESIA IN THE ICU: Effect of Recent Alcohol, Smoking and Psychotropic Drug Use on Delirium In ICU. 
American Journal of Respiratory and Critical Care Medicine
, 
195
.2.      Lyons, P. G., Snyder, A. M., Edelson, D. P., Mokhlesi, B., & Churpek, M. M. (2016). C50 CRITICAL CARE: DELIRIUM AND SEDATION IN THE ICU: The Association Between Opioid and Benzodiazepine Use on Clinical Deterioration in Hospitalized Patients On The Wards. 
American Journal of Respiratory and Critical Care Medicine
, 
193
, 1.

3.      Djaiani, G., Silverton, N., Fedorko, L., Carroll, J., Styra, R., Rao, V., & Katznelson, R. (2016). Dexmedetomidine versus propofol sedation reduces delirium after cardiac surgery, a randomized controlled trial. 
Anesthesiology: The Journal of the American Society of Anesthesiologists
, 
124
(2), 362-368.

 

13 February 2019

Boolean operators

Delirium Patients in the ICU Research Paper Assignment

15,700

 Using the AND operator was very useful in narrowing the research to only include sedation use and delirium.

1.      Salluh, J. I., Wang, H., Schneider, E. B., Nagaraja, N., Yenokyan, G., Damluji, A., … & Stevens, R. D. (2015). Outcome of delirium in critically ill patients: systematic review and meta-analysis. 
bmj
, 
350
, h2538.2.      Vallabhajosyula, S., Kanmanthareddy, A., Morrow, L. E., & Esterbrooks, D. J. (2016). C50 CRITICAL CARE: DELIRIUM AND SEDATION IN THE ICU: Role of Statins in Delirium Prevention in Critically Ill and Cardiovascular Surgery Patients: A Meta-Analysis. 
American Journal of Respiratory and Critical Care Medicine
, 
193
, 1.

13 Feb 2019

Truncation

15, 000

 This strategy was useful in restricting the search to a word stem.

 

Delirium Patients in the ICU Research Paper Assignment

1.      Lyons, P. G., Snyder, A. M., Edelson, D. P., Mokhlesi, B., & Churpek, M. M. (2016). C50 CRITICAL CARE: DELIRIUM AND SEDATION IN THE ICU: The Association Between Opioid And2.       Benzodiazepine Use on Clinical Deterioration in Hospitalized Patients on The Wards. 
American Journal of Respiratory and Critical Care Medicine
, 
193
, 1.

3.      Lee, J., Choi, S., Park, Y., Lee, C. H., Lee, S. M., Yim, J. J., … & Kim, Y. (2017). C53 CRITICAL CARE: DELIRIUM AND THE EXPECTED AND UNEXPECTED CONSEQUENCES OF SEDATION/ANALGESIA IN THE ICU: Effect of Recent Alcohol, Smoking and Psychotropic Drug Use on Delirium In ICU. 
American Journal of Respiratory and Critical Care Medicine
, 
195
.

14 Feb. 2019

Parentheses

15,600 

 This strategical was helpful in making the search logical by pacing sedation use and delirium appear on the same search.

1.      Jackson, P., & Khan, A. (2015). Delirium in critically ill patients. 
Critical care clinics
, 
31
(3), 589-603.2.      Traube, C., Silver, G., Reeder, R. W., Doyle, H., Hegel, E., Wolfe, H. A., … & Buttram, S. D. (2017). Pediatric delirium in critically-ill children: An international point prevalence study. 
Critical care medicine
, 
45
(4), 584.

14 Feb 2019

 

Delirium Patients in the ICU Research Paper Assignment