PPT-ABCDE Protocol ICU Delirium and Cognitive Impairment Study Group

ABCDE Protocol ICU Delirium and Cognitive Impairment Study Group wwwicudeliriumorg deliriumvanderbiltedu Why the ABCDE Protocol Need for Sedation and Analgesia Prevent pain and anxiety Decrease oxygen consumption. Disorganized Thinking 1 ill a stone float on water 2 Are there fish in the sea 3 Does one pound weigh more than two 4 Can you use a hammer to pound a nail Command Hold up this many fingers Hold up 2 fingers Now do the same thing with the other hand Rose Buckingham MSN. Kelly Goetschkes MSN. Objectives. Describe what delirium is and common . risk factors. Identify common symptoms, and implications of delirium for the hospitalized adult. Summarize TNMC ICU Outcomes Study results and what we learned going forward. The Peer Teaching Society is not liable for false or misleading information…. Delirium. PATH. Acute . confusional. state (can be acute-on-chronic). Globally impaired cognition awareness/consciousness. Contents:. What is Delirium?. Why is it important?. How do we recognise it?. What causes it?. How do we prevent it?. How do we treat it?. Definition:. An acute state of confusion (NICE, 2010). Acute onset, fluctuating confusion. ICU Liberation: How Physical Therapy Is Part of Reducing the Harms of Critical Illness Presented by Heidi Engel, PT, DPT UCSF Department of Rehabilitative Services University of California San Francisco Medical Center . Susan Schumacher, MS, G-CNS. Objectives. Identify 3 differences in clinical presentation of delirium versus underlying dementia.. Explain how to perform the Confusion Assessment Method (CAM).. Identify at least 3 factors contributing to the development of delirium.. Orientation Provide visual and hearing aidsEncourage communication and reorient patient Have familiar objects from patient’s home in the roomAllow television during day with daily newsNonverbal m The . overall aim of the session is for the trainee to gain an overview of delirium. By . the end of the sessions the trainee should:. Understand . the epidemiology, the risk factors associated and the basic physiological and psychological changes associated with delirium. Vascular Cognitive Impairment (VCI) . includes the cognitive and . behavioural. disorders associated with cerebrovascular disease and risk factors, from mild cognitive deficits to frank dementia. VCI is a syndrome with cognitive impairment affecting at least one cognitive domain (e.g., attention, memory, language, perception or . Consultant old age psychiatrist. DEMENTIAS. What is dementia. Demographics. Clinical features. Types of dementia. Pathology. Diagnosis. Treatment. What is dementia. Dementia is a clinical term describing a symptom complex characterised by a decline from previously maintained intellectual function . Kevin Biese, . MD, MAT. Ellen . Roberts, . PhD, MPH . Jan . Busby-Whitehead, . MD. University . of North . Carolina. at Chapel . Hill. Division of Geriatric Medicine . Center for Aging and Health . UNM Dept. of Psychiatry. Division of Behavioral Health Consultation and Integration. None. Disclosures. Delirium. Definition. Clinical Manifestation. Epidemiology. Mortality & Cost. Risk Factors. Assistant Professor, Baylor College of Medicine. Staff Psychiatrist General Mental Health Clinic (GMHC). Michael E. DeBakey VA Medical Center. Objectives. Overview of Delirium: . Understand the pathology of delirium and how . Dr. Ali . Bahathig. , FRCPC. Assistant Professor and Consultant of psychiatry, Consultation-Liaison Psychiatrist. Psychosomatic Unit, Psychiatry Department . King Khalid University Hospital. Objective.