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Nursing Intervention to Prevent and Manage Delirium in Critically Ill Patients: A Scoping Review

dc.contributor.authorFernandes, Filipa
dc.contributor.authorSantos, Mariana
dc.contributor.authorAnacleto, Ana Margarida
dc.contributor.authorJerónimo, Cátia
dc.contributor.authorFerreira, Óscar Manuel Ramos
dc.contributor.authorBaixinho, Cristina Lavareda
dc.date.accessioned2025-04-04T10:12:29Z
dc.date.available2025-04-04T10:12:29Z
dc.date.issued2024
dc.description.abstractDelirium is an acute neuropsychiatric syndrome of multifactorial etiology with a high incidence in people admitted to intensive care units. In addition to reversible impairment of cognitive processes, it may be associated with changes in thinking and perception. If, in the past, it was considered an expected complication of severe disease, nowadays, delirium is associated with a poor short-term and long-term prognosis. Knowing that its prevention and early identification can reduce morbidity, mortality, and health costs, it is vital to investigate nursing interventions focused on delirium in critically ill patients. This study aimed to identify nursing interventions in the prevention and management of delirium in critically ill adults. The method used to answer the research question was a scoping review. The literature search was performed in the Medline (via PubMed), CINAHL (via EBSCOhost), Scopus, Web of Science, and JBI databases. The final sample included 15 articles. Several categories of non-pharmacological interventions were identified, addressing the modifiable risk factors that contribute to the development of delirium, and for which nurses have a privileged position in their minimization. No drug agent can, by itself, prevent or treat delirium. However, psychoactive drugs are justified to control hyperactive behaviors through cautious use. Early diagnosis, prevention, or treatment can reduce symptoms and improve the individual’s quality of life. Therefore, nursing professionals must ensure harmonious coordination between non-pharmacological and pharmacological strategies.eng
dc.identifier.citationFernandes, F., Santos, M., Anacleto, A. M., Jerónimo, C., Ferreira, Ó., & Baixinho, C. L. (2024). Nursing Intervention to Prevent and Manage Delirium in Critically Ill Patients: A Scoping Review. Healthcare, 12(11), 1134. https://doi.org/10.3390/healthcare12111134
dc.identifier.doihttps://doi.org/10.3390/healthcare12111134
dc.identifier.issn2227-9032
dc.identifier.urihttp://hdl.handle.net/10400.26/57552
dc.language.isoeng
dc.peerreviewedyes
dc.publisherMDPI
dc.relation.hasversionhttps://www.mdpi.com/2227-9032/12/11/1134
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectAdult
dc.subjectCritical care
dc.subjectCritically ill
dc.subjectDelirium
dc.subjectIntensive Care unit
dc.subjectNursing care
dc.titleNursing Intervention to Prevent and Manage Delirium in Critically Ill Patients: A Scoping Revieweng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue11
oaire.citation.startPage1134
oaire.citation.titleHealthcare
oaire.citation.volume12
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameLavareda Baixinho
person.givenNameCristina
person.identifier57203119057
person.identifier.ciencia-id3E1E-B010-2453
person.identifier.ciencia-idBF1A-C950-8BEE
person.identifier.orcid0000-0002-1703-347X
person.identifier.orcid0000-0001-7417-1732
relation.isAuthorOfPublicationeb7d8f57-3602-4c50-8a20-b0752db8ad11
relation.isAuthorOfPublicationc256c8d4-e1f8-4a26-93fb-d6ca13c437bc
relation.isAuthorOfPublication.latestForDiscoveryeb7d8f57-3602-4c50-8a20-b0752db8ad11

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