Patients and Families Overview - ICUDelirium.org

Delirium is common. About 2 out of 3 patients in ICUs get delirium. Seven out of 10 patients get delirium while they are on a breathing machine or soon ... MedicalProfessionalsICU DeliriumPreventionandSafetyABCDEF OverviewAssess,PreventandManagePainBothSATandSBTChoiceofAnalgesiaandSedationDelirium: Assess,PreventandManageEarlyMobilityandExerciseFamilyEngagementandEmpowermentAdditionalInformationAdultNon-ICU CareandEmergencyDept.Pediatric CareLong-termOutcomesTerminologyandMnemonicsHistorical ReferencesResourcesDownloadsTranslationsVideosDiscoveryTimelineExternalLinksPatientsandFamiliesDeliriumintheIntensiveCareUnitPatientsandFamiliesOverviewWhatToAskYourDoctorCognitiveImpairmentPost-TraumaticStressDisorder(PTSD)DepressionPediatricPatientsPatientTestimonialsTheReturnHomeIthasbeen10months,andIjustkeepwaitingforittostraightenitselfout.ReadMorePatientTestimonialsIcouldnotread,concentrateonTVorevencompletemyapplicationformynextroundoffamilypracticeboards.ReadMorePatientTestimonialsTome,itwasliketheslowrebootingofacomputer.ReadMorePatientTestimonialsIwasdiagnosedwithICUSyndromewhileintheICU,buttheysaiditwouldgoaway!!ReadMorePatientTestimonialsInmymind,Iwasplottingmyescapetohome,thinkingIcouldpickatthethreadsoftheimaginedsewnelasticrestraintsandsetmyselffree.ReadMorePatientTestimonialsAfterIwasextubatedandsedationwasdiscontinued,Icontinuedtohaveparanoiddelusionsaboutthenurseswantingtoharmme.ReadMorePatientTestimonialsIsentyourwebsitetomyfamilyandithaschangedmywife’sopinionaboutme.ThereissomethingaboutknowingthatIamnotaloneanditisn’tmyfaultthatmakesadifference.ReadMorePatientTestimonialsAboutCIBS CenterCIBS CenterInformationCIBS CenterOverviewOurTeamOngoingResearchCOVID-19and CIBS CenterNewsRecent UpdatesAnnual ReportSupporttheResearchContactUsAttheforefrontofdiscoveryandinnovation,improvinglivesofpeopleaffectedbycriticalillness.Weadvanceknowledge,education,andmodelsofcareforpeopleaffectedbycriticalillness.‍ICU RecoveryCenterSupporttheResearchMenuEveryDeep-DrawnBreath-JustPublished!BuyNowPatientsandFamiliesPatientsandFamiliesOverviewWhatisdelirium?Theword“delirium”isusedtodescribeaseverestateofconfusion.Peoplewithdelirium:CannotthinkclearlyHavetroublepayingattentionHaveahardtimeunderstandingwhatisgoingonaroundthemMayseeorhearthingsthatarenotthere.Thesethingsseemveryrealtothem.Deliriumalsooftencausespatientstofeelfrightened,angry,lonelyandashamed.Deliriumiscommon.About2outof3patientsinICUsgetdelirium.Sevenoutof10patientsgetdeliriumwhiletheyareonabreathingmachineorsoonafter.Expertsthinkdeliriumiscausedbyachangeinthewaythebrainisworking.Thiscanbecausedby:LessoxygentothebrainThebrain’sinabilitytouseoxygenChemicalchangesinthebrainCertainmedicinesInfectionsSeverepainMedicalillnessesAlcohol,sedatives,orpainkillersWithdrawalfromalcohol,nicotineWhatMightSurvivorsExperienceCognitiveImpairmentCognitiveimpairmentreferstodifficultiesinthinkingwhicharesometimesmildandsometimessevereandcanincludetroublewithmemoryandattentionaswellasotherproblems.Arecentstudyofover800criticallyillpatientsshowedthatgreaterthan50%ofpatientshadcognitiveimpairmentoneyearfollowingcriticalillness.Deliriumwasthenumberonepredictivefactorforcognitiveimpairment.1/3ofpatientshadcognitiveimpairmentthatwassimilartoAlzheimer'sDiseaseand1/3ofpatientshadcognitiveimpairmentthatwassimilartosomeonefollowingatraumaticbraininjury.Post-TraumaticStressDisorder(PTSD)PTSDisamentalhealthconditiontriggeredbyexposuretoatraumaticandextremelydisturbingevent.DepressionDepressionisamentalhealthconditioncharacterizedbysymptomssuchasfeelingsofsadnessanddisinterestaswellasphysicalsymptomssuchaslethargyandfatigue.Peoplemostlikelytogetdeliriumarethosewho:HavedementiaAreadvancedinageHavesurgery,especiallyhiporheartHavedepressionTakecertainhigh-riskmedicinesHavepooreyesightorhearingHaveaninfectionorsepsisHaveheartfailureSignsofdeliriumyoumayseeinyourfamilymemberare:AppearingagitatedorevenquietConfusionAggressionUsinginappropriatewordsInabilitytopayattentionorfollowdirectionsUnsureaboutwheretheyareUnsureaboutthetimeofdaySeeingthingsthatarenotthereActingdifferentfromusualChangesinsleepinghabitsEmotionalchangesAbnormalmovements,liketremorsorpickingatclothesMemoryproblemsDeliriumisdifferentthandementia.Delirium:Deliriumcomesonquickly,inhoursordays.Signsofdeliriumcanchangefromonedaytothenext.Deliriumcanmakememoryandthinkingproblemsworse.Deliriumusuallyclearsupafterafewdaysorevenaweek.Dementia:Dementiaisusuallyapermanentcondition.Dementiaisadisturbanceofthinking.Itcomesonovermonthsorevenyears.Patientswithdementiaaremorelikelytodevelopdelirium.Peopleoftenaskifdeliriumcausesthinkingproblemsafterapatientleavesthehospital.Researchshowsthatpatientswhodevelopdeliriummighthave“dementia-like”thinkingproblemsthatcanlastformonths.Atthistimewecannotpredictwhomightdevelop“dementia-like”thinkingproblems.Howfamily/friendscanhelpICUpatients:SpeakcalmlyandusesimplewordsorphrasesRemindthepatientofthedayanddate.Talkaboutfamilyandfriends.Bringglasses,hearingaids.Decoratetheroomwithcalendars,posters,orfamilypictures.Thesefamiliaritemsmightberemindersofhome.ProvidethepatientwithfavoritemusicorTVshows.Ifyourlovedonehasdelirium,youmightbeaskedtositandhelpcalmthem.NewsHospitalsTakeOnPost-ICUSyndrome,HelpingPatientsRecoverTheWallStreetJournalMillieCamp,63,wasadmittedtoanICUatVanderbiltinMarchwithacuterespiratorydistresssyndromewithsuspectedsepsis.Aftermorethantwoweeksimmobilizedonaventilator,shecouldbarelysitupinbedorpushabuttontocallanurse.TheICURecoveryprogramhelpeddesignarehabilitationprogramandreferredhertotheuniversity'sVoiceCenter,whereshecouldovercomeaftereffectsfromthebreathingmachineandresumesinginginabarbershopchorus.Sheisvigilantaboutexercise,atfirsttakingclasseswhiletotinganoxygentank."Youhavetoseeeachstepasanaccomplishmentandablessing,andnotbeburdenedaboutwhatyoucan'tdo,"Ms.Campsays.‍ViewResources"IsYourLovedOneConfused?"BrochureAprintablebrochureexplainingdeliriumforpatientsandfamilies.DownloadReadMoreCaregiver'sABCDEDownloadReadMoreDeliriumEducationBrochureAbrochureexplainingdeliriumforpatientsandfamilies.Alsoavailableinaprinter-friendlyversion,aswellasinin Dutch and Portuguese.DownloadReadMoreDeliriumToolboxDownloadReadMore“HelpingaLovedoneWhoHasDelirium”FlyerDownloadReadMoreThisisforeducationonly.Askyourowndoctoranyquestionsyouhaveaboutyourhealth.Continuereadingnext:WhattoAskYourDoctorContinueReading:WhattoAskYourDoctorMedicalProfessionalsPatientsandFamiliesCIBS CenterICU RecoveryCenterEveryDeep-DrawnBreathContactUsSupporttheResearchFollowDr. WesElyonTwitter: @WesElyMDCriticalIllness,BrainDysfunction,andSurvivorship(CIBS)Center|Suite450,4thFloor,2525WestEndAvenue|Nashville,TN37203VanderbiltUniversityMedicalCenteriscommittedtoprinciplesofequalopportunityandaffirmativeaction.|Copyright©byVanderbiltUniversityMedicalCenterByclicking“Accept”,youagreetothestoringofcookiesonyourdevicetoenhancesitenavigation,analyzesiteusage,andassistinourmarketingefforts.ViewourPrivacyPolicyformoreinformation.DenyAccept 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