Delirium in an acute hospital is prevalent in hospitalized older adults, with a rate of
21-22% in medical and orthopedic conditions, with dementia as the significant
risk factor for Delirium (De et al., 2017).
Low detection of Delirium can result in complications, prolonged
hospitalization, falls, institutionalization, or death (De et al., 2017). It is a quality
improvement (QI) project using an intervention and post-test design conducted
in the surgical unit of a 200-bed acute care hospital in North Texas. At
present, there is no standard delirium tool being used at the hospital. This
hospital is a Level II Trauma Center, accredited Chest Pain Center, and a
Primary Stroke Center. This project seeks to increase delirium assessment and
identification of Delirium in a hospitalized older adult in an acute surgical
unit. Nurses perform the 4AT delirium screening tool. We will use the QI
methodology to conduct the project using the Plan Do Study Act (PDSA)
framework. Statistical analysis will be
performed using SPSS software, and descriptive statistics will be performed on
demographic variables such as gender, age, comorbidities, and frequency and
severity of adverse effects.
This order is a new WRITING JOURNAL that has to adhere to the rubric. Please do not copy and paste, this is not EDIT but new WRITING.
Please write some short journal and link it to the DNP essential Value (attached in file).
Project Hours
14 hours ( from October 10, 2021 to October 17, 2021) – Education to nurses during day shift and night shift huddle meeting on how to assess delirium in patients during daily shift assessment. Nurses are educated on Delirium pathway and PINCHES ME.
PINCHES ME is a useful mnemonic for the review of possible causes for delirium :
P – Pain
I – Infection
N – Nutrition
C – Constipation
H – Hydration
E – Endocrine + Electrolyte
S – Stroke
M – medication and Alcohol
E – Environmental
NON-Project Hour: (8 hours)
-Cultivating Mindfulness
-Optimizing Treatment for Insomnia
-Prevalence, Impact, and Burden of Insomnia and Discussing It
With Patients
-The Bidirectional Relationship Between Insomnia and Comorbid
Disorders
-Diagnosing and Treating Insomnia in Adults and Older Adults
-Challenges in Managing Insomnia in Older People
-Insomnia: Inability to Sleep
-Pain Assessment and Nonpharmacologic Management in Older Adults
Objective of the Non-Project Hour Education (the take away from the Education)
– Explore how mindfulness can be used to enhance your nursing practice and your overall well-being, Identify strategies that can be used to incorporate mindfulness into your everyday life
– Learn how to routinely screen patients for sleep-onset or sleep-maintenance insomnia.
– Learn how to use evidence-based treatment plan for patients with insomnia
– Learn how to distinguish chronic insomnia from medical or psychiatric disorders
– Learn how to identify strategies effectively assess in older adults and how to use nonpharmacologic options for pain management in older adults.
Last Completed Projects
| topic title | academic level | Writer | delivered |
|---|