West Yorkshire Critical Care Operational Delivery Network​
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Delirium in Critical Care 


Delirium is a common complication of critical illness. It has historically been regarded as an unavoidable and benign side effect of long-term sedation on an intensive care unit (ICU). However in recent years this preconception has been challenged by the publication of studies demonstrating poorer outcomes in ICU patients with delirium. 

Delirium is an acute and fluctuating disturbance of consciousness and cognition occurring in up to 80% of the sickest intensive care patients. Critically ill patients are have many risk factors which increase the chance of suffering from delirium. Risk factors include exposure to sedative and analgesic medications,  

Patients with delirium have longer hospital stays and lower 6-month survival than do patients without delirium, and preliminary research suggests that delirium may be associated with cognitive impairment that persists months to years after discharge. 

Strategies have been identified in an attempt to reduce delirium in the critically ill patient which includes assessment and management.

CAM ICU 
The CAM-ICU (Confusion Assessment Method in the Intensive Care Unit) is an assessment tool that assesses four main features of delirium: Acute onset or fluctuating mental status, inattention, altered level of consciousness and disorganized thought.

Resources

ICS Guidance For: The Use of Physical Restraints in UK Adult Intensive Care Units 2020

Web links

NICE CG103 Delirium (Reviewed 2018)
File Size: 132 kb
File Type: pdf
Download File

NICE QS63 Delirium in Adults
File Size: 175 kb
File Type: pdf
Download File

UKCPA Delirium 2006
File Size: 638 kb
File Type: pdf
Download File

US Society of Critical Care Medicine Guide to Delirium
File Size: 2406 kb
File Type: pdf
Download File

Picture
This website is packed with resources that will help with delirium assessment and management.
Gaps in pain agitation and sedation paper
File Size: 1180 kb
File Type: pdf
Download File

Pain, Agitation & Delirium Article 2013
File Size: 2406 kb
File Type: pdf
Download File

ICS Review of best practice for sedation & analgesia in ICU 2014
File Size: 651 kb
File Type: pdf
Download File

RASS Information
File Size: 106 kb
File Type: pdf
Download File


Protected Sleep Time

Patient Sleep Survey 
The sleep survey has been developed to get feedback from patients as to how well they've slept and if not, why that was. This provides useful information to inform quality improvement.

Delirium Presentation 

Delirium Presentation
File Size: 4397 kb
File Type: pptx
Download File

isThe delirium presentation covers:

​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?
Patients frequently report disturbed sleep as one of the negative experiences of being in hospital. This is especially the case in the highly technical critical care environment, where noise/light levels and interruptions to patients can remain high overnight due to the intensive monitoring and treatment required by severely ill patients. As a consequence much work is being undertaken across critical care units to improve ​the quality of sleep for patients. 
Please take a look at the short video produced by the Lancashire & South Cumbria Critical Care Network which highlights some of the small changes we can make which will have a positive impact on the patients experience.
WY Sleep Survey V2
File Size: 47 kb
File Type: pdf
Download File

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  • Home
  • About the Network
    • Critical Care Units >
      • Airedale NHS Foundation Trust
      • Bradford Teaching Hospital NHS Trust
      • Calderdale & Huddersfield NHS Foundation Trust
      • Mid Yorkshire NHS Hospital Trust
      • Leeds Teaching Hospitals NHS Trust >
        • Leeds General Infirmary
        • St James's Hospital
      • Harrogate & District Hospital
    • Clinical Advisory Board
    • Network Team
    • Stakeholders
    • Contact us
  • Network Forums
    • Meeting Dates
    • Clinical Advisory Board Members Area
    • Senior Nurses Forum Members Area
    • Transfer >
      • Transfer Training Faculty Area
    • Rehabilitation Forum >
      • RF Members area
      • Rehabilitation Package
    • Education >
      • COVID 19 Educational Resorces
      • Post Registration Critical Care Courses
      • Nursing Leadership Programme
      • Ventilation
      • EF Members area
    • Outreach >
      • OF Members area
    • SILS >
      • Global Measures
      • Best Practice Education Tools
      • Medication Safety
      • Delirium
      • VAP Care Bundle
      • Proning
      • SILS Members area
      • Regional Benchmarking Group
  • Patient Information
  • Guidelines
    • Recent Publications
    • Standards
    • Clinical Guidelines
    • Operational Guidelines
    • Emergency Planning Resources
    • Transfer
    • Spinal Referrals
    • Burns Referrals
    • Paediatric Resources
    • Procedure Checklists
    • Useful Links
  • LTHT Course
    • Meet the Team
    • Useful Links
    • Pre Course Learning Zone
    • Student Information
    • Study Day Timetable
    • Fundamental Module >
      • Module Information
      • Intro & Respiratory Study Day
      • Cardiovascular Study Day
      • Acute Kidney Injury Study Day
      • Essay & MCQ Prep (Formative)
      • IC, Gastro & Nutrition Study Day
      • Pain Study Day
      • Assignment
      • Sedation Study Day
    • Advancing Module >
      • Module Information
      • Respiratory & Cardiovasular Study Day
      • Renal Study Day
      • Gastr & Neuro Study Day
      • Formative
      • Rehabilitation Study Day
      • Transfer Study Day
      • End of Life Study Day
      • Maternal
      • Multiple Organ Failure Study Day
  • Staff Wellbeing
  • Professional Nurse Advocate
  • DOS