Preventing intensive care unit delirium: a patient-centered approach to reducing sleep disruption

Dimens Crit Care Nurs. 2011 Nov-Dec;30(6):315-20. doi: 10.1097/DCC.0b013e31822fa97c.

Abstract

Delirium in the intensive care unit is a disorder with multifactorial causes and is associated with poor outcomes. Sleep-wake disturbance is a common experience for patients with delirium. Care processes that disrupt sleep can lead to sleep deprivation, contributing to delirium. Patient-centered care is a concept that considers what is best for each individual. How can clinicians use a patient-centered approach to alter processes to decrease patient disruptions and improve sleep and rest? Could timing of blood draws and soothing music work to promote sleep?

MeSH terms

  • Delirium / complications
  • Delirium / nursing
  • Delirium / prevention & control*
  • Humans
  • Intensive Care Units*
  • Nursing Care*
  • Patient-Centered Care*
  • Sleep Deprivation / complications
  • Sleep Deprivation / nursing
  • Sleep Deprivation / prevention & control*