Navigation Links
Nurses will test method for determining if it's dementia or delirium
Date:8/4/2010

In the future, nurses may more accurately detect and alleviate symptoms of delirium in persons with dementia, thanks to a five-year, $2.7-million grant from the National Institute of Nursing Research.

The project, led by Donna Fick, professor of nursing, Penn State, seeks to improve nurses' assessment skills and reduce the use of drugs to treat delirium and dementia.

Delirium and dementia have similar symptoms -- decline in cognitive abilities such as memory, attention, and problem solving -- but they have radically different causes and treatments. Dementia is a chronic, progressive condition that increases with age. Delirium, in contrast, is an acute condition that has a rapid onset and results from insults to the body, such as dehydration, infection, or a drug side effect.

"Delirium is reversible, preventable and treatable," said Fick.

About 40 percent of patients with dementia also develop bouts of delirium, a condition known as "Delirium Superimposed on Dementia" or DSD. The condition substantially worsens outcomes in a population who are already burdened by functional decline, said Fick.

Sorting through the various types of cognitive decline is not easy, according to Fick. Unfortunately, some doctors and nurses automatically opt for a drug treatment, which can lead to further problems including falls or worsened delirium.

Fick's solution is a multifaceted training approach that she will implement and test in three hospitals: one in urban Tennessee and two in rural Pennsylvania. She and her colleagues will integrate electronic medical records as one component of the training. They are testing an approach that provides decision-making support and integrates reminders to check for specific symptoms. This approach is already used to assess the risk of falling and the integrity of the skin.

The project will establish a nursing opinion leader on the staff who will encourage evidence-based practices to treat delirium and dementia. These leaders will also be reliable information sources for nurses.

The training incorporates a weekly feedback session for nurses and the use of video, in person presentations, articles, case studies, on-line presentations -- narrated power point -- for continuing education.

In addition to assessing whether the training helps nurses distinguish between delirium and dementia and choose non-drug treatment options, the study will assess how effectively the approach improves patients' health.

In past research, Fick found that nurses are common initiators of drug treatments, so educating nurses is the most efficient way to address the medication issues. A survey she conducted on nurses who deal with dementia and delirium patients showed that 32 percent of nurses would call a physician to ask for medication in a patient with DSD before trying other non-drug approaches to the problem.

"Not recognizing and treating these conditions efficiently can result in people being put in nursing homes quicker, higher health care costs, and in the worst-case scenario early death," said Fick.


'/>"/>

Contact: A'ndrea Elyse Messer
aem1@psu.edu
814-865-9481
Penn State
Source:Eurekalert

Related medicine news :

1. Satellite Healthcares Sheila Doss Elected Western Chapters Coordinator-Elect of the American Nephrology Nurses Association
2. Nurse-Attorney/Former Bristol-Myers Squibb Executive Selected To Lead New Jersey State Nurses Association
3. Emergency Nurses Association Announces Corporate Sponsors for Leadership Conference
4. Nurses unite to improve cardiovascular practice
5. Tufts Medical Center and Boston Medical Center Nurses Hold a Joint Informational Picket to Protest Unsafe Staffing and Practice Conditions
6. The Hawaii Nurses Association Announces Affiliation with the Office and Professional Employees International Union, AFL-CIO
7. Telenurses face conflict between what is best for patients and what services are available
8. Registered Nurses from Public Health - Seattle & King County Hold Informational Picket to Highlight Public Safety Concerns
9. Poll: Nurses Spend a Quarter of Shift on Non-patient Care
10. Nurses research settles a common cancer concern: Skin care
11. Medical Solutions Announces Nurses Week Contest
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... , ... October 13, 2017 , ... ... throughout Arkansas that offers insurance and financial preparation services, is providing an update ... City Rescue organization. , Rock City Rescue is a locally recognized nonprofit that ...
(Date:10/13/2017)... (PRWEB) , ... October 13, 2017 , ... ... established the certification process to promote standards of excellence for the field of ... scheduled for March 22 – 25, 2018 in Orlando, Florida at the Omni ...
(Date:10/13/2017)... ... October 13, 2017 , ... Apple Rehab Shelton Lakes ... a mock evacuation of the facility as part of a disaster drill on October ... Hose EMS and Shelton City Emergency Manager, as well as the Connecticut Long ...
(Date:10/13/2017)... ... ... Global Healthcare Management’s 4th Annual Kids Fun Run brought out many kids ... sponsored by Global Healthcare Management’s CEO, Jon Letko, is aimed at getting kids excited ... all ages; it is a non-competitive, non-timed event, which is all about having fun ...
(Date:10/13/2017)... ... October 13, 2017 , ... “The Journey: From the Mountains to ... to save lost souls in the Philippines. “The Journey: From the Mountains to the ... teacher of the Bible. She has taught all ages and currently teaches a class ...
Breaking Medicine News(10 mins):
(Date:10/10/2017)... COUNTY, Calif. , Oct. 10, 2017  NDS received FDA ... Mobile  — a medical-grade battery-powered display stand specifically designed for endoscopy ... to transform technology into a clinical solution to support the improvement ... Innovative Design ... ZeroWire Mobile Wireless Solution ...
(Date:10/5/2017)... , Oct. 5, 2017  In response to ... Oral and Maxillofacial Surgeons (AAOMS) released prescribing recommendations ... to be used as a first-line therapy to ... Recognizing the value ... White Paper "Opioid Prescribing: Acute and Postoperative Pain ...
(Date:10/4/2017)... OBP Medical , a leading ... today announced regulatory approval from Brazil,s ... Nacional de Vigilância Sanitária (ANVISA)) to market ... with integrated LED light source and smoke evacuation ... of a tissue pocket or cavity during surgical ...
Breaking Medicine Technology: