Fully two-thirds of intensive care unit patients develop delirium, which is associated with longer stays, billions of dollars in costs globally, and 3-fold excess mortality at 6 months. Over one-half of ICU survivors suffer a functionally debilitating dementia-like illness, which appears related to delirium duration. The main goal of INQRI's project entitled "Implementation and Dissemination of an Interdisciplinary Nurse-Led Plan to Manage Delirium in Critically Ill Adults" is to implement, analyze, and disseminate an evidence-based, nurse-led, inter-professional, multi-component program focused on improving the care and outcomes of critically ill adults. The study will focus on applying a program of delirium screening, prevention, and treatment developed at Vanderbilt University that is known as the Awakening-Breathing Coordination, Delirium Monitoring/Management & Early Mobility (ABCDE) program.
Click here to view videos which are being used as part of this project. They are included in an interprofessional, on-line, continuing educational program that describes the specific components of the ABCDE bundle. The bundle merges the best available evidence related to immobility, delirium, analgesia/sedation, and ventilator management in the ICU and tailors the pharmacologic and nonpharmacologic interventions used in prior clinical trials into a program that can be adopted into practice in less "research focused" ICUs.
This interdisciplinary team is led by Michele Balas, Ph.D. and William Burke, M.D at the University of Nebraska.
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