Checklist: Nonpharmacologic Treatment of Delirium

Nonpharmacologic Prevention of Delirium

  • repeated reorientation by trained volunteers and nurses
  • provision of cognitively stimulating activities three times per day
  • nonpharmacologic sleep protocol to enhance normalization of sleep/wake cycles
  • early mobilization activities and range of motion exercises
  • timely removal of catheters and physical restraints
  • use of eyeglasses and magnifying lenses, hearing aids and earwax disimpaction
  • early correction of dehydration

 

Reference:

Carrasco, Genís et al. “Dexmedetomidine For The Treatment Of Hyperactive Delirium Refractory To Haloperidol In Nonintubated ICU Patients”. Critical Care Medicine 44.7 (2016): 1295-1306.

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