Promoting vision and hearing aids use in an intensive care unit

Vision and hearing impairments have long been recognised as modifiable risk factors for delirium.[1,2,3] Delirium in critically ill patients is a frequent complication (reported as high as 60% to 80% of intensive care patients), and is associated with a three-fold increase in mortality and prolonged...

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Autores principales: Zhou, Qiaoling, Faure Walker, Nicholas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: British Publishing Group 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4645874/
https://www.ncbi.nlm.nih.gov/pubmed/26734348
http://dx.doi.org/10.1136/bmjquality.u206276.w2702
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author Zhou, Qiaoling
Faure Walker, Nicholas
author_facet Zhou, Qiaoling
Faure Walker, Nicholas
author_sort Zhou, Qiaoling
collection PubMed
description Vision and hearing impairments have long been recognised as modifiable risk factors for delirium.[1,2,3] Delirium in critically ill patients is a frequent complication (reported as high as 60% to 80% of intensive care patients), and is associated with a three-fold increase in mortality and prolonged hospital stay.[1] Guidelines by the UK Clinical Pharmacy Association recommend minimising risk factors to prevent delirium, rather than to treat it with pharmacological agents which may themselves cause delirium.[4] To address risk factors is a measure of multi-system management, such as sleep-wake cycle correction, orientation and use of vision and hearing aids, etc.[5] We designed an audit to survey the prevalence and availability of vision and hearing aids use in the intensive care unit (ICU) of one university hospital. The baseline data demonstrated a high level of prevalence and low level of availability of vision /hearing aid use. We implemented changes to the ICU Innovian assessment system, which serves to remind nursing staff performing daily checks on delirium reduction measures. This has improved practice in promoting vision and hearing aids use in ICU as shown by re-audit at six month. Further amendments to the Innovian risk assessments have increased the rate of assessment to 100% and vision aid use to near 100%.
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spelling pubmed-46458742016-01-05 Promoting vision and hearing aids use in an intensive care unit Zhou, Qiaoling Faure Walker, Nicholas BMJ Qual Improv Rep BMJ Quality Improvement Programme Vision and hearing impairments have long been recognised as modifiable risk factors for delirium.[1,2,3] Delirium in critically ill patients is a frequent complication (reported as high as 60% to 80% of intensive care patients), and is associated with a three-fold increase in mortality and prolonged hospital stay.[1] Guidelines by the UK Clinical Pharmacy Association recommend minimising risk factors to prevent delirium, rather than to treat it with pharmacological agents which may themselves cause delirium.[4] To address risk factors is a measure of multi-system management, such as sleep-wake cycle correction, orientation and use of vision and hearing aids, etc.[5] We designed an audit to survey the prevalence and availability of vision and hearing aids use in the intensive care unit (ICU) of one university hospital. The baseline data demonstrated a high level of prevalence and low level of availability of vision /hearing aid use. We implemented changes to the ICU Innovian assessment system, which serves to remind nursing staff performing daily checks on delirium reduction measures. This has improved practice in promoting vision and hearing aids use in ICU as shown by re-audit at six month. Further amendments to the Innovian risk assessments have increased the rate of assessment to 100% and vision aid use to near 100%. British Publishing Group 2015-02-09 /pmc/articles/PMC4645874/ /pubmed/26734348 http://dx.doi.org/10.1136/bmjquality.u206276.w2702 Text en © 2015, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non commercial and is otherwise in compliance with the license. See: http://creativecommons.org/licenses/by-nc/2.0/http://creativecommons.org/licenses/by-nc/2.0/legalcode
spellingShingle BMJ Quality Improvement Programme
Zhou, Qiaoling
Faure Walker, Nicholas
Promoting vision and hearing aids use in an intensive care unit
title Promoting vision and hearing aids use in an intensive care unit
title_full Promoting vision and hearing aids use in an intensive care unit
title_fullStr Promoting vision and hearing aids use in an intensive care unit
title_full_unstemmed Promoting vision and hearing aids use in an intensive care unit
title_short Promoting vision and hearing aids use in an intensive care unit
title_sort promoting vision and hearing aids use in an intensive care unit
topic BMJ Quality Improvement Programme
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4645874/
https://www.ncbi.nlm.nih.gov/pubmed/26734348
http://dx.doi.org/10.1136/bmjquality.u206276.w2702
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