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Veridiana Assencio Silva

The Federal University of Paraíba, Brazil

Title: Management of delirium in the elderly in intensive care: A scoping review

Abstract

Population aging has become one of today's major transformations, with demographic and epidemiological consequences. The fundamental pillars of contemporary life have been affected, such as the economy and health. Consequently, the repercussions of the individual's health status have a great impact on the social sphere of the individual. The vulnerability caused by aging associated with an unhealthy lifestyle exposes the elderly to the onset of non-transmissible chronic diseases, which increases the likelihood of hospital admissions, a large part of which are in Intensive Care Units (ICU). One of the main complications of elderly admissions to the ICU is delirium, which is an acute and fluctuating disturbance of consciousness and cognition that develops over a short period of time, hours or days. The care of the elderly patient requires specific qualification of health professionals, due to its complexity, often due to its comorbidities and the need for continuous surveillance. The hospitalization of the elderly in the ICU involves a mix of feelings and needs, mainly due to the distance from their support network. Complex and differentiated care is the essence of dignified nursing care to the hospitalized elderly, breaking the prejudices and stereotypes related to this population and stimulating human civility. Nurses' knowledge about delirium is necessary to quickly detect any signs or symptoms, and to manage the care of this patient, reducing the negative clinical outcomes related to delirium such as self extubation, catheter removal, prolonged hospital stay, increased mortality and inability to perform activities of daily living, and long-term cognitive impairment. Thus, it was necessary to systematically explore the literature to identify the nursing care provided to elderly patients with delirium admitted to intensive care units to manage delirium.

Biography

Veridiana Assencio Silva is an intensivist nurse who graduated from the Federal University of Mato Grosso, with a degree in Adult Intensive Care by the Brazilian Association of Intensive Care Nursing. She has extensive experience in the adult intensive care environment. She is currently in the Master's Program in Gerontology at the Federal University of Paraíba, where she develops research in the line of Policies and Practices in Health Care and Aging. She is currently the Nursing Coordinator of a General ICU in the state of Mato Grosso, Brazil.