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Nursing Practices for Preventing Delirium in Patients with Cancer with Prognoses of Months and Weeks: A Multi-Site Cross-Sectional Study in Japan.
Am J Hosp Palliat Care
January 2025
Graduate School of Medicine, Mie University, Tsu, Japan.
Background: Delirium is a condition characterized by an acute and transient disturbance in attention, cognition, and consciousness. It is increasingly prevalent at the end of life in patients with cancer. While non-pharmacological nursing interventions are essential for delirium prevention, their effectiveness in terminally ill patients with cancer remains unclear.
View Article and Find Full Text PDFUnderstanding constipation as a geriatric syndrome.
Geriatr Nurs
December 2024
University of North Carolina School of Medicine, Chapel Hill, NC 27599, USA; University of North Carolina, Department of Internal Medicine, Division of Geriatric Medicine, Chapel Hill, NC 27599, USA. Electronic address:
Constipation is common among older adults and significantly impacts their quality of life (QoL). Prior studies have extensively detailed constipation, but conceptualization of constipation as a geriatric syndrome is lacking. In this review, we provide an overview of constipation in the geriatric population and conceptualize constipation as a geriatric syndrome given its high prevalence, under-recognized status, and association with poor QoL and adverse outcomes among older adults.
View Article and Find Full Text PDFThe Impact of Non-Pharmacological Sleep Interventions on Delirium Prevention and Sleep Improvement in Postoperative ICU Patients: A Systematic Review and Network Meta-Analysis.
Intensive Crit Care Nurs
December 2024
Hangzhou Normal University, Department of Nursing, Zhejiang 311121, China. Electronic address:
Objectives: Analyze the effectiveness of different non-pharmacological sleep interventions in preventing delirium among postoperative ICU patients.
Research Methodology: We conducted a comprehensive search on PubMed, Cochrane Library, Web of Science, Embase, CINAHL, OpenGrey and reference lists up to May 2024.
Setting: We systematically searched all randomized controlled trials related to non-pharmacological sleep interventions for the prevention of delirium.
The objective of this scoping review is to investigate psychological interventions developed, evaluated, and considered for patients with delirium in intensive care units (ICU). Data will be extracted from sources of evidence that address interventions for delirium-related distress and/or cognitive impairments in the adult ICU population, suitable for delivery by or under the supervision of a psychological practitioner. ICU delirium is a common and impactful condition that adversely affects patient outcomes, including prolonged hospitalisation and deteriorating mental health.
View Article and Find Full Text PDFIntraoperative virtual reality for older patients undergoing total knee arthroplasty: study protocol for a randomized clinical trial.
Trials
December 2024
Department of Anesthesia, Critical Care, and Pain Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA, USA.
Background: In an aging surgical patient population, preventing complications such as oversedation has taken increasing priority in perioperative care. Intraoperative use of virtual reality (VR) may decrease sedative requirements. We hypothesize that the use of immersive VR during total knee arthroplasty (TKA) will lead to decreased propofol requirements, improved patient-reported satisfaction, and reduced postoperative opioid requirements compared to active and usual care controls.
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