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Structural Visualization of Expert Nursing : Development of Assessment and Intervention Algorithm for Delirium Following Abdominal and Thoracic Surgeries Shigeaki Watanuki 1 , Tomiko Takeuchi 2 , Yoshimi Matsuda 2 , Hidemasa Terauchi 2 1Aino University Faculty of Nursing and Rehabilitations 2Nursing Course, School of Medicine, Gifu University Keyword: 術後せん妄 , リスク因子 , 周手術期ケア , アルゴリズム , postoperative delirium , risk factors , perioperative care , algorithm pp.543-558
Published Date 2005/12/1
DOI https://doi.org/10.11477/mf.1681100044
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 This article describes about the authors-developed as sessment and intervention algorithm for delirium following abdominal and thoracic surgeries that was derived from review of the literature, interview and discussion with expert healthcare professionals. Risk factors of delirium include predisposing factors, facilitating factors, precipitating or organic factors, and interaction of these factors. Care of the patients who are at high-risk for developing delirium or who are experiencing delirium need to be aimed at increasing patient's internal (physiological, cognitive, and psycho-emotional) competence and alleviating external (environmental) pressure. The structure of assessment and intervention algorithm included (1) prediction and prevention measures that are appropriate to the level of risk for developing delirium, (2) assessment and diagnosis, and (3) safety and behavioral management of patients experiencing delirium, and (4) identification and treatment of etiologic factors of delirium. Future validation study needs to aim at accumulation of clinical outcome data, identification of relative weight of various risk factors, and testing of clinical utility of the algorithm. The algorithm could be used for the continuing education of healthcare professionals and standardization of assessment and care for patients at high-risk for or experiencing delirium.


Copyright © 2005, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1405 印刷版ISSN 0022-8370 医学書院

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