Assessment and Prevention of Delirium in ICU

Assessment and Prevention of Delirium in ICU - #46

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Adult ICU patients should be routinely monitored for delirium.

Critically ill geriatric patients requiring ICU care.

Delirium risk assessment, evaluation and prevention of delirium in geriatric patients admitted to the ICU.

  1. Recognize geriatrics patients at risk of developing delirium.
  2. Describe available tools to diagnose delirium in the ICU.
  3. Describe strategies to prevent delirium in high-risk ICU patients.

1.    Barr J, Fraser GL, Puntillo K, et al. Clinical practice guidelines for the management of pain, agitation, and   delirium in adult patients in the intensive care unit. Crit Care Med 2013; 41(1):263-306.

2.   Maldonado JR, Maccioli GA, Riker RR, Dasta JF, Szabo E. (2005). Delirium in the ICU: Prevention and          Treatment. From data presented at symposia and sessions held during the Society of Critical Care          Medicine’s 33rd and 34th Critical Care Congresses. Retrieved from'05-Delirium%20in%20ICU.pdf

3.   (2014). Delirium Assessment and Management. American Association of Critical-Care Nurses. Retrieved        from

4.   Fong TG, Tulebaev SR, Inouye SK. Delirium in elderly adults: diagnosis, prevention, and treatment. Nature Reviews Neurology. 2009; 5(4): 210-220.

5.   Pun BT, Devlin JW. Delirium monitoring in the ICU: Strategies for initiating and sustaining screening efforts. Semin Respir Crit Care Med 2013; 34:179-188.

6.   Girard TD, Pandharipande PP, Ely EW. Delirium in the intensive care unit. Critical Care. 2008; 12 (Suppl 3): S3.

7.   Hyperlinks:;

This GFF ___ my competence in geriatrics.

Gretchen Wagner, Nevin Uysal-Biggs, MD; Tessa Damm, DO; Gabriel Manzi, MD; Bambi Wessel

Medical College of Wisconsin, Milwaukee WI