You are safe here: A flyer with re-orientating messages for families of patients with delirium in the intensive care unit

Peter Nydahl^{1

2}, Mohamed Chahdi³, Anne-Sophie Debue⁴, Teresa Deffner⁵, Alessandro Galazzi⁶, Louise Gallie⁷, Gabriel Heras La-Calle⁸, Susanne Krotsetis⁹, Agnieszka Lewko¹⁰, Heidi Lindroth^{11

12}, Keibun Liu^{13

14

15}, Maria Carolina Paulino^{16

17

18}, Arvid Prigge¹⁹, Mark van den Boogaard²⁰, Rebecca von Haken²¹

Affiliations

¹ Nursing Research and Development, University Hospital Schleswig-Holstein, Kiel, Germany.
² Institute of Nursing Science and Development, Paracelsus Medical University, Salzburg, Austria.
³ Department of Neurology, University Hospital Schleswig-Holstein, Kiel, Germany.
⁴ Quality and Research, One O One Fund, Paris, France.
⁵ Department of Anaesthesiology and Intensive Care Medicine, Jena University Hospital, Jena, Germany.
⁶ Department of Medicine, University of Udine, Udine, Italy.
⁷ Quality and Research, University Hospitals Plymouth NHS Trust, Plymouth, UK.
⁸ Department of Critical Care Medicine, Hospital Universitario de Jaén, Jaén, Spain.
⁹ Nursing Research and Development, University Hospital Schleswig-Holstein, Luebeck, Germany.
¹⁰ Research Centre for Healthcare and Communities, Coventry University, Coventry, UK.
¹¹ Division of Nursing Research, Department of Nursing, Mayo Clinic, Rochester, Minnesota, USA.
¹² Center for Aging Research, Regenstrief Institute, School of Medicine, Indiana University, Indianapolis, Indiana, USA.
¹³ Critical Care Research Group, The Prince Charles Hospital, Brisbane, Australia.
¹⁴ Institute for Molecular Bioscience (IMB), The University of Queensland, Brisbane, Australia.
¹⁵ Quality and Research, Non-Profit Organization ICU Collaboration Network (ICON), Tokyo, Japan.
¹⁶ Department of Intensive Care, Hospital da Luz Lisboa, Lisbon, Portugal.
¹⁷ Intensive Care Unit 4, Hospital de Sao Francisco Xavier, CHLO, Lisbon, Portugal.
¹⁸ NOVA Medical School, New University of Lisbon, Lisbon, Portugal.
¹⁹ Department of Anaesthesiology and Critical Care Medicine, University Hospital Schleswig-Holstein Kiel, Kiel, Germany.
²⁰ Department Intensive Care, Radboud University Medica Center, Nijmegen, The Netherlands.
²¹ Department of Anesthesiology, University Hospital Mannheim, Mannheim, Germany.

PMID: 39362828
DOI: 10.1111/nicc.13169

You are safe here: A flyer with re-orientating messages for families of patients with delirium in the intensive care unit

Peter Nydahl et al. Nurs Crit Care. 2024 Nov.

. 2024 Nov;29(6):1276-1279.

doi: 10.1111/nicc.13169. Epub 2024 Oct 3.

Authors

Affiliations

¹ Nursing Research and Development, University Hospital Schleswig-Holstein, Kiel, Germany.
² Institute of Nursing Science and Development, Paracelsus Medical University, Salzburg, Austria.
³ Department of Neurology, University Hospital Schleswig-Holstein, Kiel, Germany.
⁴ Quality and Research, One O One Fund, Paris, France.
⁵ Department of Anaesthesiology and Intensive Care Medicine, Jena University Hospital, Jena, Germany.
⁶ Department of Medicine, University of Udine, Udine, Italy.
⁷ Quality and Research, University Hospitals Plymouth NHS Trust, Plymouth, UK.
⁸ Department of Critical Care Medicine, Hospital Universitario de Jaén, Jaén, Spain.
⁹ Nursing Research and Development, University Hospital Schleswig-Holstein, Luebeck, Germany.
¹⁰ Research Centre for Healthcare and Communities, Coventry University, Coventry, UK.
¹¹ Division of Nursing Research, Department of Nursing, Mayo Clinic, Rochester, Minnesota, USA.
¹² Center for Aging Research, Regenstrief Institute, School of Medicine, Indiana University, Indianapolis, Indiana, USA.
¹³ Critical Care Research Group, The Prince Charles Hospital, Brisbane, Australia.
¹⁴ Institute for Molecular Bioscience (IMB), The University of Queensland, Brisbane, Australia.
¹⁵ Quality and Research, Non-Profit Organization ICU Collaboration Network (ICON), Tokyo, Japan.
¹⁶ Department of Intensive Care, Hospital da Luz Lisboa, Lisbon, Portugal.
¹⁷ Intensive Care Unit 4, Hospital de Sao Francisco Xavier, CHLO, Lisbon, Portugal.
¹⁸ NOVA Medical School, New University of Lisbon, Lisbon, Portugal.
¹⁹ Department of Anaesthesiology and Critical Care Medicine, University Hospital Schleswig-Holstein Kiel, Kiel, Germany.
²⁰ Department Intensive Care, Radboud University Medica Center, Nijmegen, The Netherlands.
²¹ Department of Anesthesiology, University Hospital Mannheim, Mannheim, Germany.

PMID: 39362828
DOI: 10.1111/nicc.13169

Abstract

Patients in delirium require trustful communication and re-orientation. We developed a flyer with positive, re-orientating suggestions for families of delirious patients in intensive care units. Suggestions include creating a safe environment, interpreting unusual behaviours positively and fostering mental resilience. Additionally, families are encouraged to prioritize their own well-being, recognizing their crucial role in supporting their loved ones. This flyer offers practical strategies across four key areas: ensuring security and orientation, reframing noises and body experiences, managing agitation and reshaping perceptions. By equipping families with knowledge and tools, this resource aims to promote understanding, resilience and strength to humanize delirium care.

Keywords: delirium; encephalopathy; family flyer; intensive care unit; orientation.

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References

REFERENCES

1. Wilson JE, Mart MF, Cunningham C, et al. Delirium. Nat Rev Dis Primers. 2020;6:90. doi:10.1038/s41572‐020‐00223‐4
1. Falk A, Stenman M, Kåhlin J, Hultgren R, Nymark C. Suffering in silence–cardiac surgery patients recalling hypoactive delirium a qualitative descriptive study. Intensive Crit Care Nurs. 2023;79:103493.
1. Gallie L. Life after intensive care‐a journey into the unknown. Nurs Crit Care. 2023;28:482‐483. doi:10.1111/nicc.12905
1. Gallie L. Delirium: name it, say it‐loud and clear. Intensive Care Med. 2024;50:314‐316. doi:10.1007/s00134‐023‐07279‐2
1. Hudson MT. A critical commentary of a poem exploring the experience of delirium during critical illness: a patient's perspective. Nurs Crit Care. 2024;29:855‐856. doi:10.1111/nicc.13069

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You are safe here: A flyer with re-orientating messages for families of patients with delirium in the intensive care unit

Affiliations

You are safe here: A flyer with re-orientating messages for families of patients with delirium in the intensive care unit

Authors

Affiliations

Abstract

References

REFERENCES

Publication types

MeSH terms

LinkOut - more resources

Full Text Sources

Medical