DELIR NURSE

Attends to states of confusion

Delirium is often not correctly recognized and treated in hospital. This is partly due to the fact that the treatment team is not aware of the patient's pre-operative condition or that states of confusion are not correctly assessed.
This often presents experienced nursing staff and doctors with a major challenge.

 

The patient lives in a world of their own, perceives situations and sounds very differently to how we do. He is afraid, cannot express himself adequately, does not feel understood. He is often restless or even aggressive, tries to stand up and moves away from the supply and discharge lines. Sometimes, however, he is also very introverted and lacking in drive, appearing depressed. These changing behaviors in particular can be signs of delirium.

As a delirium nurse, it is very important to me to understand these patients, give them guidance and support them. For this reason, patients at the UMM are examined for risk factors before an elective surgical procedure and initial measures are initiated if necessary. This is intended to reduce the post-operative risk of delirium. The involvement of relatives also plays a decisive role here.

A special screening procedure is used to detect the onset of delirium at an early stage so that it can be treated effectively. Ward staff are specially trained and sensitized for this purpose.

Another aim is to adapt treatment and nursing to the individual patient and their needs. Relatives are an important source of support in this aspect. If possible, nursing measures should be carried out together with the relatives. The patient knows them, trusts them and feels safe. The patient is gradually informed about each measure by the caring nurse. This is the only way to build trust in the interdisciplinary treatment team. The patient's own aids are of the utmost importance (visual and hearing aids, dentures, etc.) and should be available to them again in the recovery room after the operation.


Contact us

Christina Dannhäuser

Delir Nurse / Intensive nursing Department
University Medicine Mannheim
Theodor Kutzer Ufer 1-3
68167 Mannheim

+49 621 383 6957

christina.dannhaeuser@umm.de

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