Jaime Hyde-Wyatt

Practice-related feedback: surprise award taught me about showing appreciation

A glowing nomination for an award gave Jaime Hyde-Wyatt new confidence in her practice as a critical care outreach sister, and reminded her of the importance of showing appreciation to others

Delirium

Prevention, recognition and management of delirium in patients who are critically ill

Delirium is common in patients who are critically ill, often resulting in extended hospital stays and increased mortality and morbidity. There are several subtypes of delirium, which are often undiagnosed and untreated, resulting in suboptimal patient outcomes. This article examines delirium in patients in the intensive care unit, including its signs and symptoms, incidence, causes and subtypes. It outlines the assessment of delirium and the pharmacological and non-pharmacological interventions that can be used to manage the condition, as well as describing the optimal prevention measures.