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- Title
A Case Report and Review of the Literature of ICU Delirium.
- Authors
Brice, Alejandro E.; Brice, Roanne G.
- Abstract
This case report focuses on what patients and family members may experience when a neurological trauma transpires and resultant intensive care (ICU) delirium occurs. It is the personal account of the patient (A.B.) and spouse's (R.G.B.) perspectives when the patient (A.B) suffered a vertebral artery aneurysm and hemorrhage and experienced intensive care unit (ICU) delirium after being in the ICU for 22 days. This case report provides the patient's and spouse's perspectives regarding delirium, i.e., A.B.'s inability to discern reality, loss of memory, paranoia and hallucinations, agency and recovery, post-ICU syndrome, and post-traumatic stress disorder (PTSD). Clinical diagnosis by the neurosurgeon indicated delirium, with treatment consisting of sleep sedation and uninterrupted sleep. A.B. was able to regain consciousness yet experienced post-traumatic stress disorder up to one year afterward. Consistent family participation in the patient's delirium care is crucial. Family member care and family-centered strategies are provided with implications for future research and health care.
- Subjects
POST-traumatic stress disorder; LIGHT; NOISE; PARANOIA; MENTAL health; SUBARACHNOID hemorrhage; POTASSIUM; MENTAL illness; TREATMENT effectiveness; FAMILY relations; VERTEBRAL artery; HALLUCINATIONS; INTENSIVE care units; FAMILY-centered care; MAGNETIC resonance angiography; SODIUM; SLEEP deprivation; PSYCHOLOGICAL stress; PAIN; PSYCHOSES; SLEEP quality; BRAIN injuries; DRUGS; HYPONATREMIA; LENGTH of stay in hospitals; NAUSEA; SYMPTOMS
- Publication
Healthcare (2227-9032), 2024, Vol 12, Issue 15, p1506
- ISSN
2227-9032
- Publication type
Article
- DOI
10.3390/healthcare12151506