Assessment of analgesia, sedation, delirium and sleep disturbance in the intensive care therapy unit and description of non-pharmacological interventions
DOI:
https://doi.org/10.6016/ZdravVestn.3055Keywords:
pain measurement, confussion, fear, sleeplessness, intensive therapyAbstract
Treatment in the intensive therapy unit is very stressful for most patients. It has an important impact on their quality of life and can have long-term consequences. Among others, there are serious complaints such as pain, fear, sleeplessness, thirst, helplessness, fatigue, confusion and agitation. These all can exert adverse impact on the therapy process and clinical outcome. Patients often develop delirium, which is not only a great burden for the patient but also for the personnel caring for the patient. Delirium also has a long-term negative impact on the patient’s cognitive functions. Medical staff has a great responsibility for detecting and dealing with these problems, especially in patients with limited cognitive functions or impaired communication ability. There are different tools for the assessment of pain, sedation, delirium and sleep quality. In this article, we describe the most frequently used validated scoring systems for the assessment of pain, sedation, delirium and sleep disturbance. Furthermore, the non-pharmacological approach is described.
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