The geriatric population has a greater incidence of postoperative delirium as compared to the rest of the general population. This paper will be a summation of the article submitted this year in the American Journal of Critical Care, Postoperative Delirium after Colorectal Surgery in Older Adults (Mangnall, Gallagher, & Stein-Parbury, 2011) in which postoperative delirium was evaluated by nursing researchers on patients 50 years of age and greater.
Background
This study was done at Sydney Adventist Hospital, Sydney Australia and explored the issues of patients greater than 50 years of age for exhibited symptoms of postoperative delirium after major colorectal surgery. Delirium is associated with greater levels of aversive outcomes and increased costs. It is a causative factor for an increased incidence of self- harm, unplanned
removal of invasive catheters and even permanent mental impairment Postoperative delirium is an acute confusional state manifesting as “a rapid onset, fluctuating course, with cognitive features of inattention, disorganized thinking, and an altered level of consciousness” (Mangall, Gallagher, & Stein-Parbury, 2011, p. 46). The purpose of the study was to clarify if the prevalence and predictors of postoperative delirium in patients undergoing major colorectal surgery was greater in the 50 and greater population. The objective of the study was to determine the degree of prevalence of delirium in those 50 and older along with determining predictors of those more susceptible to postoperative deliriums after major colorectal surgery. This study ultimately affects nursing by increasing their cognitive ability to assess patients that have a higher risk of acquiring postoperative delirium and taking the steps t...
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...n, and reality interventional methods to decrease levels of delirium.
References
Mangall, L., Gallagher, R., & Stein-Parbury, J. (2011). Postoperative delirium after colorectal surgery in older adults. AMERICAN JOURNAL OF CRITICAL CARE, 20(1), 45-55. Retrieved from http://ajcc.aacnjournals.org/content/20/1/45.full.pdf+html
Milisen, K., Lemiengre, J., Braes, T., & Foreman, M. D. (2005). Multicomponent intervention strategies for managing delirium in hospitalized older people: systematic review
. Journal of Advanced Nursing, 52(1), 79-90. Retrieved from http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2648.2005.03557.x/full
Siddiqi N, Holt R, Britton AM, Holmes J. Interventions for preventing delirium in hospitalised
patients. Cochrane Database of Systematic Reviews 2007, Issue 2. Art. No.: CD005563.
DOI: 10.1002/14651858.CD005563.pub2