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Università degli Studi di Modena e Reggio Emilia
Corso di laurea in infermieristica - Sede di Modena

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Thesis TitlePreliminary study for the developement of a protocol for the management of a patient subjected to cardiac surgery with postoperative delirium
NameFaraone Federica
Supervisor(s)Scacchetti Daniela
Academic Year2015/16
Thesis typeResearch thesis

Abstract

Delirium  is  a  syndrome  characterized  by  acute  onset  of  fluctuating  disturbance  in
consciousness. It’s an unknow disturbance for  many people  and it requieres a work
of  education  and  specifical  training  so  that  is  received,  recognized  and  treated
appropriately.  The  epidemology  of  the  phenomenon  doesn’t  give  space  for
neglicence: in every setting there is an high impact  which reaches  up to 80%  in the
intensive care units.  Delirium is also associated with an increase of lenght of stay, an
increase of costs,a grater risk of mortality and with long-term  cognitive impairment.
This  study  aims  to  analyze  the  disturbance  through  a  literature  review  and  to
collaborate  for  create  a  protocol  for  the  management  of  the  patient  with  delirium.
This  protocol  will  be  useful  for  healthcare  workers  in  a  critical  care  unit  of  a
Modenese structure.  The first step for  the preparation of this protocol consists of a
detailed analysis of the patients who developed delirium after cardiac surgery inside
the ICU and understand who are  patients “fragile” for the occurrence of the disorder.
Those data will be used in the second phase, which consists to use non-drug methods
and  reduce  the  incidence  of  the  disorder  but  the  ultimate  aim  is  to  develop  a
management protocol for cardiochirurgical patients with postoperative delirium.