0062_SHSO_PAD Liberation- Pain, Agitation & Delirium Assessment, Prevention & Early Intervention_Live
Delirium is one of the most common acute care complication and is independently associated with many short- and long-term sequalae including increased risk of mortality, increased prevalence of dementia, and a high-prevalence of acute distress as well as Post-Traumatic Stress Disorder (PTSD) for patients and families. Despite these concerns, the primary practice gap is one of ineffective processes to achieve meaningfully improved outcomes.
Further, the relationships between pain, agitation, sleep deprivation, and delirium are complex, multidirectional and mediated by many factors including the use of opioid analgesia, use of sedating medications, and other common standards of care. Individuals with delirium often have an impaired ability to self-report pain due to reduced awareness or attention which is concerning because pain is a known risk factor for delirium. Similarly, sleep deprivation is a known risk factor for delirium incidence and increased severity and is also associated with reduced pain tolerance, a relationship thought to be mediated by pro-inflammatory cytokines. These complex interrelationships of delirium precipitants provide the strongest rationale for multi-component intervention strategies with non-pharmacological approaches being the first line for intervention.
This presentation is designed for collaborative interprofessional care teams across the continuum of care seeking to expand the team's knowledge about delirium, the complex interrelationship between associated risk factors and current standards of care, as well as short- and long-term sequalae associated with delirium. It is further designed to build competency in assessment, prevention, and early intervention strategies that are reflective of collaborative practice and shared decision-making with the patients and families receiving care.
Nurse, Registered (RN)
Physicians (MD or DO)
Other Healthcare Professionals
After attending this course, learners should be able to:
1. Analyze current care practices that contribute to poor outcomes for patients with delirium and their family members.
2. Summarize the critical need to to implement sedation- and restraint-minimizing strategies, such as the Awake & Walking model of ICU care, to reduce the occurrence of delirium and delirium-associated distress.
3. Engage ICU patients and their family members in discussion reflective of shared decision-making as a delirium prevention/early intervention strategy.
4. Demonstrate competency in the ability to assess patients for delirium and risk factors for delirium as well as implement prevention and early intervention strategies of mitigation.
References for Providing Culturally Appropriate Delirium Care which is Free of Implicit Biases
Learners are strongly encouraged to engage in self-directed learning relate to the impact of SDOH and implicit biases via the references below:
- Arias, F., Alegria, M., Kind, A.J., Jones, R.N., Travison, T.G., Marcantonio, E.R., Schmitt, E.M., Fong, T.G. & Inouye, S.K. (2022). A framework of social determinants of health for delirium tailored for older adults. Journal of the American Geriatrics Society; 70: 235-424. https://agsjournals.onlinelibrary.wiley.com/doi/epdf/10.1111/jgs.17465
- Abdelrahman, A., Borden, M., & Ghamloush, M.A. (2018). Agitated delirium in an intravenous drug user: Don’t jump to conclusions. Am J Respir Crit Care Med; 197. https://www.atsjournals.org/doi/pdf/10.1164/ajrccm-conference.2018.197.1_MeetingAbstracts.A6929
- Benhamed, A., Boucher, V. & Emond, M. (2022). Pain management in emergency department older adults with pelvic fracture: Still insufficient. Canadian Journal of Emergency Medicine; 24: 245-246. https://link.springer.com/article/10.1007/s43678-022-00299-9
Disclosure of Financial or In-Kind Commercial Support & Conflict of Interest
No one involved in the planning or presentation of this educational activity have any relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. No financial or in-kind commercial support was received to produce or promote this educational activity.
In support of improving patient care, Sutter Health, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC), and the Association of Social Work Boards (ASWB) to provide continuing education for the healthcare team.
Credit Designation Statement
Sutter Health designates this LIVE activity for a maximum of 3.0 AMA PRA Category 1 Credits™ for physicians, 3.0 continuing professional development contact hours for nurses, and 3.0 approved continuing education hours for social workers. Learners should claim only the credit commensurate with the extent of their participation in the activity.
Note to Other Disciplines: AMA PRA Category 1 Credits™ Continuing Medical Education is acceptable for meeting the continuing education requirements for Pharmacists, Physician Assistants, Psychologists, Registered Nurses, and Respiratory Care Practitioners. For other disciplines, please check with the regulatory board for your discipline to confirm what type of credits meet the continuing education requirements. Continuing education hours for nurses accredited by ANCC, via Joint Accreditation.
Attendance & Credit Claiming
Text the 6-letter attendance verification code to (916) 866-7913 to claim credit.
- 3.00 AMA PRA Category 1 Credit™
Sutter Health designates this Live activity for a maximum of 3.00 AMA PRA Category 1 Credit™ for physicians. Learners should claim only the credit commensurate with the extent of their participation in the activity.
- 3.00 AMA PRA Category 1 Credit™ Hour(s)
Sutter Health certifies this Live activity was designated for a maximum of 3.00 AMA PRA Category 1 Credit™ Hour(s). Non-physicians should claim only the credit commensurate with the extent of their participation in the activity.
- 3.00 ANCC
This course/program has been awarded 3.00 ANCC contact hour(s). Sutter Health is accredited provider of nursing continuing professional development. Learners should claim only the credit commensurate with the extent of their participation in the activity.
- 3.00 ASWB-ACE
As a Jointly Accredited Organization, Sutter Health is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. Regulatory boards are the final authority on courses accepted for continuing education credit. Social workers completing this course receive 3.00 continuing education credits.
- 3.00 CA BRN
This activity is approved for 3.00 contact hour(s) by Sutter Health, which is an approved provider by the California Board of Registered Nursing. (Provider Number 17182). Learners should claim only the credit commensurate with the extent of their participation in the activity.
- 3.00 IPCE
This activity was planned by and for the healthcare team, and learners will receive 3.00 Interprofessional Continuing Education (IPCE) credit for learning and change.