PADIS 2018 Delirium Guidelines

If you work in critical care particularly intensive care and high-dependency care units then you know Delirium. Delirium is a disturbance in mentation that often results from surgical processes, underlying conditions, pain management and sedation among others. There are guidelines set out for management of this condition which are recommended for adults.

The 2018 clinical practice PADIS guidelines (Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU) are recommended by the society of critical care medicine for management of Delirium.

One of the highlighted sections of these guidelines is the recommended use of any validated tool for assessment of delirium rather than no tool. Secondly, is the importance of regular assessment of delirium. This is because upto 50% of ICU patients experience delirium, the adverse long and short term effects of delirium and eventual significnace of management and prevention of delirium.

Here is a powerpoint presentation on the PADIS guidelines and a link to other teaching subsections of the guidelines from SCCM for clinical management in critical care.

Video Presentation on PADIS guidelines

PADIS Guidelines Teaching Slides

Reference: Information courtesy of the Society of Critical Care Medicine.

Informed consent

Informed consent is the patient’s autonomous decision about whether to undergo a surgical procedure.

Voluntary and written informed consent from the patient is necessary before
nonemergent surgery can be performed in order to protect the patient from unsanctioned surgery and protect the surgeon from claims of an authorized operation.

Consent is a legal mandate, but it also helps the patient to prepare psychologically, because it helps to ensure that the patient understands
the surgery to be performed.

(Rothrock, 2007).