A new effort to improve care for ICU patients reveals that a bundle of practices, employed by a nurse-led interprofessional team of health care providers, could help ICU patients avoid delirium and weakness so they heal sooner and are healthier after leaving the hospital. The implementation of these practices was conducted by an interprofessional team, examining a bundle of evidence-based practices called the Awakening, and Breathing Coordination, Delirium Monitoring and Management, and Early Mobility bundle (ABCDE bundle).
Fully two-thirds of intensive care unit patients develop delirium, which is associated with longer stays, billions of dollars in costs globally, and three-fold excess mortality at six months. Over one-half of intensive care unit survivors suffer a functionally debilitating dementia-like illness, which appears related to delirium duration. The main goal of this project was to implement, analyze and disseminate an evidence-based, nurse-led, inter-professional, multi-component program focused on improving the care and outcomes of critically ill adults.
Videos used as part of the Awakening-Breathing Coordination, Delirium Monitoring/Management & Early Mobility (ABCDE) program. These videos are used in an interprofessional, on-line, continuing educational program that describes the specific components of the ABCDE bundle.