Fall Risk for Delirium Patients in Pediatric Intensive Care Units (PICUs) and Risks Scales Used for This Reason

Year 2019, Volume: 5 Issue: 3, 1814 - 1828, 31.12.2019

Abdullah Sarman

https://doi.org/10.30569/adiyamansaglik.609711

Abstract

Delirium is a fulminant disorder with a
fluctuating course and a wide range of underlying causes. It is a commonly
characterized by altered mental status, disturbance of consciousness and
cognition, as well as disruptions in sleep-wake cycle. Falls can be described
often preventable events that happen in hospitalized children. Pediatric
intensive care units are the places where falls occur frequently. Such changes
in consciousness in patients with delirium pose a risk for falls. Various
pediatric fall risk assessment scales have been developed for falling risk that
may develop with changes in consciousness. It is important that nurses who are
in close contact with patients in intensive care and clinical settings
predefined delirium and consciousness changes in patients. In this review
article, it is aimed to give information about the characteristics and purposes
of the measurement instruments commonly used in various age groups in the
literature.

Keywords

Child Patient, Delirium, Falling Risk, Diagnostic Scale, Pediatric Intensive Care Units, Fall Risk Assessment Tool

Pediatrik Yoğun Bakım Ünitelerindeki (PYBÜ) Deliryum Hastalarında Düşme Riski ve Bu Amaçla Kullanılan Ölçekler

Abstract

Deliryum, hızlı başlayan, dalgalı seyir gösteren,
çok farklı nedenlerden dolayı ortaya çıkan, bilinç, algılama, düşünce,
uyku-uyanıklık döngüsü değişimlerinin eşlik ettiği bir klinik sendromdur.
Düşmeler genellikle hastanede yatan çocuklarda meydana gelen önlenebilir
olaylar olarak tanımlanabilir. Pediatrik yoğun bakımlar düşme olaylarının
sıklıkla yaşanabildiği ortamlardır. Deliryumdaki hastalarda oluşan bu tür
bilinç değişikleri düşme açısından risk oluşturur. Bilinç değişimleriyle
beraber gelişebilen düşme riskine yönelik olarak çeşitli pediatrik düşme riski
değerlendirme ölçekleri geliştirilmiştir. Yoğun bakım ve klinik ortamlarda
hastalarla yakın ilişki içerisinde olan hemşirelerin hastalardaki deliryum ve
bilinç değişikliklerini önceden tanımlaması önemlidir. Bu derleme makalede
literatürde çeşitli yaş gruplarında yaygın olarak kullanılan ölçme araçlarının
özellikleri ve kullanım amaçları konusunda bilgi verilmesi amaçlanmaktadır.

Keywords

Pediatrik Hasta, Deliryum, Düşme Riski, Tanı Ölçeği, Pediatrik Yoğun Bakım Ünitesi, Düşme Riski Değerlendirme Aracı

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