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A systematic approach to family engagement: Feasibility pilot of a pediatric delirium management and prevention toolkit

Published online by Cambridge University Press:  31 January 2019

Gabrielle Silver  and
Chani Traube
Gabrielle Silver*
Affiliation:
Department of Psychiatry, Weill Cornell Medical College, New York, New York
Chani Traube
Affiliation:
Department of Psychiatry, Weill Cornell Medical College, New York, New York
*
Author for correspondence: Gabrielle Silver, MD, Department of Psychiatry, Weill Cornell Medical College, 470 West 95th Street, Suite 1AA, New York, NY 10024. E-mail: [email protected]
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Abstract

Objective

Delirium is a frequent and severe complication of serious pediatric illness. Development of a nonpharmacologic approach to prevent pediatric delirium may improve short- and long-term outcomes in children and their families. In this brief report, we describe the development of a quality improvement project designed to methodically promote the family member's engagement, comforting, and orienting activities with their critically ill child to decrease delirium rates.

Method

We created a developmentally specific Delirium Prevention Toolkit for families. In a feasibility pilot, March through June 2016, we offered the kit to 15 patients and their families. On discharge, families were asked to describe use of the toolkit and whether or not it was helpful for them.

Results

Twelve of 15 patients and families used various elements of the toolkit, particularly the headphones, music, and games; no one regularly used the blank journal. All reported that it was easy and helpful to have as support for their stay in the pediatric intensive care unit.

Significance of results

This pilot demonstrated practicality of a nonpharmacologic delirium prevention toolkit in the pediatric intensive care unit, and satisfaction from patients and families.

Keywords

PediatricDeliriumJournalingPreventionFamily
Type
Original Article
Information
Palliative & Supportive Care , Volume 17 , Issue 1 , February 2019 , pp. 42 - 45
Copyright
Copyright © Cambridge University Press 2019 

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