Saqr Hospital Nursing Newsletter

SAQR HOSPITAL THE VOICE OF NURSES

NURSING DEPARTMENT NEWSLETTER

IN THIS EDITION
Page -2

➢ Nurses a voice to lead
Page-3

➢ Article
Page - 6

➢ Activities and appreciations

Page – 7
➢ Hag allela celebration

Page -8
➢ Training Program

Page – 9
➢ Team Work Can make Impossible to
possible

Page – 10

➢ Quiz and Games

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VOL-5

SAQR HOSPITAL THE VOICE OF NURSES

NURSING DEPARTMENT NEWSLETTER

NURSES
A VOICE TO LEAD

HAPPY

NURSES NURSES

DAY

Every year May 12 was celebrated as the International Nurses Day. The significance of International Nurses Day has become
much more during these difficult times as the world is battling with COVID-19 pandemic. Nurses are the backbone of whole
medical structure and often they work without taking a break. WHO also said on their website that this COVID-19 pandemic has
reminded the world of what a vital role nurses play in today’s society. Without the nurses and other healthcare workers, the
world would not win the battle against such outbreaks, the world will not achieve the goal of Sustainable Development or the
goal of universal health coverage

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SAQR HOSPITAL THE VOICE OF NURSES

NURSING DEPARTMENT NEWSLETTER

HOW TO HANDLE PATIENT WITH
PATIENTS WITH ICU PSYCHOSIS/ DELIRIUM?

SHYNU THOMAS
Staff nurse ICU

INTRODUCTION These clinical features can manifest themselves as
memory deficits, disorientation, hallucinations,
As the survival of critically ill patients improves, ICU fluctuating levels of alertness, and motor abnormalities.
psychosis/delirium has become a growing public
health issue. According to some research about 83% WHAT ARE TYPES OF ICU PSYCHOSIS?
of ICU patients on mechanical ventilation develop
delirium. This figure is significant as ICU delirium is Hyperactive- Agitation, restlessness, emotional lability,
associated with negative patient and healthcare
outcomes. These outcomes include: hallucinations.

• Increased time on mechanical ventilation Hypoactive- Lethargy, decreased responsiveness, slowed

• Increased likelihood of being discharged to a motor skills.

long-term care facility Mixed type- Fluctuation between hyper- and hypoactive

• Longer ICU and hospital length of stay symptoms.

• Elevated health care costs WHAT CAN BE THE CAUSE AND RISK FACTORS OF ICU

• Increased cognitive dysfunction PSYCHOSIS?

• And increased risk of death • Age

WHAT IS ICU PSYCHOSIS/DELIRIUM? • Sensory deprivation: A patient being put in a

ICU psychosis is a disorder in which patients in an room that often has no windows, and is away from
intensive care unit (ICU) or a similar setting
experience a cluster of serious psychiatric family, friends, and all that is familiar and comforting.
symptoms. Another term that may be used
interchangeably for ICU psychosis is ICU syndrome. • Sleep disturbance and deprivation: The constant
ICU psychosis is also a form of delirium, or acute
brain failure. disturbance and noise with the hospital staff coming at

Otherwise it is defined as a rapid change in all hours to check vital signs, give medications, etc.
consciousness (hours to days) characterized by
reduced environmental awareness, decreased • Continuous light levels: Continuous disruption of
attention and altered cognition.
the normal biorhythms with lights on continually (no
VOL-5
reference to day or night). 3|Page

• Absence of daylight exposure

SAQR HOSPITAL THE VOICE OF NURSES

NURSING DEPARTMENT NEWSLETTER

• Lack of clocks in the patient room.
• Stress: Patients in an ICU frequently feel the almost total loss of control over their life.
• Lack of orientation: A patient's loss of time and date.
• Medical monitoring: The continuous monitoring of the patient's vital signs, and the noise monitoring devices

produce can be disturbing and create sensory overload.
• Dehydration
• Smoking
• Use of restrains
• Pain which may not be adequately controlled in an ICU
• Critical illness: The pathophysiology of the disease, illness or traumatic event - the stress on the body during

an illness can cause a variety of symptoms
• Metabolic disturbances: electrolyte imbalance, hypoxia (low blood oxygen levels), and elevated liver

enzymes.
• Heart failure (inadequate cardiac output)
• Presence of dementia
• Presence of hearing or a visual impairment
• Hypertension
• Diagnosis of sepsis: Infection creating fever and toxins in the body.
• Renal replacement therapy
• Acute respiratory distress syndrome
• Presence of urinary catheters
• Medication (drug) reaction or side effects: The administration of medications typically given to the patient in

the hospital setting that they have not taken before.
Use of vasopressors
Analgesics and sedatives such as:
Lorazepam
Morphine
Midazolam
Certain steroids
Administration of dopamine
WHAT ARE THE SIGNS AND SYMPTOMS OF ICU PSYCHOSIS?
• Restlessness
• Hearing voices
• Clouding of consciousness
• Hallucinations
• Nightmares
• Paranoia
• Disorientation
• Agitation
• Delusions
• Abnormal behavior
• Fluctuating level of consciousness, which include aggressive or passive behavior
• extreme excitement
• anxiety

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VOL-5

SAQR HOSPITAL THE VOICE OF NURSES

NURSING DEPARTMENT NEWSLETTER

HOW IS ICU PSYCHOSIS DIAGNOSED?

The diagnosis of ICU psychosis can be made only in the absence of a known underlying medical condition that can
mimic the symptoms of ICU psychosis. A medical assessment of the patient is important to search for other causes of
mental status abnormality such as:
• Stroke
• Infection or sepsis
• Medication side effects or interactions
• low blood sugar
• Drug or alcohol withdrawal
• Head injury
• Any other medical condition that may require treatment.
HOW IS ICU PSYCHOSIS PREVENTED AND TREATED?
Evidenced-Based Prevention and Treatment Strategies for ICU Psychosis/Delirium

A-Assess prevent and manage pain

B- Both Spontaneous Awakening Trials (SAT) and Spontaneous breathing trials (SBT)
C- Choice of analgesia and sedation
D- Delirium: assess, prevent and manage
E- Early mobility and exercise
F- Family engagement and empowerment
HOW LONG DOES ICU PSYCHOSIS LAST?
ICU psychosis often vanishes magically with the coming of morning or the arrival of some sleep. However, it may last 24
hours or even up to two weeks with fluctuations of the level of consciousness and behavior patterns. Although it may
linger through the day, agitation frequently is worst at night. (This phenomenon, called sun downing)
Fortunately, ICU psychosis usually resolves completely when the patient leaves the ICU.

CONCLUSION:
In closing, ICU psychosis is not only a severe problem of the short term for the patient. It is a problem that is affecting
patients and their quality and quantity of life, their families, the healthcare system, and the public as a whole.
Healthcare providers owe it to their patients to be vigilant in preventing early diagnosis and treatment of ICU psychosis.

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SAQR HOSPITAL THE VOICE OF NURSES

NURSING DEPARTMENT NEWSLETTER

ACTIVITIES AND APPRECIATIONS

Appreciation
for Sr. Rema,
Nurse
informatics,
for her
continues
achievement
and support

Appreciation for our ADNA Sr.Mouza,
from Hospital administration during
Mother’s Day

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VOL-5

SAQR HOSPITAL THE VOICE OF NURSES

NURSING DEPARTMENT NEWSLETTER

HAG ALLELA CELEBRATION

Appreciation
for Azary
Mohammed
for her
commitment
and
compassionate
patient care

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VOL-5

SAQR HOSPITAL THE VOICE OF NURSES

NURSING DEPARTMENT NEWSLETTER

TRAINING PROGRAMS

VAC Machine Training Ventilator Training ICU

Informatics
Training

Onboarding Professional
Training Program Development
training for
VOL-5 preceptors

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SAQR HOSPITAL THE VOICE OF NURSES

NURSING DEPARTMENT NEWSLETTER

Team Work Can make Impossible to possible

Sharing the success through team work -Male ortho department.

In our ward we received on patient as post Covid pneumonia, with oxygen support, bedridden, muscle
weakness, obese-215 kg, demanding patient. As per physiotherapist, it will take time to mobilize him due to
muscle weakness.

With excellent support and leadership from hospital administration, with multi-disciplinary team
work including doctors, nurses, physiotherapist, social worker, biomedical, dietitian and family, planned a
comprehensive care. Nurses gave a high-quality care and encouraged him always to do Exercise move in
and out of the bed. Physiotherapist were doing intensive physiotherapy in patient room. Administration
arranged special equipment in his room for physiotherapy like patient lifting crane, big walking frame etc.

With god grace and Team work, he is able to walk with walking frame, he can stand alone. But till
need nursing care and more physiotherapy to get full strength. If we have a good team and leadership can
achieve any thing that is difficult. This is one of the best examples for that.

ANNOUNCEMENT

➢ There will training for Crash cart and Defibrillator management from 01/06/2021 to 14/06/2021. Register
your name and book your seat as early as possible. Click Here to Register

➢ Basic ECG course will be conducted 17 & 23 June 2021. Register your name with your unit managers
➢ Participate in drawing Competition. Theme “NURSES THE VOICE TO LEAD “. Be creative. Finish and

submit your drawing (only in A4 size paper) to nursing office before 20/06/2021. The winner will be
Rewarded.
➢ Participate in Quiz competition based on Online Video learning. Prize is waiting for the winner.

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VOL-5

SAQR HOSPITAL THE VOICE OF NURSES

NURSING DEPARTMENT NEWSLETTER

Identify the personality
Click Here to submit your Answer

Quiz

Participate in Quiz based on the
Online video learning

Click Here

to Participate last date 20/06/2021

There are different ways to do innovation. You can plant a lot of seeds, not be committed to any particular one of them, but just see what grows. And this really isn’t how we’ve
approached this. We go mission-first and then focus on the pieces we need and go deep on them and be committed to them.

If you would like to submit an article, your experience or share a nursing story, Click Here ([email protected])

We are heartily welcome your comment and Suggestion Click here to do the survey

Team leader & Project manager Contributing Writers Design & Content Editor
Mrs. Mouza Saeed Mohammed Alshehhi Ms. Shynu Thomas Mr. Jijomon George

VOL-5 Mr. Noushad 10 | P a g e