POCD z perspektywy personelu medycznego i rodziny pacjenta

Abstract

Objective: Review of studies in topostoperative delirium and problems of the family of the patient affected by an episode of postoperative delirium. Method: literaturę review, work supported with research examples. Delirium (acute cerebral syndrome) is a set of disorders of consciousness including hallucinatory syndrome, delusional syndrome and psychomotorexcitation. It usually occurs on day two after surgeries and affects 2.5–3% of alloperated patients. It i salso one of the reasons for extending hospitalisation time, increased treatment costs and even increased mortality rate. The risk factors include the type of surgery (most frequently femoralneck repair), high ASA score (3 and more), history of cardiologic, respiratory, neurologic and metabolicdiseases, sensory deficits, postoperative pain, polypharmacy, fluid starvation and preoperative pain. There have been no management recommendations so far – both pharmacological and non-pharmacological – that would be effective in prevention and treatment. The main directions include elimination or minimisation of the risk factors. The family of the operated patient is in a difficult situation as they have to face not only the problems that might be expected before the surgery, but also with the additional disorder that occurs by complete surprise. The condition not only leads to terror and anxiety due to its nature, as the patient after the surgery may see manentirelyalien person, but it also marks the beginning of additional problems in patient care.