SESSION TITLE: Critical Care Posters SESSION TYPE: Original Investigation Posters PRESENTED ON: October 18-21, 2020 PURPOSE: In 2019, 233 patients were seen in the ICU of a small community hospital in western North Carolina, of those 44 % were 65 years or older. These patients represent a population at a high-risk population for acquiring ICU-associated delirium (IAD), which has been shown to consistently extend hospital stays with the potential for long-term cognitive dysfunction. Education and support are critical components of delirium prevention and treatment. Some larger universities and medical centers have created educational materials, but there is minimal to no resources available for rural populations where health literacy is of great concern. In Burke County, 28-44% of the population have basic or below basic literary scores. This quality improvement project aimed to address the lack of educational resources for loved ones of patients diagnosed with IAD in a rural community with focus on health literacy. METHODS: An IAD educational brochure was developed by the geriatric department and subsequently reviewed by the hospital’s health literacy team before final production. Over a 60-day period, the critical care department asked loved ones of patients at risk for developing IAD to answer a brief questionnaire, review the IAD brochure and complete a post questionnaire, to evaluate usefulness of brochure. RESULTS: 95% (n=56) of respondents believed that the educational brochure was helpful; additionally, there was statistical significance between pre and post brochure education (P<.0.001). 71% of respondents were familiar with delirium prior to reviewing the educational brochure, but only 25% felt confident in recognizing signs of delirium. 23% of respondents had a family member diagnosed with delirium in the past. The mean age of patients with family members participating in the study was 76.95 (SD 7.8) and not statistically significant. CONCLUSIONS: Producing a brochure to educate the loved ones of patients at risk for developing IAD by addressing health literacy was found to be useful. CLINICAL IMPLICATIONS: Due to the successful outcome of this study, this brochure will plan to be implemented in our ICU as standard of care. DISCLOSURES: No relevant relationships by Harshesh Amin, source=Web Response No relevant relationships by Jayme Cannon, source=Web Response No relevant relationships by David Moore, source=Web Response No relevant relationships by Golnosh Sharafsaleh, source=Web Response
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