FU Wenyu, LIU Liyan. Integrated Traditional Chinese and Western Medicine Nursing for an Elderly Patient with Post-Traumatic Brain Contusion Delirium[DB/OL].Clinical archives of integrative medicine, 2025.
DOI:
FU Wenyu, LIU Liyan. Integrated Traditional Chinese and Western Medicine Nursing for an Elderly Patient with Post-Traumatic Brain Contusion Delirium[DB/OL].Clinical archives of integrative medicine, 2025. DOI: 10.12209/CAIM202504290007.
Integrated Traditional Chinese and Western Medicine Nursing for an Elderly Patient with Post-Traumatic Brain Contusion Delirium
This article summarizes the nursing experience of an elderly patient with traumatic brain contusion complicated by delirium using an integrated Traditional Chinese Medicine (TCM) and Western medicine approach. The patient was hospitalized due to brain contusion and subarachnoid hemorrhage caused by a fall and subsequently developed delirium. Interventions included acupoint application therapy and analgesic medication for pain relief. After 8 weeks of integrated care, the patient achieved significant pain reduction, effective delirium control, and prevention of severe complications. Psychological status markedly improved, family members acquired delirium care knowledge, and the patient was discharged in stable condition.
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BATTLE D E . Diagnostic and statistical manual of mental disorders (DSM) [J]. Codas , 2013 , 25 ( 2 ): 191 - 192 .
LA COUR K N , ANDERSEN-RANBERG N C , WEIHE S , et al . Distribution of delirium motor subtypes in the intensive care unit: a systematic scoping review [J]. Crit Care , 2022 , 26 ( 1 ): 53 .
ROBERSON S W , PATEL M B , DABROWSKI W , et al . Challenges of delirium management in patients with traumatic brain injury: from pathophysiology to clinical practice [J]. Curr Neuropharmacol , 2021 , 19 ( 9 ): 1519 - 1544 .
FANG J , SUN Z . Nursing care of a patient with triple negative breast cancer with BRCA1 gene positive [J]. Chin Gen Pract Nurs , 2023 , 21 ( 5 ): 708 - 712 . (in Chinese)
MENG T Y , YIN Z H , LI M , et al . Management of postoperative delirium in elderly patients with hip fracture [J]. Chin J Mult Organ Dis Elder , 2021 , 20 ( 9 ): 716 - 720 . (in Chinese)
The Critical Care Group of the Emergency Medicine Branch of the Chinese Medical Association , the Expert Consensus Group for Adult Pain Management , Sedation , and Delirium Control in Acute Care in China , et al . Expert consensus on management of analgesia, sedation and delirium in emergency adults in China [J]. Chin J Emerg Med , 2023 , 32 ( 12 ): 1594 - 1609 . (in Chinese)
YI J , CUI F H , LIANG Y L , et al . Analysis of clinical characteristics and risk factors of postoperative delirium after cardiac surgery [J]. J Cardiovasc Pulm Dis , 2024 , 43 ( 5 ): 469 - 473 . (in Chinese)
LI X , LI Q , SUN J H , et al . The Chinese version of scored items and reliability and validity test of the confusion assessment method for the intensive care unit-7 [J]. J Nurses Train , 2022 , 37 ( 10 ): 865 - 869 . (in Chinese)
LI J H , HUANG L Z , ZHOU Y H , et al . Evidence summary for prevention and management of delirium for adult patients in intensive care unit [J]. J Nurses Train , 2022 , 37 ( 5 ): 439 - 445 . (in Chinese)
WANG Y X , YI X P , LI M , et al . Risk factors and prediction model construction for delirium in patients with subarachnoid hemorrhage in the neurology intensive care unit [J]. Chin J Stroke , 2025 , 20 ( 3 ): 313 - 319 . (in Chinese)
O’MAHONY R , MURTHY L , AKUNNE A , et al . Synopsis of the National Institute for Health and Clinical Excellence guideline for prevention of delirium [J]. Ann Intern Med , 2011 , 154 ( 11 ): 746 - 751 .
PACI M , CARDELLICCHIO P , DI LUZIO P , et al . When the heart inhibits the brain: Cardiac phases modulate short-interval intracortical inhibition [J]. iScience , 2024 , 27 ( 3 ): 109140 .
LIU J , SHEN Q L , ZHANG H P , et al . The potential protective effect of mesencephalic astrocyte-derived neurotrophic factor on post-operative delirium via inhibiting inflammation and microglia activation [J]. J Inflamm Res , 2021 , 14 : 2781 - 2791 .
SONG Y H , MIAO Y M . Effect of pain nursing intervention on delirium, pain factors and stress factors in ICU patients [J]. Mod Nurse , 2022 , 29 ( 8 ): 56 - 58 . (in Chinese)
LI J , YE C X , QIAN J , et al . Prefrontal electroencephalographic characteristics in patients with emergence delirium period after hip or knee arthroplasty [J]. J Clin Anesthesiol , 2024 , 40 ( 6 ): 606 - 611 . (in Chinese)
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