DU Caiyun, BAI Nana. Application of Bundle Care in Delirium Management for an Elderly Patient with Severe Pneumonia[DB/OL].Clinical Archives of Integrative Medicine, 2025.
DOI:
DU Caiyun, BAI Nana. Application of Bundle Care in Delirium Management for an Elderly Patient with Severe Pneumonia[DB/OL].Clinical Archives of Integrative Medicine, 2025. DOI: 10.12209/CAIM202506270017.
Application of Bundle Care in Delirium Management for an Elderly Patient with Severe Pneumonia
This article summarizes the nursing experience of applying bundle care to manage delirium in an elderly patient with severe pneumonia. A multidisciplinary team collaboration model was adopted during the nursing process, wherein the team collectively assessed the patient’s care needs and provided professional recommendations to support multidimensional care planning. Interventions focused on four key dimensions: early rehabilitation training, nutritional improvement, sleep quality enhancement, and targeted sensory stimulation. The bundle care approach not only enabled precise identification and effective control of delirium, significantly reducing its occurrence and severity, but also improved overall nursing quality and rehabilitation outcomes. The patient’s condition ameliorated, leading to successful discharge, demonstrating outstanding clinical nursing efficacy.
LI M , DING Y Y , FU M , et al . Research Status of Assessment and Intervention Strategies for Elderly Delirium [J]. Chin Nurs Res , 2022 , 36 ( 9 ): 1601 - 1606 . (in Chinese)
SUN S S , TAO L , ZHONG M M , et al . Development trajectory and risk factors of delirium in ICU patients [J]. New Med , 2024 , 34 ( 9 ): 978 - 988 . (in Chinese)
SESSLER C N , GOSNELL M S , GRAP M J , et al . The Richmond agitation–sedation scale: validity and reliability in adult intensive care unit patients [J]. Am J Respir Crit Care Med , 2002 , 166 ( 10 ): 1338 - 1344 .
FENG Y D , YANG F Y , LI J L , et al . A Study on the Consistency between the Intelligent Version and the Paper Version of CAM-ICU Delirium Assessment [J]. Chin Nurs Res , 2021 , 35 ( 1 ): 15 - 21 . (in Chinese)
KONDRUP J , ALLISON S P , ELIA M , et al . ESPEN guidelines for nutrition screening 2002 [J]. Clin Nutr , 2003 , 22 ( 4 ): 415 - 421 .
LI D L , HUANG X M , CEN S K , et al . Effect of early rehabilitation therapy on complications and prognosis in mechanically ventilated elderly patients with severe pneumonia [J]. Chin J Respir Crit Care Med , 2018 , 17 ( 1 ): 46 - 50 . (in Chinese)
WANG L , CHEN M Z , YANG J N , et al . Clinical Analysis and Nursing Countermeasures for Delirium in Elderly Patients of Advanced Age [J]. China Health Care Nutr , 2020 , 30 ( 20 ): 249 . (in Chinese)
LAI A R , WARRIER M , NG E Z , et al . Cardiovascular outcomes in acute coronary syndrome and malnutrition: a meta-analysis of nutritional assessment tools [J]. JACC Adv , 2023 , 2 ( 8 ): 100635 .
ZHOU L Y , CHU X Y , TAO S P , et al . Clinical Study on the Treatment of Insomnia of the Spleen and Stomach Imbalance Type by Acupoint Insertion and Ear Acupoint Pressing [J]. Chin Acupunct Moxibustion , 2017 , 37 ( 9 ): 947 - 950 . (in Chinese)
LIANG Y G , CHEN J C , ZHENG L Y , et al . The role of early interventions in preventing delirium in mechanically ventilated patients in intensive care units [J]. China Health Stand Manag , 2022 , 13 ( 4 ): 144 - 148 . (in Chinese)
CUI W , ZHANG S , WU Y , et al . Meta-analysis of the effect of life intervention programs for hospitalized elderly patients in preventing delirium [J]. Chin Nurs Res , 2024 , 38 ( 3 ): 488 - 494 . (in Chinese)
LIU D , CHEN X F , LIU H T , et al . Based on propensity score matching analysis, the correlation between the elderly nutritional risk index and the occurrence of delirium in elderly critically ill patients was investigated .[J]. Chin J Crit Care Med , 2024 , 44 ( 5 ): 408 - 414 . (in Chinese)
Integrated Traditional Chinese and Western Medicine Nursing for a Case of Severe Pneumonia Complicated with Chronic Obstructive Pulmonary Disease
Nursing Ward Round Case of an Elderly Patient with Severe Pneumonia Complicated by Multisystem Diseases
Nursing Experience of a Patient with Severe Pneumonia Complicated by Respiratory Failure Undergoing Mechanical Ventilation
Nursing Experience of Combined Chinese Herbal Ointment Massage and Hot Herbal Compress in Treating a Patient with Severe Pneumonia Complicated by Abdominal Distension
Nursing Experience of Combining Visceral Massage with Herbal Enema in Improving a Case of Severe Pneumonia Complicated by Respiratory Failure
Related Author
SHEN Hedian
WANG Wei
WANG Xu
LIU Jingyi
YANG Yuwei
HAN Jianping
LI Ying
REN Yaxing
Related Institution
Department of Critical Care Medicine, Beijing Jiangong Hospital
Department of Emergency, Beijing Jiangong Hospital
Department of Emergency, Dongfang Hospital Beijing University of Chinese Medicine
Department of Critical Care Medicine, The First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine
Department of Endocrinology, The First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine