Posted on 11/06/2025 2:47:12 PM PST by ConservativeMind
The innovative use of recorded messages from a family member to provide reorientation information to a critically ill patient receiving mechanical ventilation helped reduce the risk of developing delirium, according to new research.
The study details a rigorous, structured intervention called Family Automated Voice Recording (FAVoR), which played recorded messages from family members on an hourly basis during the daytime to promote day-night orientation.
Patients in the FAVoR intervention group had a higher rate of delirium-free days than patients in the control group who received usual care. The results also suggest a dose-response relationship between the number of times the messages played and the number of delirium-free days.
Cindy Munro, Ph.D., RN, ANP-BC said, "We designed this intervention to augment family presence so that a patient could hear from a loved one, even if their family wasn't able to physically be at the bedside."
Delirium is one of the most frequent complications for patients in intensive care units (ICUs) and is associated with adverse short-term and long-term outcomes. Most research on reducing the incidence and severity of delirium has focused on detection of its onset and evaluation of pharmacological interventions (none of which have been shown to be effective).
The prospective, two-arm, blinded, randomized controlled trial with 178 adult patients was conducted in nine ICUs.
The series of 10 two-minute recordings were uploaded to a wireless speaker placed near the patient's ear and set to play automatically once an hour during daytime waking hours for a maximum of five days. The standardized, scripted messages were recorded in either English or Spanish by a family member.
Messages included general information describing the ICU environment, presence of visual and auditory stimuli, and the presence of health care professionals and family members.
(Excerpt) Read more at medicalxpress.com ...
I wonder if recorded music work have possible results.
My FIL’s Hospice volunteer said that many of her patients with dementia or Alzheimer’s become significantly calmer with music. Most of the best results were hearing hymns from their childhood.
Sorry, the devil made me do it.
I recently spent several weeks in ICU after quadruple bypass and every complication thereof that you can get. At night I heard my relatives talking, but they weren’t there. I also accused a nurse of kidnapping me, that this was all a set to make me think I was in the hospital, and that they were trying to kill me with breathing treatments. I was dead serious. Hospital psychosis is real.
My husband went absolutely loony for several weeks.
I saw him and talked to him every day live I don’t think it helped!!
“Hospital psychosis is real.”
Oh yes it absolutely is...
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