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    Proofed Nurs 2020 Learn

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    The student reflects on providing Montessori interventions to an older patient experiencing delirium in the emergency department. The student observed that simple interventions like getting the patient out of bed, providing food, and playing classical music through headphones significantly improved the patient's cognitive abilities and orientation. The student was frustrated by the lack of standard interventions for older patients with cognitive decline in the emergency department. The experience highlighted the need to expand their knowledge on cognitive decline in older adults and effective interventions to reduce delirium and improve outcomes.

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    Proofed Nurs 2020 Learn

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    The student reflects on providing Montessori interventions to an older patient experiencing delirium in the emergency department. The student observed that simple interventions like getting the patient out of bed, providing food, and playing classical music through headphones significantly improved the patient's cognitive abilities and orientation. The student was frustrated by the lack of standard interventions for older patients with cognitive decline in the emergency department. The experience highlighted the need to expand their knowledge on cognitive decline in older adults and effective interventions to reduce delirium and improve outcomes.

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    The student reflects on providing Montessori interventions to an older patient experiencing delirium in the emergency department. The student observed that simple interventions like getting the patient out of bed, providing food, and playing classical music through headphones significantly improved the patient's cognitive abilities and orientation. The student was frustrated by the lack of standard interventions for older patients with cognitive decline in the emergency department. The experience highlighted the need to expand their knowledge on cognitive decline in older adults and effective interventions to reduce delirium and improve outcomes.

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    Proofed Nurs 2020 Learn

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    The student reflects on providing Montessori interventions to an older patient experiencing delirium in the emergency department. The student observed that simple interventions like getting the patient out of bed, providing food, and playing classical music through headphones significantly improved the patient's cognitive abilities and orientation. The student was frustrated by the lack of standard interventions for older patients with cognitive decline in the emergency department. The experience highlighted the need to expand their knowledge on cognitive decline in older adults and effective interventions to reduce delirium and improve outcomes.

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    You are on page 1of 5

    Running head: NURS 2020: LEARN REFLECTION 1

    NURS 2020: LEARN Reflection

    Melissa Friskney

    Trent University
    LEARN REFLECTION 2

    LEARN Reflection

    Looking Back

    I will be reflecting on seeing an older adult patient (pt) in the emergency

    department (ED). I implemented Montessori interventions to help reduce the pts signs

    and symptoms of delirium. I am reflecting on this event because this was my first time

    putting these interventions in place and it was wonderful to see such a positive result.

    From this one simple interaction, I learned a lot including simple questions to ask older

    adults who visit the ED, the impacts of music therapy and other interventions.

    Elaborate

    This event took place on my first day of my NURS 2020 clinical rotation. My

    partner, preceptor and I spent the morning in the ED where we were assigned to an older

    adult patient who had come into the hospital via ambulance because she had fallen at

    home. This was her fourth trip to the ED for a fall in the last two months. When we first

    saw the pt she was confused and disoriented. She thought she was in her twenties and the

    year was 1962. Our preceptor noted these behaviors and asked her other questions such

    as, I see you use a walker, is there enough room in your house to move around?, Who

    cooks your meals? and Do you get dressed by yourself in the morning?. By asking

    these questions we could get a better understanding of where our pt was coming from and

    what her life was like. After this we got the pt out of bed and gave her some breakfast to

    eat. It wasnt till later that we saw a positive change in her cognitive abilities. As the

    morning went on our pt was slightly declining cognitively until we found out she liked

    classical music. We got her an iPod and let her listen to classical music. It was incredible

    because in about 20 minutes we already began to see a change in her cognitive abilities.
    LEARN REFLECTION 3

    Our pt could correctly identify where she was, what her name was and why she was in

    the hospital. When I first saw this pt I felt sad because she was confused and disoriented

    but seeing the change in her mental abilities from one simple intervention was amazing. I

    also felt frustrated because I could not help but think, why arent more people performing

    these interventions for older adults with cognitive decline? This experience opened my

    eyes to the lack of knowledge there is around older adults and cognitive decline. This

    experience also made me want to become more educated on cognitive decline in older

    adults and the interventions that can be put into place to reduce the effects.

    Analyze

    When analyzing the event, I felt it was a very positive first experience at my

    placement because I could see first-hand how interventions like music therapy impact

    older adults. However, this event also frustrated me because this was the first time I

    witnessed the impacts delirium can have on an older adult in the emergency department.

    According to Delaney, Pepin and Somes (2015), patients who experience delirium onset

    within the first 72 hours are at a greater risk of rehospitalisation and death. As well as

    greater post discharge mortality, poor clinical outcomes have been reported in individuals

    who develop delirium during their stay in the ED (Delaney, Pepin & Somes, 2015).

    Delaney, Pepin and Somes conclude that interventions put in place to shorten length of

    stay and to decrease the cases of delirium should be evaluated in the hopes of a better

    overall prognosis and lower mortality and rehospitalisation rates in older adults (2015).

    Based on this evidence I feel it is important to expand my knowledge on older adult stays

    in the ED. I will also try to implement more interventions such as walking, getting the pt
    LEARN REFLECTION 4

    to a chair and table to eat, and turning the light on in the ED to help the elderly pt

    decrease their chances of a delirious episode.

    Revise

    The most important thing I have learned from this experience was how simple

    interventions such a music therapy can make an impact on a pt and their signs and

    symptoms associated with cognitive decline. I have also learned that further exploration

    is required on cognitive decline, older adults in the ED and activities that help reduce

    their anxiety, delirium and other conditions during their ED visit. I feel by expanding my

    knowledge I will be able to better complete/execute my project for NURS 2020 in a way

    that could greatly impact older adults with cognitive decline in the ED at NHH.

    New Perspective

    Moving forward, I plan to expand my knowledge on cognitive decline within

    older adults and the different interventions that can be put in place in the ED. I will do

    this by talking to professionals such as the recreational therapist at the hospital, my

    preceptor and the ED staff. Conducting research by observing how different interventions

    impact each older adult differently and reading scholarly articles about cognitive decline

    and interventions will also benefit my understanding. I feel by doing these things I will be

    able to build on my knowledge on cognitive decline in the ED. In the future, I hope that

    with my expanded knowledge I will be able to assist other older adults in the ED and try

    to find interventions that work for everyone to ensure they have the best possible stay.
    LEARN REFLECTION 5

    References

    Delaney, M., Pepin, J., & Somes, J. (2015). Emergency Department Delirium Screening

    Improves Care and Reduces Revisits for the Older Adult Patient. JEN: Journal Of

    Emergency Nursing, 41(6), 521-524. doi:10.1016/j.jen.2015.08.013

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