Critical care nursing quarterly
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Changing demographics will increase the geriatric population in the intensive care unit. Geriatric clients are more likely to be malnourished than their younger counterparts, making the early initiation of appropriate nutritional support vital. The nutrition support process adapted for critical care nurses is outlined. Strategies for identification and management of common complications are presented.
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The critically ill older patient is at increased risk for developing an acute confusional state or delirium. Critical care nurses must be aware of the risk factors, the clinical manifestations, and potential complications associated with delirium. Nursing strategies focus on prevention, comprehensive assessments, and interventions to manage agitated behavior and provide environmental support.