Study for ELNEC 4: Symptom Management in Palliative Care Test with flashcards and multiple choice questions. Hints and explanations included! Get ready for your exam!

Multiple Choice

Which nonpharmacologic strategy is recommended to prevent delirium in palliative care?

Delirium prevention in palliative care is best achieved with a multicomponent, nonpharmacologic approach that targets multiple modifiable risk factors. This includes using orienting cues and visible clocks or calendars, ensuring adequate lighting, promoting good sleep hygiene and a regular sleep-wake cycle, providing effective pain control, minimizing medications that can trigger delirium, ensuring adequate hydration, and supporting hearing and vision with appropriate aids. Together, these steps reduce confusion from disorientation, sleep disruption, pain, dehydration, and sensory impairment. Hydration alone addresses only one factor and may not prevent delirium if other contributors persist. Aggressive sedation can worsen delirium and is not an appropriate preventive strategy. Doing nothing misses all these protective measures.

Delirium prevention in palliative care is best achieved with a multicomponent, nonpharmacologic approach that targets multiple modifiable risk factors. This includes using orienting cues and visible clocks or calendars, ensuring adequate lighting, promoting good sleep hygiene and a regular sleep-wake cycle, providing effective pain control, minimizing medications that can trigger delirium, ensuring adequate hydration, and supporting hearing and vision with appropriate aids. Together, these steps reduce confusion from disorientation, sleep disruption, pain, dehydration, and sensory impairment. Hydration alone addresses only one factor and may not prevent delirium if other contributors persist. Aggressive sedation can worsen delirium and is not an appropriate preventive strategy. Doing nothing misses all these protective measures.