Anita Witt Mitchell, PhD, OTR, FAOTA
Mary Matthies, OTR/L
The purpose of our critically appraised topic is to synthesize the best current evidence regarding interventions that would be effective in reducing delirium in patients with COVID-19 in the acute care setting. The final portfolio contains a total of five research articles. Study designs include three randomized controlled trials, one non randomized controlled trial, and one quasi-experimental quantitative design. All studies relate directly to interventions within the OT scope of practice and were implemented in the acute care setting. Due to limited research on the novel coronavirus, these findings apply to critically ill patients but are not specific to patients with COVID-19. Early and intensive OT intervention in combination with multicomponent intervention strategies were found to significantly decrease delirium. Promising evidence can be used to draft new practice guidelines for decreasing delirium in critically ill patients within the acute care setting. In addition, modified implementation of slow tempo music and family participation/visitation interventions are recommended for patients with COVID-19. Due to the minimal time for therapy interventions within the acute care setting, implementation of these interventions as frequently as possible is recommended.
Brewer, Allison E. MOT/S; Carver, Amy MOT/S; Nance, Allison MPH, MOT/S; Rodrigue, Mallori MOT/S; and Smith, Olivia MOT/S , "Reducing Delirium in Patients with COVID-19" (2021). Master of Occupational Therapy Student Critically Appraised Topics. Paper 10. http://dx.doi.org/10.21007/chp.mot2.2021.0008.