ASSESS THE EFFECTIVENESS OF MODIFIED ABCD BUNDLE ON ICU PSYCHOSIS AMONG POST OPERATIVE CARDIAC PATIENTS

Background: Many patients face significant challenges during the post operative period including pain, anxiety and sleep disturbances which can lead into ICU psychosis. According to American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM), ICU psychosis is a disturbance of cognition and consciousness that develops over a short duration of time and fluctuates over time This can be prevented by early assessment, diagnosis and treatment. The nurse – patient relationship is one of the keystones in preventing ICU psychosis. Supportive approach by the health care team may be quite helpful in patient’s rehabilitation. Studies have emphasized on use of introductory in-services and educational intervention and implementation of tools for evaluation of ICU psychosis to improve quality of care for ICU Patients.