Pondicherry Journal of Nursing

Register      Login

VOLUME 12 , ISSUE 3 ( July-September, 2019 ) > List of Articles

REVIEW ARTICLE

Neurological Disturbances and Self-extraction Behavior: A Review

S Nandhini, Kripa Angeline

Keywords : Agitation, Neurological disturbances, Self-extraction behavior

Citation Information : Nandhini S, Angeline K. Neurological Disturbances and Self-extraction Behavior: A Review. 2019; 12 (3):76-77.

DOI: 10.5005/jp-journals-10084-12125

License: CC BY-NC 4.0

Published Online: 03-08-2020

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Neurological disturbance describes the sudden onset of aggressive and violent behavior and autonomic dysfunction, typically in the setting of acute on chronic drug abuse or serious mental illness. It is mainly associated with delirium, dementia, and other behavioral disorders which are also collectively known as acute behavioral disturbances (ABD). Self-extraction behavior is common among patients admitted with neurological disturbances associated with certain medical and surgical disorders. The clinical characteristics of self-extraction behavior are pulling out of tubes, IV lines, interrupting medical treatment, and interfering with nursing procedures. Research literature was reviewed with regard to self-extraction behavior and its associated factors. A literature search was conducted with the following search terms, keywords, and phrases: self-extraction behavior and neurological disturbances. Totally 25 articles were reviewed by using the databases such as PubMed and Google Scholar, based on the criteria of clinical variables, demographic variables and self-extraction behavior. A considerable debate exists regarding the influencing factors for self-extraction behavior in patients with neurological disturbances. From this review, we infer that there are various contributing factors which influence the increased prevalence of self-extraction behavior among patients with neurological disturbances. The identified contributing factors are associated with clinical variables of patients. Research literature supports the necessity for understanding the associated risk factors for self-extraction behavior.


PDF Share
  1. Siddiqi N, House AO, Holmes JD. Occurrence and outcome of delirium in medical in-patients: a systematic literature review. Age Ageing 2006;35(4):350–364. DOI: 10.1093/ageing/afl005.
  2. Selvan K, Edriss H, Sigler M, Tseng J. Self-extubation in ICU patients. The Southwest Respiratory and Critical Care Chronicles 2014;2(8): 31–34. DOI: 10.12746/swrccc.v2i8.169.
  3. Chang LY, Wang KW, Chao YF. Influence of physical restraint on unplanned extubation of adult intensive care patients: a case-control study. Am J Crit Care 2008;17(5):408–415. DOI: 10.4037/ajcc2008.17.5.408.
  4. Tseng J, Sigler M, Edriss H, Turner A, Valdez K, Selvan K, et al. A self-extubation case series in an ICU after the introduction of an early mobilization project. The Southwest Respiratory and Critical Care Chronicles 2014;2(8):17–20. DOI: 10.12746/swrccc.v2i8.170.
  5. Chao CM, Lai CC, Chan KS, Cheng KC, Ho CH, Chen CM, et al. Multidisciplinary interventions and continuous quality improvement to reduce unplanned extubation in adult intensive care units: a 15-year experience. Medicine 2017;96(27):e6877. DOI: 10.1097/MD.0000000000006877.
  6. Suliman M. Prevalence of physical restraint among ventilated intensive care unit patients. J Clin Nurs 2018;27(19-20):3490–3496. DOI: 10.1111/jocn.14588.
  7. Ertuğrul B, Özden D. The effect of physical restraint on neurovascular complications in intensive care units. Aust Crit Care 2020;66(Suppl 2): 110. DOI: 10.1016/j.aucc.2019.03.002.
  8. Liu E, Murgatroyd M, Smith P. PTU-120 An audit of the use of hand control mittens with nasogastric tubes at Royal Albert Edward infirmary. Gut 2017; 66(Suppl 2):110. DOI: 10.1136/gutjnl-2017-314472.215.
  9. Epstein SK, Nevins ML, Chung J. Effect of unplanned extubation on outcome of mechanical ventilation. Am J Respir Crit Care Med 2000;161(6):1912–1916. DOI: 10.1164/ajrccm.161.6.9908068.
  10. Kapadia F, Epstein S. Effect of unplanned extubation on outcome of mechanical ventilation. Am J Respir Crit Care Med 2001;163(7): 1755–1756. DOI: 10.1164/ajrccm.163.7.16372b.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.