The Modified and Extended Hospital Elder Life Program: A remote model of care to expand delirium prevention

Abstract

Background: Delirium is a common complication of hospitalization and is associated with poor outcomes. Multicomponent delirium prevention strategies such as the Hospital Elder Life Program (HELP) have proven effective but rely on face-to-face intervention protocols and volunteer staff, which was not possible due to restrictions during the COVID-19 pandemic. We developed the Modified and Extended Hospital Elder Life Program (HELP-ME), an innovative adaptation of HELP for remote and/or physically distanced applications.Methods: HELP-ME protocols were adapted from well-established multicomponent delirium prevention strategies and were implemented at four expert HELP sites. Each site contributed to the protocol modifications and compilation of a HELP-ME Operations Manual with standardized protocols and training instructions during three expert panel working groups. Implementation was overseen and monitored during seven learning sessions plus four coaching sessions from January 8, 2021, through September 24, 2021. Feasibility of implementing HELP-ME was measured by protocol adherence rates. Focus groups were conducted to evaluate the acceptability, provide feedback, and identify facilitators and barriers to implementation.

Factors associated with functional decline in COVID-19 elderly survivors hospitalized in a tertiary care center

“…Our results could help recognize the effects of the disease in the short and long term, as well as to identify high-risk patients in a timely manner in order to implement pharmacological and non-pharmacological measures that prevent functional decline after hospitalization for COVID-19. Currently, there are multicomponent intervention models, such as the Hospital Elder Life Program, 44 which is based on a multidisciplinary approach by doctors, nurses, occupational therapists, social workers and other health professionals with the purpose to promote personalized and comprehensive care for older adults in which their needs and particularities are taken into account in order to improve their hospital experience and, potentially, reduce the incidence and severity of adverse outcomes.…”

Prävention des postoperativen Delirs

“…Vervielfältigung nur mit Zustimmung des Verlages. Viele der hier aufgeführten "Best-Practice"-Programme benutzen Elemente des von Inouye et al 2000 [14] publizierten und 2011 modifizierten [15] [20].…”