Implementing Delirium Prevention in the Era of COVID-19

被引:10
作者
Radhakrishnan, Nila S. [1 ]
Mufti, Mariam [2 ]
Ortiz, Daniel [1 ]
Maye, Suzanne T. [3 ]
Melara, Jennifer [3 ]
Lim, Duke [3 ]
Rosenberg, Eric, I [4 ]
Price, Catherine C. [5 ,6 ]
机构
[1] Univ Florida, Div Hosp Med, Dept Med, POB 100238, Gainesville, FL 32610 USA
[2] Univ Florida, Dept Geriatr Med, Gainesville, FL 32610 USA
[3] UF Hlth Shands Hosp, Dept Nursing & Patient Serv, Gainesville, FL USA
[4] Univ Florida, Dept Med, Div Gen Internal Med, Gainesville, FL 32610 USA
[5] Univ Florida, Clin & Hlth Psychol, Gainesville, FL 32610 USA
[6] Univ Florida, Dept Anesthesiol, Gainesville, FL 32610 USA
关键词
Alzheimer's disease; COVID-19; dementia; hospitalization; quality of health care; tertiary care centers; PREDICTIVE MODEL; ELDERLY-PATIENTS; OLDER-ADULTS; DEMENTIA; PREVALENCE; DIAGNOSIS;
D O I
10.3233/JAD-200696
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Patients admitted with COVID-19 can develop delirium due to predisposing factors, isolation, and the illness itself. Standard delirium prevention methods focus on interaction and stimulation. It can be challenging to deliver these methods of care in COVID settings where it is necessary to increase patient isolation. This paper presents a typical clinical vignette of representative patients in a tertiary care hospital and how a medical team modified an evidence-based delirium prevention model to deliver high-quality care to COVID-19 patients. The implemented model focuses on four areas of delirium-prevention: Mobility, Sleep, Cognitive Stimulation, and Nutrition. Future studies will be needed to track quantitative outcome measures.
引用
收藏
页码:31 / 36
页数:6
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