acute confusion loss of orientation
Conditions
Interventions
HELP has four unique components:
1. The program provides standardized protocols targeted toward six delirium
risk factors.
2. A multidisciplinary geriatric team, with a central role for the Nurse
P
Sponsors
Universitair Medisch Centrum Utrecht
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: -Patients are at least 70 years of age -Have no delirium at the time of admission, and are considered at risk for delirium at admission as determined by the VMS criteria (www.vmsveiligheid.nl) According to these criteria at least on of the following three questions has to be answered positive to include a patient with an increased risk of delirium: - Dou you have memory problems? - During the past 24-hours did you need assistance for your daily self-care? - Were you confused during earlier hospital admissions or illnesses?
Exclusion criteria
Exclusion criteria: -Older patients in life threatening situations or with a terminal illness at admission. -Patients with an expected hospital stay of 24 hours or less. -Patients who are legally incapable of participating or with precluded verbal communication. -In case of a language barrier. -Patients with profound aphasia. -Patients with intubation or respiratory isolation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome of the study is the incidence of delirium. Secondary outcomes include delirium duration (number of days) and severity, length of stay, care consumption up to three months after admission, experienced quality of the care process by patients, family, professionals and trained volunteers. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes include delirium duration (number of days) and severity, length of stay, care consumption up to three months after admission, experienced quality of the care process by patients, family, professionals and trained volunteers. | — |
Countries
Netherlands
Outcome results
None listed