Although the implementation of a multifaceted intervention would be more effective in preventing delirium than program based on a single component, the value of complex interventions has still not been rigorously assessed [ 13, 14].
It is modeled after the Delirium Room program, with adoption of core interventions from the Hospital Elder Life Program and use of evening light therapy to consolidate circadian rhythms and improve sleep in older inpatients.
This study shows initial evidence for the clinical benefits (longer total sleep time, increased first SB length, and functional gains) of incorporating bright light therapy as part of a multicomponent delirium management program.
Identification of risk is a critical first step for both fall and delirium prevention programs.
These results were confirmed in randomized trials studying the efficacy of multicomponent delirium prevention programs in postoperative patients [ 57] and geriatric inpatients [ 58].
While current evidence concludes that delirium abatement programs have little impact on the resolution of delirium [ 19]; systematic reviews suggest [ 17, 20] that delirium can be prevented among a significant proportion of those at risk of developing it.
Some hospitals are adopting delirium-prevention programs, including one developed by Dr. Inouye, which adjusts schedules, light and noise to help patients sleep, ensures that patients have their eyeglasses and hearing aids, and has them walk, exercise and do cognitive activities like word games.
Thus, introduction of brief screening for consciousness and attention may have benefit for both fall- and delirium-prevention programs with the potential to decrease the associated morbidity, mortality, and health care system costs.
In October 2010, the VABHS began a delirium risk modification program.
From October 2010 to September 2012, over 4,500 patients participated in the delirium risk modification program.
