Preliminary Data: An Adapted Hospital Elder Life Program to Prevent Delirium and Reduce Complications of Acute Illness in Long-Term Care Delivered by Certified Nursing Assistants

Journal of the American Geriatrics Society

Volumn 64, Issue 5, 2016, Pages 1108-1113

  Boockvar, Kenneth S ^a,b,c   Teresi, Jeanne A ^d,e,f   Inouye, Sharon K ^g,h  

^a Jewish Homes and Hospital   (United States)

^b MOUNT SINAI SCHOOL OF MEDICINE   (United States)

^c VETERANS AFFAIRS MEDICAL CENTER   (United States)

^d Research Division   (United States)

^e NEW YORK STATE PSYCHIATRIC INSTITUTE   (United States)

^f WEILL CORNELL MEDICAL COLLEGE   (United States)

^g Aging Brain Center   (United States)

^h HARVARD MEDICAL SCHOOL   (United States)

Author keywords

delirium; intervention; nosocomial infection; nursing homes

Indexed keywords

ACUTE DISEASE; AGED; ARTICLE; DEATH; DELIRIUM; ELDERLY CARE; FOOD INTAKE; FUNCTIONAL STATUS; HEALTH CARE DELIVERY; HEALTH PROGRAM; HOSPITALIZATION; HUMAN; HYDRATION; INCIDENCE; INTEGRATION; LEISURE; LONG TERM CARE; MAJOR CLINICAL STUDY; MOBILIZATION; NURSING ASSISTANT; NURSING HOME PATIENT; ORIENTATION; PATIENT SATISFACTION; PHYSICAL ACTIVITY; REMISSION; RESIDENT; SLEEP; VERY ELDERLY;

EID: 84990186458     PISSN: 00028614     EISSN: 15325415     Source Type: Journal    
DOI: 10.1111/jgs.14091     Document Type: Article

References (20)

1. Alessi CA, Harker JO. A prospective study of acute illness in the nursing home. Aging (Milano) 1998;10:479–489.
2. Boockvar KS, Gruber-Baldini AL, Burton L et al. Outcomes of infection in nursing home residents with and without early hospital transfer. J Am Geriatr Soc 2005;53:590–596.
3. Inouye SK, Charpentier PA. Precipitating factors for delirium in hospitalized elderly persons. Predictive model and interrelationship with baseline vulnerability. JAMA 1996;275:852–857.
4. Kiely DK, Bergmann MA, Murphy KM et al. Delirium among newly admitted postacute facility patients: Prevalence, symptoms, and severity. J Gerontol A Biol Sci Med Sci 2003;58A:M441–M445.
5. Boockvar K, Signor D, Ramaswamy R et al. Delirium during acute illness in nursing home residents. J Am Med Dir Assoc 2013;14:656–660.
6. Fick DM, Kolanowski AM, Hill NL et al. Using standardized case vignettes to evaluate nursing home staff recognition of delirium and delirium superimposed on dementia. Ann LongTerm Care 2013;21:Available at http://www.annalsoflongtermcare.com/article/case-vignettes-evaluate-nursing-home-staff-recognition-delirium Accessed April 18, 2016.
7. Inouye SK, Bogardus ST Jr, Charpentier PA et al. A multicomponent intervention to prevent delirium in hospitalized older patients. N Engl J Med 1999;340:669–676.
8. Chen CC, Chen CN, Lai IR et al. Effects of a modified Hospital Elder Life Program on frailty in individuals undergoing major elective abdominal surgery. J Am Geriatr Soc 2014;62:261–268.
9. Voyer P, Richard S, Doucet L et al. Predisposing factors associated with delirium among demented long-term care residents. Clin Nurs Res 2009;18:153–171.
10. Culp K, Mentes J, Wakefield B. Hydration and acute confusion in long-term care residents. West J Nurs Res 2003;25:251–273.
11. Culp KR, Cacchione PZ. Nutritional status and delirium in long-term care elderly individuals. Appl Nurs Res 2008;21:66–74.
12. Levenson S, Vance J, eds. Protocols for Physician Notification: Assessing Patients and Collecting Data on Nursing Facility Patients. Columbia, MD: American Medical Directors Association, 2004.
13. Inouye SK, van Dyck CH, Alessi CA et al. Clarifying confusion: The Confusion Assessment Method. A new method for detection of delirium. Ann Intern Med 1990;113:941–948.
14. McCusker J, Cole MG, Voyer P et al. Environmental factors predict the severity of delirium symptoms in long-term care residents with and without delirium. J Am Geriatr Soc 2013;61:502–511.
15. Morris JN, Fries BE, Morris SA. Scaling ADLs within the MDS. J Gerontol A Biol Sci Med Sci 1999;54A:M546–M553.
16. Chodosh J, Edelen MO, Buchanan JL et al. Nursing home assessment of cognitive impairment: Development and testing of a brief instrument of mental status. J Am Geriatr Soc 2008;56:2069–2075.
17. Cicchetti DV, Feinstein AR. High agreement but low kappa: II Resolving the paradoxes. J Clin Epidemiol 1990;43:551–558.
18. Clegg A, Siddiqi N, Heaven A et al. Interventions for preventing delirium in older people in institutional long-term care. Cochrane Database Syst Rev 2014;1:CD009537.
19. Lapane KL, Hughes CM, Daiello LA et al. Effect of a pharmacist-led multicomponent intervention focusing on the medication monitoring phase to prevent potential adverse drug events in nursing homes. J Am Geriatr Soc 2011;59:1238–1245.
20. Marcantonio ER, Bergmann MA, Kiely DK et al. Randomized trial of a delirium abatement program for postacute skilled nursing facilities. J Am Geriatr Soc 2010;58:1019–1026.