Table 1 Goals and interventions of the interdisciplinary collaboration between nurses, occupational therapists, and physiotherapists
Goals | Interventions |
|---|---|
Improvement of the autonomy and involvement in everyday activities | 1) Creation of a meaningful routine that alternate activities and rest periods, promoting a 24 h rehab vision and fighting occupational deprivation; 2) Promptly set up mobility as changing of posture (supine/seated), changing of sleeping posture and suspend bed-blocking as soon as possible; 3) Promotion of mobility allowing the patient to interact functionally with the environment: B/ADL activities in bathroom, meals seated at the table, play games (e.g., Sudoku or cards). |
Environment adaptation | Conform the environment to the need of the person suffering of delirium: reduction of disperceptive sensory stimuli, softening of the noises, appropriate lighting, reduction of sensory deprivation. |
Evaluation of assistive devices | Selection of the best devices in order to safeguard an appropriate posture in bed, on the chair and/or in wheelchair. |
Family education | 1) Preparing family caregivers to recognize delirium symptoms 2) Favor a proactive presence of the family (human environment) teaching them how to approach and how to communicate with the patient in order to decrease agitation in older hospitalized delirious patients |