This page includes all NIDUS announcements, updates and news. We will also feature a new article from the Hospital Elder Life Program Delirium Bibliography each month on this page.
Joining Forces against Delirium — From Organ-System Care to Whole-Human Care By Sharon K. Inouye
"Rather than designating delirium as a “never event” for hospitals, Medicare could offer incentives for the use of proven strategies for preventing it — such as ensuring early mobility, reducing use of bed or chair alarms, minimizing use of psychoactive drugs, and providing adaptations for vision and hearing impairment — in order to motivate change."
Read more from Dr. Inouye's NEJM Perspectives piece here: https://www.nejm.org/doi/full/10.1056/NEJMp1910499
Bereavement Care in America is Broken: A Call to Action By Joyal Mulheron, Sharon K. Inouye
The death of a child, at any age, is one of the most – if not the most – stressful life events a person can go through. Bereavement is associated with severe health, social, and economic consequences – but sparse legal and social supports exist to protect grieving parents.
The authors of the newest NAM Perspectives commentary state that bereavement care in the United States is broken, and call for evidence-based research into the prevalence and outcomes of bereavement and how to best mitigate the adverse short- and long-term outcomes of coping with bereavement. The authors believe there is much that can be done to address this crisis, and that it must be approached with sensitivity and attention as we care for those who have experienced the profound loss of a child. Read more: https://doi.org/10.31478/202001e
New Randomized Clinical Trial Demonstrates Effectiveness of Adapted Hospital Elder Life Program
A new randomized controlled trial in JAMA Internal Medicine has demonstrated the effectiveness of the Hospital Elder Life Program (HELP), this time in an adapted, tailored format. The HELP Program reduces delirium and functional decline in hospitalized older adults through daily interventions, many of which are performed by volunteers.
This study enrolled 281 surgical patients at a hospital in China and compared a group receiving a tailored version of the HELP program (t-HELP) to a group receiving usual care with no HELP program. T-HELP included non-pharmacological interventions completed by family members (instead of volunteers) trained by nursing staff. Results demonstrated the effectiveness of this t-HELP format, as occurrence of delirium was only 2.6% in the t-HELP group while 19.4% in the usual care group. And even further, patients who received t-HELP program had greater recovery (both cognitive and functional) one month after surgery compared to the usual care group.
This is a very important study, as in China, family members are frequently involved in care of older persons but hospitals often do not utilize volunteers. This study demonstrates that HELP can be adapted to fit a variety of institutional formats. Read more about the study here: https://scienmag.com/family-members-can-assist-in-preventing-post-operative-delirium-by-as-much-as-16-8/
Every other month, the Delirium Research Hub selects an investigator and research study included in the Delirium Research Hub to feature as a Spotlight Investigator. This month, we are featuring Dr. Eyal Kimchi, MD, PhD for his study “Massachusetts General Hospital (MGH) Delirium Electroencephalography (EEG) Study.” This study investigates EEGs, a promising biomarker that has […]
Contributed by Olga Boukrina, Ph.D., Kessler Foundation Delirium is a multicomponent syndrome produced by a set of unique vulnerabilities (e.g., infection, advanced age, decreased cognitive functioning) and compounding causes (e.g., circadian dysregulation, oxidative stress, neuronal aging). The contribution of each individual factor and their interactions present a complicated picture, but unifying themes in this line […]
Every other month, the Delirium Research Hub selects an investigator and research study included in the Delirium Research Hub to feature as a Spotlight Investigator. This month, we are featuring Dr. Olga Boukrina, PhD, for her study “Neglect and Delirium,” which investigates a potential neural mechanism underlying the link between delirium and spatial neglect in […]
Every other month, the Delirium Research Hub selects an investigator and research study included in the Delirium Research Hub to feature as a Spotlight Investigator. This month, we are featuring Dr. Chris Hughes, MD, for his study “Role of Endothelial and Brain Injury in Acute and Long-term Brain Dysfunction,” which observed that higher levels of […]
Each month, the Delirium Research Hub selects an investigator and research study included in the Delirium Research Hub to feature as a Spotlight Investigator. This month, we are featuring Dr. Tanya Mailhot, PhD, RN for her study, “Evaluation of a Nurse Mentoring Intervention with Family Caregivers in the Management of Delirium (MENTOR_D)” which piloted a […]