Implementing Delirium Prevention in the Era of COVID-19.

Radhakrishnan, Nila S; Mufti, Mariam; Ortiz, Daniel; Maye, Suzanne; Melara, Jennifer; Lim, Duke; Rosenberg, Eric I; Price, Catherine C

Patients admitted with COVID-19 can develop delirium due to predisposing factors, isolation, and the illness itself. Standard delirium prevention methods focus on interaction and stimulation. It can be challenging to deliver these methods of care in COVID settings where it is necessary to increase patient isolation. This paper presents a typical clinical vignette of representative patients in a tertiary care hospital and how a medical team modified an evidence-based delirium prevention model to deliver high-quality care to COVID-19 patients. The implemented model focuses on four areas of delirium-prevention: Mobility, Sleep, Cognitive Stimulation, and Nutrition. Future studies will be needed to track quantitative outcome measures.