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. 2023 Dec 4;31:e4071. doi: 10.1590/1518-8345.6707.4071

Figure 3 -. Constitutive definitions of the MiTCare-DEP concept of contextual care.

Contextual Care Interventions
Provide materials such as: clocks, calendars, cell phones, books, magazines, radios, televisions, whiteboards, pens, papers and personal belongings of the patient Provide and make available materials that can be used in temporal and spatial orientation, cognitive stimulation and communication with the older adult. Also, encourage their involvement in the proposed activities.
Reduce artificial lighting at night Provide indirect lighting at night to maintain sleep patterns.
Reduce the environmental noise in the ICU Monitor and maintain adequate noise volume levels in the ICU.
Promote privacy Maintain, whenever possible, individual beds, using curtains or screens, with a view to the well-being of the patient and the performance of care.
Adjust monitor and machine alarms Set monitors and machines to night mode, which lowers volume and dims displays, reducing noise and promoting sleep.
Provide natural light in the environment Provide physical structure that allows natural light to the patient, promoting day/night orientation.
Control the ambient temperature Maintain a pleasant ICU room temperature.
Flexibility in visiting hours in the ICU Allow and encourage the visit of family members or companions who have an emotional relationship with the older adult.