Table 2.
Intervention measures and principles for cognitive impairment in elderly critically ill patients.
| Category | Early identification | Early intervention |
|---|---|---|
| Main principles | Correction of factors affecting cognitive function | Hospital Elder Life Program (HELP) |
| eCASH care | Multimodal analgesia: Behavioral Pain Scale (BPS), Critical-Care Pain Observation Tool (CPOT), Visual Analog Scale (VAS), Numerical Rating Scale (NRS) Maintenance of light sedation: Richmond Agitation-Sedation Scale (RASS) |
|
| ICU interventions | Medication safety management (benzodiazepines, opioids, anticholinergics, systemic corticosteroids), early mobilization, sleep improvement, reduction of physical restraints, and reorientation training | |
| Specific Measures of Multicomponent Nonpharmacological Interventions | Behavioral and psychological symptoms interventions | Music therapy, touch therapy, aromatherapy |
| Home safety care | Fall prevention, management of dangerous items, and ensuring environmental familiarity |