Skip to main content
. Author manuscript; available in PMC: 2016 Apr 1.
Published in final edited form as: JAMA Intern Med. 2015 Apr 1;175(4):512–520. doi: 10.1001/jamainternmed.2014.7779

Appendix Table 1.

Evidence-based Non-pharmacologic Delirium Prevention Interventions

Risk Factors Details
Cognition / Orientation
  • Cognitive stimulation activities

  • Orientation board with names of care team members and daily schedule

  • Orienting communication

Early mobility
  • Ambulation or active range-of-motion exercises

  • Minimizing use of immobilizing equipment

Hearing
  • Portable amplifying devices and special communication techniques, with daily reinforcement

  • Ear wax clearing as needed

Sleep-wake cycle preservation
  • Warm milk or herbal tea, relaxation tapes or music, and back massage

  • Unit-wide noise reduction strategies and schedule adjustments to allow uninterrupted sleep

Vision
  • Visual aids (glasses, magnifying lenses) and adaptive equipment (large illuminated telephone keypads, large print books, fluorescent tape on call bell), with daily reinforcement of their use

Hydration
  • Encourage fluids

  • Feeding assistance and encouragement during meals