Table.

Delirium Interventions: Adaptations from Hospital Elder Life Program (HELP)^*

Intervention	Description
Orientation	Communication boards in room Orientation sheet delivered daily Remote visits with family or trained volunteers
Therapeutic activities	Therapeutic activities kit to bedside (e.g., crosswords, games, activities) Remote activities 3 times daily with family or trained volunteers
Sleep enhancement	Provide ear plugs, eye masks, and patient instructions about sleep hygiene and relaxation approaches Provide sunlight during day and dark/quiet room at night Nursing education to minimize nighttime interruptions
Early mobilization	Minimize restraints, tethers (e.g., intravenous lines, bladder catheters, telemetry, oximetry) Encourage mobility and exercise in room. Provide instructions and assistive devices in room
Hearing/vision adaptations	Provide eyeglasses and adaptive equipment and instruct patient/staff in use
Maintaining oral intake and fluids	Patient information sheet about nutrition and hydration Remote encouragement and socialization during meals
Minimize social isolation	Remote visits and communication with family Family caregiver involvement when possible
Psychoactive medications	Medication review and staff education about adverse effects in older adults

^*Adapted from the Hospital Elder Life Program https://www.americangeriatrics.org/programs/ags-cocarer-help. For more information on creating a HELP Covid-19 Toolkit: https://help.agscocare.org/chapter-abstract/chapter/H00107/H00107_PART001_002