Engaging patients to lessen delirium while in hospital

Fri, 08/23/2024 - 11:25


CMH Staff with Activity Cart

Imagine lying in a hospital bed. The sounds around you mash into an orchestra of beeping medical equipment, humming ventilation systems and voices in the corridor. Are you afraid? Bored? Or simply lost in thought?

 

This can be challenging for any patient, however, for older adults this scenario increases their risk for delirium and poorer health outcomes. Additionally, the environment outlined above can be overwhelming and overstimulating for patients with dementia.

 

While a mind that wanders may lead to creativity, being bored for days – for some, weeks or months – can have impact. “This inactivity can be a recipe for cognitive decline in some of our older patients,” says Andrea Brissette, Clinical Manager for the Medicine Program. For this reason, CMH’s Elder Life Specialist Hilary Ferguson regularly goes to team meetings in the Medicine Unit to teach staff about the benefits of engaging with patients. And in doing so, raised awareness about a staff initiative called the Activity Care Cart

 

“It’s heartwarming,” Andrea smiles, “seeing a patient enjoying themselves doing activities with loved ones and staff.” The cart is a treasure trove of activities for boosting cognitive functions and social interactions. 

 

Playing word games, solving puzzles, colouring, or enjoying music are more than just ways to pass the time. Doing so can improve memory, thinking skills, and communication. It has also been shown to reduce the symptoms of BPSD (behaviours and psychological symptoms of dementia).  These simple actions can also elevate one’s mood and ease depression. According to this study, it’s estimated that delirium in older patients can be reduced by up to 43% with these medication-free approaches. 

 

Meaningful activities reduce loneliness and boost joy. This is important because older adults that experience loneliness are prone to longer hospital stays. They may even be readmitted later. It’s as bad for your health as smoking 15 cigarettes a day and can increase mortality by 29%.

 

What can I do for my loved one? 

Start by visiting them at about the same time. Routine visits will bring stability. Bring things you know they enjoy; such as, their favourite game, puzzles, or activity. It can also be beneficial to ensure your loved ones has their adapted devices, such as their glasses or hearing aids. Your presence is important; if you ever need support, you can ask staff if an activity care cart is available on the unit your loved one is admitted to. 

 

What is the Activity Care Cart? 

The Activity Care Cart is a staff-led initiative available on the TCU and medicine units. These items are provided by staff and includes CDs, radios, puzzles, games, colouring supplies and much more. To learn more about how this initiative can support your loved one, ask their healthcare provider.

 

What is the Hospital Elder Life Program? 

The Hospital Elder Life Program (HELP) has trained volunteers that maintain the cognitive, physical and emotional well-being of older patients. They create a friendly environment by providing support, encouragement, and companionship. To learn more about how HELP volunteers can support your loved one, ask their healthcare provider.

 

Special thank you to the Medicine staff for taking the time to enhance the lives of patients.

 

Activity blanket