HELP© prevent falls by preventing delirium

Babine, Rhonda L.; Farrington, Stacey; Wierman, Heidi R.

doi:10.1097/01.nurse.0000428710.81378.aa

Cited by 23 publications

(33 citation statements)

References 16 publications

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“…HELP has been cost-effective and successful in preventing delirium and functional decline (2, 12, 13). Subsequently, studies evaluated modified HELP models (12, 14, 15). New multi-component non-pharmacologic interventions have been developed, targeting peri-operative patients (16–18) or utilizing volunteers, family members and nurses in delivery of interventions (19, 20).…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Multicomponent Nonpharmacological Delirium Interventions

Hshieh

Yue

Oh³

et al. 2015

JAMA Intern Med

626

488

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Section: Introductionmentioning

confidence: 99%

Effectiveness of Multicomponent Nonpharmacological Delirium Interventions

Hshieh

Yue

Oh³

et al. 2015

JAMA Intern Med

626

488

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“…Three studies examined number of falls per patient-day. 21,22,54 The meta-analysis showed that the odds of falling was 42% lower (OR 0.58, 95% CI 0.35–0.95, I 2 =0%) among subjects in 3 non-RMT studies (Figure 3).…”

Section: Resultsmentioning

confidence: 99%

Hospital Elder Life Program: Systematic Review and Meta-analysis of Effectiveness

Hshieh

Yang

Gartaganis

et al. 2018

The American Journal of Geriatric Psychiatry

315

227

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The Hospital Elder Life Program is effective in reducing incidence of delirium and rate of falls, with a trend toward decreasing length of stay and preventing institutionalization. With ongoing efforts in continuous program improvement, implementation, adaptations, and sustainability, HELP has emerged as a reference standard model for improving the quality and effectiveness of hospital care for older persons worldwide.

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“…Delirium and old age are both risk factors for falls, with delirium particularly common in older hospital patients (Tropea et al, 2008). Introducing a program that reduced delirium in a hospital, using volunteers plus inter-disciplinary education (Inouye et al, 2006), has led to a reduction in falls (Babine et al, 2013). Falls may be similarly reduced by improved detection of delirium, triggering appropriate falls risk management strategies.…”

Section: Introductionmentioning

confidence: 99%

Piloting staff education in Australia to reduce falls in older hospital patients experiencing delirium

Toye

Kitchen

Hill

et al. 2016

Nursing & Health Sciences

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This study piloted a hospital-based delirium and falls education program to investigate the impacts on staff knowledge and practice plus patient falls. On a medical ward, staff knowledge was compared before and after education sessions. Other data -collected a day before and after program implementation -addressed documentation of patients' delirium and evidence of compliance with falls risk minimization protocols. These data, and numbers of patient falls, were compared before and after program implementation. Almost all ward staff members participated in education sessions (7 doctors, 7 allied health practitioners, and 45 nurses) and knowledge was significantly improved in the 22 who completed surveys both before and after session attendance. Patients assessed as having delirium (5 before implementation, 4 afterwards) were all documented as either confused or delirious. Small changes eventuated in adherence with falls risk management protocols for confused patients and the number of falls decreased. The program merits a stronger emphasis on staff activities relating to the detection, documentation, and management of delirium to inter-professional roles and communication. Evidence of practice enhancement from program implementation should precede rigorous testing of impacts upon falls.

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HELP© prevent falls by preventing delirium

Cited by 23 publications

References 16 publications

Effectiveness of Multicomponent Nonpharmacological Delirium Interventions

Effectiveness of Multicomponent Nonpharmacological Delirium Interventions

Hospital Elder Life Program: Systematic Review and Meta-analysis of Effectiveness

Piloting staff education in Australia to reduce falls in older hospital patients experiencing delirium

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