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System Wide Delirium Prevention Program at HealthPartners Facilities in Minnesota and Wisconsin

System Wide Delirium Prevention Program at HealthPartners Facilities in Minnesota and Wisconsin. Engaging Patients and Families Presented to MHA/OHA June 22, 2016 Jan Dionne MSN, CNS-BC, CEN Regions Hospital St. Paul, MN Susan Schumacher MS, APRN, GCNS. MHS/OHA Presentation.

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System Wide Delirium Prevention Program at HealthPartners Facilities in Minnesota and Wisconsin

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  1. System Wide Delirium Prevention Program at HealthPartners Facilities in Minnesota and Wisconsin • Engaging Patients and Families • Presented to MHA/OHA • June 22, 2016 • Jan Dionne MSN, CNS-BC, CEN • Regions Hospital St. Paul, MN • Susan Schumacher MS, APRN, GCNS

  2. MHS/OHA Presentation • Describe evidence based interventions that aid in delirium prevention • Discuss strategies to engage patients and families in delirium prevention • Identify the roles of the volunteer, nursing staff and advance practice RN in the engagement of patients and families in a delirium prevention program

  3. Our History Park Nicollet/Methodist Hospital HELP Program Since 2009

  4. Regions HospitalHealthy Brain Program Since July 2015

  5. Health Partners: Amery Regional Medical Center Amery, WI Hudson Hospital and Clinics Hudson, WI Westfield's Hospital New Richmond , WI Lakeview Hospital Stillwater, MN

  6. HealthPartners • Developing a system wide Delirium Prevention Structured Program at each facility

  7. Evidence Based Interventions for Delirium Prevention • Removal of tethers • Oxygen tubing, foley’s, IV’s etc • Early Mobility • Nutrition/Hydration • Reorientation • Sensory Aids • Cognitive Stimulation

  8. Engagement of Patient and Families in Delirium Interventions • Role of • APRN • Education of family and/or patient • Education of staff • Education of volunteers/champions • Evaluation of patient • Nursing Staff • Demonstration/Modeling • Education • Supporting • Volunteer/Champion • Therapeutic Interventions • Mobility • Nutrition/Hydration • Daily Visitor

  9. Education Material • One page handout for patients with Delirium • Information on Delirium, difference between dementia and delirium, S&S and etiology of each • Brochure for patients at high risk for Delirium • Describes the HELP/Healthy Brain Programs • Booklet for families • More detailed than one page handout

  10. Benefits of Program • “Soft Interventions” done by volunteer/champions which frees up nursing staff • Do not pay volunteer/champions • All interventions are evidence based that decreased the occurrence of delirium

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