Feasibility Acceptability and Barriers to Implementation of a Geriatrics Bundle in the ICU

  • STATUS
    Recruiting
  • End date
    Jan 15, 2024
  • participants needed
    80
  • sponsor
    Yale University
Updated on 7 March 2021

Summary

Despite the known benefits of geriatric care models among hospitalized older adults outside the intensive care unit (ICU), few studies have addressed the needs of older adults in the ICU; for example, sensory impairment, functional decline, and de-prescribing of potentially inappropriate medications (PIMs) are rarely addressed in routine ICU practice. This pilot study will evaluate the feasibility, acceptability, and barriers to implementation of a geriatrics bundle (occupational therapy, assessment and treatment of hearing impairment, and de-prescribing PIMs) in the ICU.

Details
Condition Intensive Care Unit Syndrome
Treatment Geriatrics Bundle
Clinical Study IdentifierNCT04652453
SponsorYale University
Last Modified on7 March 2021

Eligibility

Yes No Not Sure

Inclusion Criteria

Is your age greater than or equal to 65 yrs?
Gender: Male or Female
Do you have any of these conditions: Do you have Intensive Care Unit Syndrome??
Age > 65 years
Hospitalized in the Medical Intensive Care Unit (MICU) on the York Street campus of Yale-New Haven Hospital
Has not opted out of research

Exclusion Criteria

Unable to provide informed consent and no proxy available
Advance directive of "comfort measures only" (CMO) or change to CMO anticipated during this hospital admission
Planned discharge to hospice
Primary language other than English
Tracheostomy with long-term ventilator dependence
Patients with non-family conservators (e.g. a lawyer serving as the conservator for the patient)
Unable to participate in the OT and hearing impairment interventions due to cognitive status (e.g. advanced dementia, anoxic brain injury, vegetative state, etc) or the need for deep sedation (e.g. if treatment of the critical illness requires deep sedation and neuromuscular blockade, such as in severe ARDS [the acute respiratory distress syndrome])
COVID-19 positive
Already receiving OT in the ICU
Clear my responses

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If you are confirmed eligible after full screening, you will be required to understand and sign the informed consent if you decide to enroll in the study. Once enrolled you may be asked to make scheduled visits over a period of time.

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