The modified Hospital Elder Life Program: adapting a complex intervention for feasibility and scalability in a surgical setting
UMass Chan Affiliations
Meyers Primary Care InstituteDepartment of Medicine, Division of Geriatric Medicine
Document Type
Journal ArticlePublication Date
2014-05-01Keywords
AgedEvidence-Based Practice
Feasibility Studies
Health Services for the Aged
*Hospitals
Humans
*Surgical Procedures, Operative
Geriatric Nursing
Geriatrics
Metadata
Show full item recordAbstract
The purpose of this article is to provide the rationale and methods for adapting the Hospital Elder Life Program (HELP). The HELP is a complex intervention that has been shown to reduce rates of delirium and functional decline. However, modification of the program may be required to meet local circumstances and specialized populations. We selected three key elements based on our prior work and the concept of shared risk factors and modified the HELP to include only three shared risk factors (functional, nutritional, and cognitive status) that were targeted by three nursing protocols: early mobilization, oral and nutritional assistance, and orienting communication. These protocols were adapted, refined, and pilot-tested for feasibility and efficacy. We hope by reporting the rationale and protocols for the modified HELP, we will advance the field for others adapting evidence-based, complex nursing interventions.Source
J Gerontol Nurs. 2014 May;40(5):16-22. doi: 10.3928/00989134-20140110-01. Epub 2014 Jan 21.Link to article on publisher's siteDOI
10.3928/00989134-20140110-01Permanent Link to this Item
http://hdl.handle.net/20.500.14038/37275PubMed ID
24443887Related Resources
Link to Article in PubMedae974a485f413a2113503eed53cd6c53
10.3928/00989134-20140110-01