In HELP, older patients are screened for 6 risk factors of functional decline and delirium: cognitive orientation and impairment, sleep deprivation, immobility, vision impairment, hearing impairment, and dehydration.16 and 28 For patients deemed at risk for functional decline or delirium based on these risk factors, protocols are put in place to prevent decline. Protocols include a daily visitor program, therapeutic activities program, early mobilization program, nonpharmacologic sleep protocol, hearing and vision protocol, geriatric interdisciplinary care, and links with community services.27 “While the intervention protocol are standardized, the menu of assigned interventions is individualized for each patient” based on their individual risk factors at screening and regular reassessments.16 An individual patient can be involved in anywhere from 0 to all 6 protocols to avoid functional decline.