Traditional hospital design and models of care focus purely on treatment of disease, rather than on the distinct needs of older patients.3 and 10 For example, hospitals have polished floors that can become slippery, rooms that become cluttered with devices and supplies, and mazes of hallways often poorly mapped and signed, all of which can lead older people to become confused or fearful of walking.11 Hospitalized patients spend an average of 20 hours per day in bed and only 43 minutes per day standing or walking, regardless of their level of independence upon admission.12 This increased bed rest can lead to a decrease in muscle mass, strength, orthostatic tolerance, and plasma volume.12 Psychoactive drugs may be given to promote sleep or relaxation, even though these drugs can have the opposite effects on older patients.13 Psychoactive drugs also increase the risk of falls and the development of delirium.