Lead Sponsor

Yale University

Collaborators

Age

65 - No limit years

Sex

ALL

Healthy Volunteers

No

•1. Age \> 65 years
•2. Hospitalized in the Medical Intensive Care Unit (MICU) on the York Street campus of Yale-New Haven Hospital.
•3. Has not opted out of research

•1. Unable to provide informed consent and no proxy available
•2. Advance directive of "comfort measures only" (CMO) or change to CMO anticipated during this hospital admission
•3. Planned discharge to hospice
•4. Primary language other than English
•5. Tracheostomy with long-term ventilator dependence
•6. Patients with non-family conservators (e.g. a lawyer serving as the conservator for the patient)
•7. 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 \[the acute respiratory distress syndrome\])
•8. COVID-19 positive
•9. Already receiving OT in the ICU