Patient Inclusion Criteria:  60 years of age or older Have 1 risk factor for delirium (pre-existing cognitive impairment, vision/hearing impairment, identified as high risk for falls, illness rated as severe) Estimated length of stay of 24 hours or more in hospital Have an informal caregiver (18 years of age or older, family member or friend) willing to participate  Patient Exclusion Criteria:  Patient lacks capacity to consent Unable to communicate or participate in study due to language barriers or sensory deficits Prisoners Documented history of dementia in the medical record Patient admitted to hospice service or actively dying Delirium present upon admission to hospital COVID-19 positive test  Caregiver Inclusion Criteria:  18 years of age or older Family member, friend, or neighbor of the patient willing to participate in the study and support the patient during the study period (support can be in-person or virtual)  Caregiver Exclusion Criteria:  - Unable or unwilling to participate due to language barriers, availability, or other communication barriers