Earplugs and Eye Masks for Reducing Delirium

Inclusion Criteria: * Admitted to General Medicine (units 8100 and 8300 only) from the Duke University Hospital (DUH) Emergency Department * Age \>= 65 Exclusion Criteria: * Admitted from outside hospitals, clinics (i.e., direct admissions), or transferred from another department * Admitted as "observation" (i.e., expected length of stay \< 2 nights) * Admitted \> 24 hours prior to time of enrollment * Non-English-speaking patients will be excluded because a language barrier would introduce inaccuracy into the CAM measurement and for feasibility reasons (e.g., availability of translator services) * Blind or deaf patients will be excluded because they are unlikely to benefit from the intervention, but sensory-impaired patients will be included * Patients lacking decision-making capacity for whom no Legally Authorized Representative (LAR) is available * Primary reason for admission "altered mental status", drug withdrawal, stroke, or seizure * Patients for whom a withdrawal pathway has been preemptively initiated based on their substance use history (e.g., the alcohol withdrawal pathway order set or other as needed ("PRN") orders for the indication of withdrawal) * Delirium present at time of enrollment * Glasgow Coma Scale (GCS) \< 10 at time of enrollment * Enrolled in this trial during a previous admission (i.e., we will not resample) * Enrolled in a separate trial this admission * Contraindication to using earplugs or an eye mask (e.g., facial trauma or other safety concern) * Significant fall risk per nursing assessment