Article

Delirium in older adults attending adult day care and family caregiver distress.

Marquette University, College of Nursing, Milwaukee, WI 53201-1881, USA.
International Journal of Older People Nursing 06/2011; 6(2):85-92. DOI:10.1111/j.1748-3743.2010.00260.x pp.85-92
Source: PubMed

ABSTRACT BACKGROUND; Delirium is a critical, costly, frequently reversible problem in older adults. Findings of previous studies indicate that delirium occurs in up to 65% of hospitalised older adults and up to 80% of terminally ill patients. Few studies address the frequency of delirium in community dwelling older adults and the extent to which delirium symptoms create distress for their family caregivers.
To determine the frequency of delirium in older people attending two adult day centers (ADC) in the United States and identify the extent to which delirium symptoms were associated with family caregivers' mental health symptoms, and ways of coping with the older adults' care.
A descriptive, cross-sectional design was used. Thirty older adults and their family caregivers were randomly selected from the rosters of the ADC.
Only 6.7% of the older adults had a positive screen for delirium. The majority of family caregivers (96.6%) stated that they had no knowledge of delirium prior to participating in this study.
Both older adults and their family caregivers need education about delirium symptoms and risks.

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Keywords

ADC
 
adult day centers
 
community dwelling older adults
 
costly
 
Delirium
 
delirium symptoms
 
descriptive
 
family caregivers
 
family caregivers' mental health symptoms
 
older adults
 
older adults' care
 
older people
 
positive screen
 
previous studies
 
risks
 
rosters
 
studies address
 
terminally ill patients
 
United States
 

Margaret J Bull