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      Delirium and the Family Caregiver: The Need for Evidence-based Education Interventions.

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          Abstract

          Delirium, an acute confusional state, is experienced by many older adults. Although there is substantial research on risk factors and etiology, we hypothesized that there is a dearth of information on educating the family caregivers of delirious older patients. A date-specific (2000-2013) literature review of articles, written in English, was conducted in several major databases using keyword searches. This systematic review focused on 2 objectives: (1) investigate published studies on the impact of delirium on the family regarding caring for a loved one; and (2) determine if there are interventions that have provided family caregivers with education and/or coping skills to recognize and/or manage delirium. A systematic elimination provided outcomes that met both objectives. Thirty articles addressed impact on family caregivers (objective 1); only 7 addressed caregiver education regarding the delirious state of a loved one (objective 2). Few studies consider the impact of delirium on family caregivers and even fewer studies focus on how to manage delirium in loved ones. With increased risks to older adult patients, high cost of care, and the preventable nature of delirium, family caregiver education may be an important tactic to improve outcomes for both patient and caregiver.

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          Author and article information

          Journal
          Gerontologist
          The Gerontologist
          Oxford University Press (OUP)
          1758-5341
          0016-9013
          Jun 2015
          : 55
          : 3
          Affiliations
          [1 ] Geriatrics Education and Research & Professor, University of New England College of Osteopathic Medicine, Biddeford, Maine.
          [2 ] Geriatrics Education and Research & Professor, University of New England College of Osteopathic Medicine, Biddeford, Maine. mgugliucci@une.edu.
          Article
          gnu035
          10.1093/geront/gnu035
          24847844
          b36909c1-2a3d-47b4-8e7f-1124d2f1fb83
          History

          Caregiver education interventions,Delirium and caregiver support,Delirium and family caregivers

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