Preparing Family Caregivers to Recognize Delirium Symptoms in Older Adults After Elective Hip or Knee Arthroplasty

Abstract

Delivery of a telephone-based intervention appears feasible. All family caregivers who began the program completed the four education modules. Future studies evaluating the effectiveness of the educational program should include a control group.

Family Identification of Delirium in the Emergency Department in Patients With and Without Dementia: Validity of the Family Confusion Assessment Method (FAM‐CAM)

“…In contrast, both the Steis and Martins teams offered intensive training for family caregivers that would not be practical in an ED setting . In the study by Bull et al, family caregivers were trained in the 3 weeks before their family memberʼs elective surgery, to increase their knowledge of delirium and the use of the FAM‐CAM . Another important distinction between our study and the previous validations of the FAM‐CAM was our double blinding of ratings of caregivers and research staff.…”

“…Similarly, among hospitalized older patients, Martins et al used the Portuguese version of the FAM‐CAM and observed high sensitivity (91%; 95% CI = 74%‐97%) and specificity (91%; 95% CI = 74%‐97%) against the CAM and against the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision , criteria (sensitivity = 75% [95% CI = 35%‐95%]; specificity = 86% [95% CI = 42%‐99%]) . Finally, in a study conducted by Bull et al among post–knee or hip surgery patients, a κ of 0.47 was observed between the FAM‐CAM and the CAM . The current study differs from these previous studies in several ways, in particular with regards to the training of family caregivers who completed the FAM‐CAM and the blinding of assessors.…”

Understanding the integration of family caregivers in delirium prevention care for hospitalized older adults: A case study protocol

“…The few researchers that have investigated the integration of family caregivers in care have underscored or evidenced that family caregivers can play a major role in preventing delirium (Bull et al, ; Martins, Conceição, Paiva, Simões, & Fernandes, ; Mitchell et al, ; Rosenbloom & Fick, ; Steis et al, ), particularly by handling certain aspects of care (e.g., comfort, orientation, reassurance). This collaboration has been found to be beneficial to family caregivers, who have reported a higher level of perceived support and respect from nurses (Al‐Mutair, Plummer, O'brien, & Clerehan, ; Mitchell, Chaboyer, Burmeister, & Foster, ).…”

“…The few researchers that have investigated the integration of family caregivers in care have underscored or evidenced that family caregivers can play a major role in preventing delirium (Bull et al, 2017;Martins, Conceição, Paiva, Simões, & Fernandes, 2014;Mitchell et al, 2017;Rosenbloom & Fick, 2014;Steis et al, 2012), particularly by handling certain aspects of care (e.g., comfort, ori-…”

“…The prevalence of delirium has been reported to be as high as 37% among people admitted to hospital and its incidence during hospitalization has been estimated at near 83% (American Psychiatric Association, ; Inouye, Westendorp, & Saczynski, ). The prevalence and incidence of delirium has been found to be particularly high in orthopaedic surgery wards (Bull et al, ; Sykes, ).…”