University of Limerick Institutional Repository

Delirium superimposed on dementia: a quantitative and qualitative evaluation of informal caregivers and health care staff experience

DSpace Repository

Show simple item record Morandi, Alessandro Lucchi, Elena Turco, Renato Morghen, Sara Guerini, Fabio Santi, Rossana Gentile, Simona Meagher, David Voyer, Philippe Fick, Donna Marie Schmitt, Eva M. Inouye, Sharon K. Trabucchi, Marco T. Bellelli, Giuseppe 2018-11-12T16:09:06Z 2018-11-12T16:09:06Z 2015
dc.description peer-reviewed en_US
dc.description.abstract Objective—Delirium superimposed on dementia (DSD) is common and potentially distressing for patients, caregivers, and health care staff. We quantitatively and qualitatively assessed the experience of informal caregiver and staff (staff nurses, nurse aides, physical therapists) caring for patients with DSD. Methods—Caregivers’ and staff experience was evaluated three days after DSD resolution (T0) with a standardized questionnaire (quantitative interview) and open-ended questions (qualitative interview); caregivers were also evaluated at 1-month follow-up (T1). Results—A total of 74 subjects were included; 33 caregivers and 41 health care staff (8 staff nurses, 20 physical therapists, 13 staff nurse aides/health care assistants). Overall, at both T0 and T1, the distress level was moderate among caregivers and mild among health care staff. Caregivers reported, at both T0 and T1, higher distress related to deficits of sustained attention and orientation, hypokinesia/psychomotor retardation, incoherence and delusions. The distress of health care staff related to each specific item of the Delirium-O-Meter was relatively low except for the physical therapists who reported higher level of distress on deficits of sustained/shifting attention and orientation, apathy, hypokinesia/psychomotor retardation, incoherence, delusion, hallucinations, anxiety/fear. The qualitative evaluation identified important categories of caregivers ‘and staff feelings related to the delirium experience. Conclusions—This study provides information on the implication of the experience of delirium on caregivers and staff. The distress related to DSD underlines the importance of providing continuous training, support and experience for both the caregivers and health care staff to improve the care of patients with delirium superimposed on dementia. en_US
dc.language.iso eng en_US
dc.publisher Elsevier en_US
dc.relation.ispartofseries Journal of Psychosomatic Research;79 (4), pp. 272-280
dc.rights This is the author’s version of a work that was accepted for publication in Journal of Psychosomatic Research. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Journal of Psychosomatic Research, 2015, 79 (4), pp. 272-280, en_US
dc.subject delirium superimposed on dementia en_US
dc.subject caregivers’ experience en_US
dc.subject stress en_US
dc.title Delirium superimposed on dementia: a quantitative and qualitative evaluation of informal caregivers and health care staff experience en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.identifier.doi 10.1016/j.jpsychores.2015.06.012
dc.contributor.sponsor National Institute on Aging en_US
dc.relation.projectid R01AG044518 en_US
dc.relation.projectid K07AG041835 en_US
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US
dc.internal.rssid 1598992

Files in this item

This item appears in the following Collection(s)

Show simple item record

Search ULIR


My Account