title: Delirium in advanced cancer: a psychoeducational intervention for family caregivers.
abstract: Delirium, a global brain dysfunction, develops frequently in advanced cancer. It is a leading source of distress for family caregivers. Following recommendations from palliative care professionals and caregivers for terminally ill cancer patients, a psychoeducational intervention was implemented in a palliative care hospice to help family caregivers cope with delirium and, eventually, to contribute to early detection. Prior to receiving information on delirium, the majority of the family caregivers did not know what it was or that it could be treated. Few knew that patients in terminal care could become delirious. For caregivers, receiving the intervention increased their confidence they were making good decisions, and the majority felt that all family caregivers should be informed on the risk of delirium (p < 0.009). A specific intervention on delirium, tailored to the needs of the family caregivers, seems beneficial for caregivers and for patients.
authors.affiliation: Faculté de pharmacie, Université Laval, Centres de recherche en cancérologie, Université Laval Robert-Giffard, L'Hôtel-Dieu de Québec (CHUQ), Maison Michel-Sarrazin, Québec, Canada.
authors.forename: Pierre
authors.initials: P
authors.lastname: Gagnon
authors.forename: Cécile
authors.initials: C
authors.lastname: Charbonneau
authors.forename: Pierre
authors.initials: P
authors.lastname: Allard
authors.forename: Colette
authors.initials: C
authors.lastname: Soulard
authors.forename: Serge
authors.initials: S
authors.lastname: Dumont
authors.forename: Lise
authors.initials: L
authors.lastname: Fillion
mesh_terms: D000223:Adaptation, Psychological; D000368:Aged; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D017028:Caregivers / Q000193:education* / Q000523:psychology*; D003693:Delirium / Q000209:etiology* / Q000517:prevention & control*; D005190:Family / Q000523:psychology*; D005260:Female; D017144:Focus Groups; D006266:Health Education / Q000379:methods* / Q000592:standards; D007722:Health Knowledge, Attitudes, Practice; D006701:Home Nursing / Q000193:education* / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000150:complications*; D010174:Pamphlets; D015397:Program Evaluation; D036301:Qualitative Research; D012307:Risk Factors; D013664:Teaching Materials / Q000592:standards; D013727:Terminal Care / Q000379:methods