title: Delirium in older adults attending adult day care and family caregiver distress.
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.
  
  
  OBJECTIVE
  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.
  
  
  METHODS
  A descriptive, cross-sectional design was used. Thirty older adults and their family caregivers were randomly selected from the rosters of the ADC.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  Both older adults and their family caregivers need education about delirium symptoms and risks.
authors.affiliation: Marquette University, College of Nursing, Milwaukee, WI 53201-1881, USA. margaret.bull@marquette.edu
authors.forename: Margaret J
authors.initials: MJ
authors.lastname: Bull
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D000342:Affective Symptoms / Q000453:epidemiology* / Q000523:psychology*; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D003631:Day Care, Medical / Q000523:psychology* / Q000706:statistics & numerical data*; D003693:Delirium / Q000453:epidemiology / Q000451:nursing / Q000523:psychology; D005190:Family / Q000523:psychology*; D005192:Family Health; D005851:Geriatric Nursing / Q000379:methods; D006266:Health Education / Q000379:methods; D006801:Humans; D008875:Middle Aged; D012307:Risk Factors