title: Chronic grief management for dementia caregivers in transition: intervention development and implementation.
abstract: Research reveals that Alzheimer's disease (AD) caregivers do not relinquish their role after placing a family member in long-term care. Caregivers report increased emotional upset around the time of placement, with sustained losses over time leading to chronic grief. Chronic grief increases caregivers' risk for depression and suicide. There are no documented interventions designed to decrease caregivers' chronic grief post placement. The Chronic Grief Management Intervention (CGMI) builds on existing evidence to target caregivers' chronic grief in the transition of a family member into long-term care. The intervention is structured into three major components: (a) knowledge, (b) communication and conflict resolution skills, and (c) chronic grief management skills. The 12-week intervention was pilot tested with 34 caregivers for feasibility and preliminary effects on caregiver skill, knowledge, chronic grief, and depression. This article presents a general study description while focusing on the development and implementation of the CGMI.
authors.affiliation: Rush University College of Nursing, Chicago, IL, USA. olimpia_paun@rush.edu
authors.forename: Olimpia
authors.initials: O
authors.lastname: Paun
authors.forename: Carol J
authors.initials: CJ
authors.lastname: Farran
mesh_terms: D017028:Caregivers / Q000523:psychology*; D003704:Dementia / Q000451:nursing*; D006117:Grief; D006801:Humans
references.citation: Am J Psychiatry. 2004 May;161(5):850-6
references.pmid: 15121650
references.citation: Gerontologist. 2002 Jun;42(3):356-72
references.pmid: 12040138
references.citation: Nurs Adm Q. 2000 Spring;24(3):64-77
references.pmid: 10986933
references.citation: Health Soc Work. 1996 Nov;21(4):247-54
references.pmid: 8911956
references.citation: J Am Geriatr Soc. 2008 Mar;56(3):421-8
references.pmid: 18179495
references.citation: Nurs Res. 2004 Mar-Apr;53(2):76-86
references.pmid: 15084992
references.citation: Gerontologist. 2001 Oct;41(5):658-70
references.pmid: 11574711
references.citation: JAMA. 2004 Aug 25;292(8):961-7
references.pmid: 15328328
references.citation: Psychiatr Clin North Am. 2005 Dec;28(4):1007-38, x
references.pmid: 16325738
references.citation: Health Soc Work. 2005 Nov;30(4):287-95
references.pmid: 16323720
references.citation: Gerontologist. 1990 Oct;30(5):583-94
references.pmid: 2276631
references.citation: Gerontologist. 2002 Dec;42(6):751-65
references.pmid: 12451156
references.citation: Res Gerontol Nurs. 2010 Apr;3(2):89-99
references.pmid: 20415358
references.citation: N Engl J Med. 2003 Nov 13;349(20):1936-42
references.pmid: 14614169
references.citation: Res Nurs Health. 2001 Dec;24(6):470-80
references.pmid: 11746076
references.citation: JAMA. 1999 Dec 15;282(23):2215-9
references.pmid: 10605972
references.citation: J Adv Nurs. 2000 Nov;32(5):1187-95
references.pmid: 11115004
references.citation: J Am Geriatr Soc. 1999 Feb;47(2):203-14
references.pmid: 9988292
references.citation: Gerontologist. 2007 Dec;47(6):798-809
references.pmid: 18192633
references.citation: J Gerontol Nurs. 1999 Feb;25(2):14-21
references.pmid: 10347433
references.citation: Suicide Life Threat Behav. 2004 Winter;34(4):350-62
references.pmid: 15585457
references.citation: Am J Geriatr Psychiatry. 2008 Aug;16(8):664-73
references.pmid: 18669945
references.citation: Gerontologist. 2001 Aug;41(4):462-73
references.pmid: 11490044
references.citation: Am J Geriatr Psychiatry. 2007 Sep;15(9):780-9
references.pmid: 17804831
references.citation: Gerontologist. 1998 Aug;38(4):499-503
references.pmid: 9726137
references.citation: Death Stud. 1997 Sep-Oct;21(5):501-14
references.pmid: 10175165