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Negative Studies Should Inform Our Research and Care: Engaging Family Members in the Care of the Critically Ill

ICU delirium is a deleterious and pervasive complication of critical illness, occurring in up to 80% of ICU patients ([1]). The reader should conclude from the study by Fiest et al ([11]) that, at this time, the family administered delirium screening tools FAM-CAM and Sour Seven should not replace intensivist administered CAM-ICU or ICDSC. We should understand that the diagnosis of delirium is difficult even with medical training; the recognition of acute delirium may be best identified through individuals most familiar with the patient, albeit with some tools and training.

Sat, 12/12/2020 - 12:07

Supporting family caregiver engagement in the care of old persons living in hard to reach communities: A scoping review

Today, 8.5% of the world's population is 65 and over, and this statistic will reach 17% by 2050 (He et al., U.S. Census Bureau, international population reports, P95/16‐1, An ageing world: 2015, U.S., 2016). They are the people who, with increasing age, will find themselves more closely interfacing with the national health system, which in many countries shows strong imbalances between rural and urban areas. In this context, a fundamental role is played by the relatives who find themselves becoming informal caregivers to compensate for lack of services.

Mon, 02/03/2020 - 11:52