Evaluation of the memorial delirium assessment scale (MDAS) for the screening of delirium by means of simulated cases by palliative care health professionals

2007 ◽  
Vol 15 (11) ◽  
pp. 1271-1276 ◽  
Author(s):  
Nada Fadul ◽  
Guddi Kaur ◽  
Tao Zhang ◽  
J. Lynn Palmer ◽  
Eduardo Bruera
Keyword(s):  
Palliative Care ◽  
Health Professionals ◽  
Assessment Scale ◽  
Delirium Assessment ◽  
Care Health

Delirium and its consequences in the specialized palliative care unit: Validation of the Korean version of Memorial Delirium Assessment Scale

2018 ◽  
Vol 28 (1) ◽  
pp. 160-166 ◽  
Author(s):  
Beodeul Kang ◽  
Yu Jung Kim ◽  
Seung Wan Suh ◽  
Kyung-Lak Son ◽  
Grace S. Ahn ◽  
...  
Keyword(s):  
Palliative Care ◽  
Palliative Care Unit ◽  
Assessment Scale ◽  
Delirium Assessment ◽  
Korean Version ◽  
Specialized Palliative Care

A comparison of the revised Delirium Rating Scale (DRS–R98) and the Memorial Delirium Assessment Scale (MDAS) in a palliative care cohort with DSM–IV delirium

2014 ◽  
Vol 13 (4) ◽  
pp. 937-944 ◽  
Author(s):  
Roisin O'Sullivan ◽  
David Meagher ◽  
Maeve Leonard ◽  
Leiv Otto Watne ◽  
Roanna J Hall ◽  
...  
Keyword(s):  
Palliative Care ◽  
Rating Scale ◽  
Assessment Scale ◽  
Initial Assessment ◽  
Concordance Correlation ◽  
Delirium Assessment ◽  
Severity Scores ◽  
Dsm Iv ◽  
Common Items ◽  
Conversion Rules

AbstractObjective:Assessment of delirium is performed with a variety of instruments, making comparisons between studies difficult. A conversion rule between commonly used instruments would aid such comparisons. The present study aimed to compare the revised Delirium Rating Scale (DRS–R98) and Memorial Delirium Assessment Scale (MDAS) in a palliative care population and derive conversion rules between the two scales.Method:Both instruments were employed to assess 77 consecutive patients with DSM–IV delirium, and the measures were repeated at three-day intervals. Conversion rules were derived from the data at initial assessment and tested on subsequent data.Results:There was substantial overall agreement between the two scales [concordance correlation coefficient (CCC) = 0.70 (CI95 = 0.60–0.78)] and between most common items (weighted κ ranging from 0.63 to 0.86). Although the two scales overlap considerably, there were some subtle differences with only modest agreement between the attention (weighted κ = 0.42) and thought process (weighted κ = 0.61) items. The conversion rule from total MDAS score to DRS–R98 severity scores demonstrated an almost perfect level of agreement (r = 0.86, CCC = 0.86; CI95 = 0.79–0.91), similar to the conversion rule from DRS–R98 to MDAS.Significance of results:Overall, the derived conversion rules demonstrated promising accuracy in this palliative care population, but further testing in other populations is certainly needed.

Spiritual dimension in palliative care from the perspective of Thai palliative caregivers

2020 ◽  
Vol 26 (2) ◽  
pp. 70-74
Author(s):  
Pilaiporn Sukcharoen ◽  
Nanchatsan Sakunpong ◽  
Kantita Sripa
Keyword(s):  
Palliative Care ◽  
Health Professionals ◽  
Terminally Ill ◽  
Self Awareness ◽  
Terminally Ill Patients ◽  
Care Health ◽  
To Receive ◽  
Further Development ◽  
Depth Interviews

Background: In Thailand, most terminally ill patients die in hospital and are looked after by health professionals. Terminally ill patients tend to receive physical care only, while in the main, spiritual care is neglected. This study aimed to explore spirituality in palliative care health professionals and spiritual leaders in the Thai Buddhist context. Method: In this qualitative case study, seven experienced palliative caregivers took part in in-depth interviews. Thematic analysis and a trustworthiness process were used to analyse the data. Findings: Three themes emerged: (1) the ability for self-awareness and faith; (2) acceptance and compassion for others; and (3) spiritual behaviour while nursing. Conclusion: The results revealed the meaning of spirituality and the necessary characteristics for spirituality in palliative care for the participants, which could serve as a basis for further development.

Family caregivers voice their needs: A photovoice study

2014 ◽  
Vol 13 (3) ◽  
pp. 701-712 ◽  
Author(s):  
Jennifer Angelo ◽  
Richard Egan
Keyword(s):  
Palliative Care ◽  
Family Member ◽  
Family Caregivers ◽  
Health Professionals ◽  
Medication Management ◽  
Physical Demands ◽  
Care Services ◽  
Palliative Care Services ◽  
Care Health ◽  
Photovoice Methodology

AbstractObjective:Caregivers often are unprepared for their role yet serve as the frontline in the provision of palliative care services. The aim of our study was to explore family caregivers' experiences from their perspective as they cared for dying relatives.Method:Using the Photovoice methodology, ten unpaid family caregivers took photographs depicting issues they experienced as informal caregivers of an ill family member who had less than a year to live. Each participant met with the first author individually four to six times and explained their role as caregiver through photographs and stories.Results:The results were clustered into seven themes: physical demands, emotional/spiritual stress, preparing for the future, securing help, medication management, navigating the agencies, and relationships.Significance of results:Caregivers perform a variety of tasks, often under stress. This study highlights the main areas where problems lie and the areas that palliative care health professionals need to be aware of so they can assist and educate caregivers, with the goal of finding solutions to the burdens of care. The themes were found to be intertwined, showing the complexity of the caregiving role.

scholarly journals Validity and Reliability of the Memorial Delirium Assessment Scale‐Thai Version (MDAS‐T) for Assessment of Delirium in Palliative Care Patients

2019 ◽  
Vol 25 (2) ◽  
Author(s):  
Watanachai Klankluang ◽  
Panate Pukrittayakamee ◽  
Wanlop Atsariyasing ◽  
Arunotai Siriussawakul ◽  
Pratamaporn Chanthong ◽  
...  
Keyword(s):  
Palliative Care ◽  
Assessment Scale ◽  
Validity And Reliability ◽  
Delirium Assessment

scholarly journals A pilot study of interprofessional palliative care education of medical students in the UK and USA

2017 ◽  
Vol 8 (1) ◽  
pp. 67-72 ◽  
Author(s):  
Amy Gadoud ◽  
Wei-Hsin Lu ◽  
Lisa Strano-Paul ◽  
Susan Lane ◽  
Jason W Boland
Keyword(s):  
Palliative Care ◽  
Medical Student ◽  
Medical Students ◽  
Health Professionals ◽  
Teaching Experience ◽  
Interprofessional Team ◽  
Care Education ◽  
Palliative Care Education ◽  
Care Health ◽  
The Uk

BackgroundEducating medical students to care for patients at the end-of-life is increasingly recognised as an essential component of training. Traditionally, medical student programmes are run by doctors, but patient care is delivered by an interprofessional team. Our programmes in the UK and USA independently developed a teaching experience led by an interprofessional team of palliative care health professionals.ObjectivesThis study explores the palliative care health professionals’ perceptions, regarding their unique role in medical student palliative care education.MethodsThis is the first study to ascertain views of an interprofessional team delivering palliative care education to medical students. Focus groups enable interaction between members of the group as well as the generation of consensus of comments among group members.ResultsTwo major themes were identified: perceived benefits and value of the experience, and the challenges and lessons learnt from the experiences.ConclusionsDespite different structures and settings, this experiential learning in palliative care provided a rewarding interprofessional experience that has historically been difficult to achieve.

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