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Navigating Delirium Superimposed on Dementia: Family Care Partners' Experiences and Needs
Priyanka Shrestha1, Donna M Fick2
1George Washington University School of Nursing, Ashburn, Virginia.
Journal of Gerontological Nursing
|December 17, 2025
Summary
Family care partners need better education and support for managing delirium superimposed on dementia (DSD). Understanding their experiences can improve caregiver confidence and well-being.
Area of Science:
- Gerontology
- Dementia Care Research
- Family Caregiving Studies
Background:
- Delirium superimposed on dementia (DSD) presents unique challenges for family care partners (FCPs).
- Limited understanding exists regarding the specific needs and preferences of FCPs managing DSD.
- Effective support strategies are crucial for FCP well-being and care quality.
Purpose of the Study:
- To explore the lived experiences of FCPs caring for individuals with DSD.
- To identify FCPs' needs for education, support, and resources.
- To inform the development of targeted interventions for DSD caregivers.
Main Methods:
- Qualitative descriptive study design.
- Data collection through demographic surveys and semi-structured interviews with 16 FCPs.
- Thematic analysis to identify key patterns and themes in FCP experiences.
Main Results:
- Five emergent themes: Emotional Strain, Adaptive Challenges, Navigating Support Systems, Stabilizing Strategies, and Knowledge Gaps.
- FCPs experience significant emotional strain and adapt to daily shifts in DSD symptoms.
- Challenges include navigating support, communication, and a lack of knowledge on how best to assist.
Conclusions:
- FCPs require enhanced education and support to manage DSD effectively.
- Clinician-led training and accessible community resources are vital.
- Improving caregiver confidence and dyadic well-being is a key outcome.
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