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1.  Developing Guidelines on the Assessment and Treatment of Delirium in Older Adults at the End of Life 
Background and Purpose
Delirium at the end of life is common and can have serious consequences on an older person’s quality of life and death. In spite of the importance of detecting, diagnosing, and managing delirium at the end of life, comprehensive clinical practice guidelines (CPG) are lacking. Our objective was to develop CPG for the assessment and treatment of delirium that would be applicable to seniors receiving end-of-life care in diverse settings.
Using as a starting point the 2006 Canadian Coalition for Seniors’ Mental Health CPG on the assessment and treatment of delirium, a team of palliative care researchers and clinicians partnered with members of the original guideline development group to adapt the guidelines for an end-of-life care context. This process was supported by an extensive literature review. The final guidelines were reviewed by external experts.
Comprehensive CPG on the assessment and treatment of delirium in older adults at the end of life were developed and can be downloaded from
Further research is needed on the implementation and evaluation of these adapted delirium guidelines for older patients receiving end-of-life care in various palliative care settings.
PMCID: PMC3516346  PMID: 23251311
Delirium; end of life; evidence-based practice; guidelines; older adults; palliative care
2.  Factors that influence engagement in collaborative practice 
Canadian Family Physician  2007;53(8):1318-1325.
To generate hypotheses regarding factors that might influence engagement in collaborative practice.
Qualitative study using in-depth interviews.
Participants interviewed each other in dyads. The pairing was based upon geographical location and proximity to each other.
Eight professionals from the disciplines of medicine, nursing, occupational therapy, physical therapy, and massage therapy.
Semistructured interviews, lasting 30 to 45 minutes each, were recorded and transcribed verbatim. The transcripts were read by all research team members using independent content analysis for common words, phrases, statements, or units of text for key themes. At a subsequent face-to-face meeting, the team used an iterative process of comparing and contrasting key themes until consensus was reached. The transcripts were then analyzed further for subthemes using NVivo software.
Initial findings suggest that some common characteristics grounded in family history, school experiences, social interactions, and professional training might influence collaborative practice choices. The narrative form of the interview broke down interpersonal and interprofessional barriers, creating a new level of trust and respect that could improve professional collaboration.
This study suggests that life experiences from childhood into later adulthood can and do influence professional choices.
PMCID: PMC1949257  PMID: 17872847

Results 1-2 (2)