Gagliese, LuciaCarbone, Vanessa Luisa2024-03-182024-03-182024-03-16https://hdl.handle.net/10315/41857Healthcare workers (HCWs) rely on behavioural cues to judge pain in older adults with cancer and delirium. This study identified HCW factors associated with pain judgments about older patients with advanced cancer who are cognitively intact or have delirium, including the hypoactive, hyperactive, and mixed subtypes. Fifty-three HCWs with experience in pain-related specialties were interviewed on their experiences regarding pain judgments about this patient population. The Cancer Pain and Delirium Scale (CPDS) was used to score each interview transcript for reported pain cues for each patient group. Backward regression models found that age, discipline, specialty, years of experience in palliative oncology or geriatrics, percentage of older patients cared for per month, and pain catastrophizing each contributed to at least one of the models for CPDS INT, DEL, HYPO, and HYPER. These results support the biopsychosocial model of pain and aging and highlight the influence HCW factors have on pain assessments.Author owns copyright, except where explicitly noted. Please contact the author directly with licensing requests.OncologyHealth sciencesKinesiologyElectronic Thesis or Dissertation2024-03-16PainDeliriumDelirium subtypesHypoactive deliriumHyperactive deliriumMixed deliriumCancerAdvanced cancerHealthcare workersHCWsHealthcare professionalsHCPsEnd-of-life carePalliative careOncologyAgingOlder adultsOlder patientsPain assessmentPain judgmentPain managementObservational measureObservational pain scaleObservational pain measureCancer Pain and Delirium ScalePain cuesPain behavioursRegression analysisMultivariable regression analysisQualitative-quantitative content analysisQualitativeQuantitativeContent analysisMixed-methodsSemi-structured interviewsBiopsychosocialBiopsychosocial model of pain and agingHealthcare worker factorsHCW factors