assessed for quality. Data was analyzed using the con- stant comparison method and coded. Thematic anal- ysis was used to develop themes. Results: The state of the literature related to caregivers of persons with advanced HF can be divided into six key areas a) undertaking a journey in a state of flux, b) gain- ing strength, c) forgetting oneself along the way, d) seeking out sources of support, e) preparing for end of life, and f) finding closure. Priorities for future research include exploring the experience of bereavement and the development of effective caregiver interventions. Conclusions: The findings of this review provide a comprehensive description of the challenges that caregivers of person with advanced HF experience. This enhanced understanding can be used as a basis for development of targeted interventions that meet the care needs of this population. The results of this integrative review also uncovered gaps that need be addressed by researchers in the future. P089 Measuring Family Caregiver Preparedness for Death in Dementia: A Review of Existing Tools Pamela Durepos 1,2 , Sharon Kaasalainen 1 , Tamara Sussman 3 , Noori Akhtar-Danesh 1 , Jenny Ploeg 1 1 McMaster University, Hamilton, ON, Canada 2 Hamilton Health Sciences Corporation, Hamilton, ON, Canada 3 McGill University, Montr  eal, QC, Canada Objectives: Advance care planning (ACP) aims to help family caregivers (CG) prepare for end-of life (EOL) in dementia. Little is known however, about the adequacy of existing tools to measure preparedness domains/ traits described in the ‘Theoretical Framework of Pre- paredness for EOL’ by Hebert and colleagues. This limits the evaluation of ACP effectiveness. Thus, this study aimed to evaluate the adequacy of multi-dimen- sional tools to measure CG preparedness for death. Methods: A search of six databases was conducted for articles from 1960-2017. Articles reported the use, development/evaluation of tools measuring do- mains/traits of CG preparedness for death (e.g., med- ical, practical, cognitive, affective) described in the ‘Theoretical Framework’. Tools were extracted from articles and screened for inclusion criteria: (a) tar- geted family members or CGs; and/or (b) focused on EOL; (c) persons with dementia reported as care recipients; and (d) sampled at least 75% of prepared- ness domains/traits described in the ‘Theoretical Framework’. Tools meeting inclusion criteria were evaluated for adequacy. Results: Authors extracted 464 tools from 931 cita- tions. Eight (n¼8) tools were retained for evaluation. Included tools were not developed to measure CG pre- paredness for death. Limited content sampled (n¼5) included: (a) affective traits, coping through death acceptance/avoidance, and (b) practical tasks, completing funeral arrangements. Strengths included consistent sampling (n¼8) of: (a) cognitive traits, coping through information/support-seeking, (b) psy- chosocial relationships, and (c) reporting of psycho- metrics. Overall, analyzed tools were not adequate measures of CG death preparedness. Conclusion: Measuring CG death preparedness could provide insight into the effectiveness of ACP interven- tions. However, researchers/providers should recognize content limitations in existing tools, and potential influ- ences on the validity of inferences. Future work will include the development of a multi-dimensional tool to assess CG death preparedness conceptually based on the ‘Theoretical Framework’, to be used as an outcome measure of ACP effectiveness. P090 Support for Family Caregivers in Specialized Palliative Care: A Cross- sectional Survey Study Maarten Vermogen 1 , Aline De Vleminck 1 , Kathleen Leemans 1,2 , Lieve Van den Block 1 , Chantal Van Audenhove 3 , Luc Deliens 1 , Joachim Cohen 1 1 Vrije Universiteit Brussel and Ghent University, Brussels, Belgium 2 University hospital of Brussels, Brussels, Belgium 3 University of Leuven, Lieve, Belgium Background/aims: Family caregivers are the main pro- viders of end-of-life care. Practical and emotional sup- port from healthcare providers addressing their various needs may help to support their caregiving role and reduce or prevent some of the burden and negative consequences of caregiving at the end of life. This study aims to evaluate to what extent bereaved family caregivers of persons supported by palliative care services have received adequate infor- mation, support and aftercare and whether their eval- uation varies with patient characteristics, type of palliative care service and length of enrolment. Methods: A national cross-sectional survey was con- ducted in Flanders among the prime family caregivers (n ¼ 1,504) of persons who had died under the guid- ance of a specialized palliative care service. Respon- dents were recruited through 3 mobile palliative home care teams, 17 palliative care units and 14 palli- ative support teams in hospitals between November 2014 and May 2016. e92 Vol. 56 No. 6 December 2018 Selected Abstracts