Caregivers Of Elderly People Research Articles

Youth perceptions toward managing elderly care among low-income household families using the My-Elderly-Care-Skills Module.

Caregivers of elderly people need the right education and empowering skills to manage their own health needs and the elderly people they care for. The study aimed to explore youth perceptions of the My-Elderly-Care-Skills Module intervention and its perceived feasibility. This study involved youth respondents (18-30 years old) from low-income households who are accountable to providing care for independent older people (60 years or above) living in the same house. A qualitative study using a case study design was used to assess youth perceptions based on the content of the My-Elderly-Care-Skills module, by focusing on its implementation usage and usefulness for the care of the elderly. A total of 30 youths voluntarily participated in the online training workshop during the COVID-19 pandemic movement restriction order period. There were multiple sources of data, such as video recorded on reflection of care given at home, text messages in a WhatsApp group, and in-depth interviews during small group online meetings. Data were recorded and transcribed verbatim for common themes before a theme analysis was conducted. Inductive content analysis was performed after the saturation point was met. Thematic analysis derived two domains of feasibility: operational and technical feasibility. There were three themes under operational practicality (improving awareness, addressing the caregiving skills needs, and seeking resources for knowledge) and three themes for technical practicality (easily used and informative, skill in effective communication, and program fulfillment). It was verified that it is feasible for young caregivers of the elderly to participate in the My-Elderly-Care-Skills training intervention as it helps in improving knowledge and skills performance in managing and caring for the elderly.

Migrant women caregivers' experiences in end-of-life formal care.

To describe and understand the experience of Latin American migrant women as caregivers of elderly people in situations of advanced illness and end of life. Qualitative study using Gadamer's hermeneutic phenomenology. Data were collected in 2019 through 9 semi-structured interviews with Latin American women caregivers, who had cared for people at the end of life, in the Province of Granada (Spain). Two themes emerged: "Migrant caregiver at the end of life" and "And now, what should I do?": the impact of the loss at the economic, emotional and labor level. Care during the end of life of the cared person generates an additional overload to the situation of migrant women. The experience of this stage is related to the bond with the persons cared and their families, which may affect the development of complicated grief and personal problems related to the loss of employment and the absence of economic support.

CONTRIBUIÇÕES DO CUIDAR EM HUMANITUDE DURANTE A PANDEMIA EM UMA INSTITUIÇÃO PARA IDOSOS EM PORTUGAL

ABSTRACT Objective: to identify the contributions of the Humanitude Care Methodology in the comprehensive care provided to the elderly in a long-term care institution during the COVID-19 pandemic. Method: a qualitative, exploratory and descriptive research study. Data collection took place through individual online interviews in September and October 2020 with eight caregivers of elderly people from a long-term care institution for aged people in Portugal. Thematic categorization was adopted for analysis and treatment of the information. Results: the contributions of the Humanitude Care Methodology contemplated operationalization of the humanization of care, that is, approach, consolidation, professionalization of the relationship, and intentionality in the interaction. It also contemplated the organizational system with changes in care and opening to the outside and, finally, contributions to aged people such as acceptance of the care provided, decrease in agitation, promotion of autonomy and self-care, respect, satisfaction and promotion of verticality. Conclusion: the strategies related to the Humanitude Care Methodology facilitate the care practices during the COVID-19 pandemic period. Although organizational and operational matters of the care provided were altered, it was possible to maintain comprehensive care for aged people, due to the fact that the principles of Humanitude were already integrated in the institution's care practices.

Equilíbrio trabalho-família entre cuidadores de idosos: uma revisão sistemática

Abstract Introduction Active workers may experience role conflict when trying to reconcile work and caregiving activities with elderly family members. Objective To carry out a systematic review of empirical research on work-family balance among caregivers of the elderly. Method Scopus, PubMed, Scielo, BVS, Web of Science and PsycInfo databases were consulted to identify research published from 2015 to 2020. Results 20 articles were identified and categorized as follows: 1. Caregivers of elderly people with dementia and cancer; 2. Gender; 3. Sandwich Generation and Baby Boomers; and 4. Individual and collective coping strategies. It was highlighted that there are specificities in the work-family balance that can favor both positive and negative spillovers; therefore, they must be considered in the planning of individual and collective strategies. Conclusion In order to favor work-family balance, the choices between work and family responsibilities should be studied, as well as expanding this narrow framework through the analysis of aspects involving gender, biography, cultural norms, social values, economic aspects and political solutions available to these workers.

Asian-American Caregivers: Factors That Influence Caregiver Burden

Abstract Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. This study surveyed 101 Asian-American caregivers of elderly people on factors that influence perceived caregiver burden. Spirituality was found to be a statistically significant predictor of caregiver burden. Furthermore, mental health help-seeking attitudes were negatively correlated with caregiver burden. This research informs OTs of the value of incorporating spirituality and mental health education with family caregivers to provide holistic, culturally competent services. Primary Author and Speaker: Yan-hua Huang Additional Authors and Speakers: Ciara Nagao, Kelsey Michelle Santos, and Madison Werchowsky

What You Believe Can Affect How You Feel: Anger Among Caregivers of Elderly People With Dementia.

Background and Purpose: Anger has been recognized as a commonly experienced emotion among caregivers of elderly people with dementia. While several cognitive behavioral therapy (CBT)-based intervening methods have been developed, limited research has systematically examined the associations between dementia-related cognition and caregiving anger. Currently, we focused on three representative and well-studied cognitive constructs, person-centered attitude (PCA), dementia representation (DR), and empathy, exploring how they related to caregiving anger.Methods & Results: In total, 327 caregivers (239 female) participated in the study and finished online questionnaires. Multi-variable regression analyzes showed that PCA (βPCA = −0.22**) and empathy (βempathy = −0.18**) could negatively predict caregiving anger. However, all DR dimensions had no influence on caregiving anger except coherence (βcoherence = −0.24**) in the current study.Conclusion: Generally, lower caregiving anger was associated with: (1) being more empathic; (2) having a person-centered attitude; and (3) having a comprehensive understanding of dementia. The results of this study provide detailed suggestions for the development of anger management programs for caregivers of people with dementia.

Stress and its contribution to the development of depression symptoms are reduced in caregivers of elderly with higher educational level

Caregivers of elderly people with neurodegenerative diseases are highly vulnerable to stressful situations and mood disorders due to their work conditions. Stress has been associated with an increased risk of developing depression, and studies have supported that caffeine consumption can act as an independent protective factor for disorder. This study investigated indexes of stress and depression symptoms in caregivers of the elderly with neurodegenerative diseases, their caffeine intake and the association between stress and depressive symptoms with the salivary biomarkers cortisol, nitric oxide and DNA damage. Participants (n = 81) were recruited from the community between July 2018 and April 2019. Stress was assessed using Lipp’s Inventory of Stress Symptoms, and depressive symptoms were measured using the Hamilton Depressive Rating Scale. Participants provided a 72-hour recall of their diet to measure caffeine intake. Saliva samples were used to measure cortisol and nitric oxide. DNA damage was measured through micronuclei frequency after swabbing on the buccal mucosa. The majority of caregivers displayed stress and depressive symptoms. Stress was associated with educational level, tobacco use and total DNA damage. The indexes found in this population were not associated with caffeine intake or other salivary biomarkers, indicating that only some salivary molecules could be used as biomarkers for stress-related disorders. Caregivers of the elderly are exposed to stressful situations daily, however, we observed that educational level can reduce the psychological symptoms of stress and thus reduce the negative impact on quality of life.

Meaning of aging for caregivers of senile elderly people.

to understand the meaning of aging for caregivers of senile elderly people. qualitative study carried out with 12 caregivers of elderly people registered in the Home Care Service, adopting the Explanatory Model of Kleinman's Disease as a theoretical framework. Data were collected from April to June 2019, through semi-structured, audio-recorded interviews, carried out at home and submitted to content analysis. taking care of senile elderly people triggers reflections on aging that sometimes lead to a new meaning of this process, besides stimulating the recognition of the factors that influence it, with emphasis on the life history, occupation and deleterious behaviors adopted throughout life. the care experience influences the meaning attributed to aging, favoring: the identification of modifiable and non-modifiable aspects and behaviors that make it healthy; reflection on aging itself, with a new meaning of habits and behaviors to be adopted.

Development and Validity Evaluation of Oral Care Protocols used by Caregivers for Elderly People in Facilities

Development and Validity Evaluation of Oral Care Protocols used by Caregivers for Elderly People in Facilities

Burnout syndrome in healthcare professionals who care for elderly people with Alzheimer’s

Objective: Identify what is the burnout syndrome, how it affects professionals, what are its symptoms, what is the role of nursing in the face of this syndrome. Methods: This study is a bibliographic search, where information was extracted from the MEDILINE and SCIELO database. With the following descriptors: Alzheimer, Burnout and Elderly. Articles were selected between the years 2009 to 2013. We excluded all those that were not related to the proposed theme. Results: Burnout syndrome or professional exhaustion syndrome is a type of occupational and institutional stress, constituting one of the main occupational diseases in the world with a predilection for health professionals, education and assistance services. Inducing physical and psychological illness, compromising the lives of these professionals and the result of their work (COSTA, 2009). Bunourt’s syndrome affects caregivers in a very subtle and insidious way, the symptoms of this syndrome are diverse and can be divided into four levels: Physical health level, emotional level, psychic level, behavioral level (GUSMÃO et al., 2010). Nursing should contribute to preventive measures where it is possible to better understand how the syndrome starts and how it evolves over time, thus allowing it to act early in preventive actions (PEREIRA, 2013). Conclusion: There is a need to seek alternatives and expand studies related to minimizing factors that predispose to the appearance of burnout syndrome in caregivers of elderly people with Alzheimer’s.

Validação de tecnologia educacional em saúde sobre “terapia nutricional enteral domiciliar” para cuidadores de idosos

Objetivo: Descrever processo de validação de conteúdo e aparência de uma cartilha de orientações para cuidadores de idosos em terapia nutricional enteral domiciliar (TNED). Método: Estudo metodológico em quatro etapas: aprovação em comitê de ética em pesquisa, levantamento bibliográfico, elaboração de cartilha e validação por especialistas do material por especialistas no assunto. Participaram da validação 10 especialistas do curso de nutrição das instituições de ensino superior de Teresina – PI. Considerou-se o Índice de Validade de Conteúdo (IVC) mínimo de 0,78 e a concordância mínima de 75% para validação de aparência. Resultados: O conteúdo e aparência da cartilha foram validados com IVC de 0,95 pelos juízes e nível de concordância excelente (80% - 100%), caracterizados como nutricionistas, mestres e/ou doutoras com atuação em educação em saúde e experiência prática, pesquisa e publicação em uma das áreas de interesse do estudo. Os juízes contribuíram com sugestões que foram acatadas para melhorias da cartilha em sua versão final. Conclusão: A cartilha foi validada em conteúdo e aparência, se constituindo em um instrumento relevante e de fácil utilização em ações de educação em saúde realizadas, em especial, por profissionais da Estratégia Saúde da Família junto aos cuidadores de idosos em TNED.

Influência da personalidade de cuidadores familiares de idosos com Alzheimer na funcionalidade familiar

Objetivo: verificar existência de associação entre traços de personalidade do cuidador de idoso com demência e funcionalidade familiar. Método: estudo seccional com a participação de 118 cuidadores de idosos com demência em dois serviços de geriatria. Foram investigadas as seguintes variáveis: funcionalidade familiar (escala de APGAR de família); sociodemográficas; comprometimento cognitivo do idoso (escala GDS); traços de personalidade do cuidador (inventário NEO-FFI-R); sobrecarga (inventário de sobrecarga de Zarit); sintomas depressivos (escala CES-D). A regressão beta e a modelagem de caminho foram usadas para verificar a hipótese de influência destas variáveis sobre a funcionalidade familiar. Resultados: A regressão beta apontou um modelo preditivo no qual as variáveis “não dividir o cuidado”, “comprometimento cognitivo do idoso”, “sintomas depressivos do cuidador” e “conscienciosidade” influenciam a funcionalidade familiar. A modelagem de caminho mostrou que os traços de personalidade dos cuidadores influenciam fortemente sobrecarga e sintomas depressivos. Conclusão: O estudo contribuiu para ressaltar a importância de aprimorar a assistência ao cuidador do idoso com demência. Os resultados apontam para a necessidade de estudos de intervenção que considerem a personalidade, o apoio familiar e a saúde psicológica do cuidador, visando a elaboração de protocolos específicos e mais eficazes.

Personalidade e Autocuidado de Cuidadores de Idosos: estudo transversal

Objetivo: Analisar a relação existente entre os traços de personalidade e o autocuidado em cuidadores familiares de idosos com Alzheimer. Métodos: Estudo transversal, com 118 cuidadores familiares de idosos com Alzheimer, participantes de dois centros Centro de Atenção à Saúde do Idoso no período de maio a dezembro de 2015. Resultados: 38,1% dos cuidadores apresentaram neuroticismo baixo; 46,6% apresentaram extroversão média; 45,8% apresentaram abertura média; 36,4% apresentaram amabilidade alta e 40,7% dos cuidadores apresentaram conscienciosidade alta. Mensuração da escala Appraisal of Self Care Agency Scale-Revised - ASA-R - fator “Tendo Poder”- média de 4,07/desvio padrão 0,81; “Desenvolvendo Poder”- média de 4,17/desvio padrão de 0,63 e “Faltando Poder”- média 2,81/desvio padrão 1,11, evidenciando maior variação. Houve influência significativa e negativa do Neuroticismo sobre o fator “Faltando Poder”. Conclusão: Faz-se necessário conhecer o perfil, os traços de personalidade e a valoração específica da escala de autocuidado em suas dimensões para direcionar a assistência.

A importância da interatividade para idosos com demências através das tecnologias da informação

Este trabalho é um projeto de extensão que surgiu da importância dos cuidados desenvolvidos para idosos com demenciais e emergiu das preocupações crescentes com as estratégias e ações de saúde através das tecnologias da informação. Possui como objetivo descrever a interatividade de uma tecnologia da informação e comunicação sobre o idoso com demência. É um estudo qualitativo, descritivo, tipo relato de experiência, do projeto de extensão desenvolvido na Escola de Enfermagem através da Pró-Reitoria de Extensão da Universidade Federal Fluminense. Esta tecnologia interativa proporciona a divulgação e discussões relevantes sobre orientações sobre a necessidade de suporte a família e cuidadores de idosos com demências fomentando pesquisas relevantes que resultam em benefícios a esta clientela. Esta tecnologia enquanto ferramenta educativa permite estabelecer a troca de conhecimentos, de forma interativa, eficaz e rápida, considerando o familiar/cuidador como atuante neste processo de cuidado através de planejamento contínuo.

Genderowe wizerunki opiekunów i opiekunek na łamach tygodników „Polityka” i „Do Rzeczy”. Analiza porównawcza

Za sprawą procesów globalizacyjnych następują dynamiczne przeobrażenia w społeczeństwie polskim wpływające na sposób pełnienia przez kobiety i mężczyzn roli opiekuna. Jednym ze sposobów socjologicznej eksploracji zjawiska opieki są przekazy medialne, w tym popularne tygodniki opinii, wskazujące na funkcjonujące wzorce społeczne i kulturowe. Zasadniczym celem niniejszego artykułu jest analiza porównawcza genderowych wizerunków opiekunów i opiekunek przedstawionych na łamach dwóch tygodników opinii – „Polityki” i „Do Rzeczy” – obejmująca w obu przypadkach lata 2013–2018. Termin „wizerunek” będzie tutaj rozumiany jako proces społecznego konstruowania świata w taki sposób, aby nadać mu znaczenie. Główną techniką badań stała się ilościowa i jakościowa analiza zawartości. Wyodrębniono cztery kategorie opiekunów: opiekunów dzieci niepełnosprawnych, opiekunów dzieci zdrowych, opiekunów osób starszych oraz przedstawicieli personelu medycznego. Zauważono, że najwięcej tekstów odnosiło się do tych sprawujących opiekę nad dziećmi niepełnosprawnymi i zdrowymi. Wyniki analizy porównawczej wskazują, że przyjęta przez tygodniki linia ideologiczna ma zasadniczy wpływ na sposób ukazywania kobiet i mężczyzn w roli opiekunów. W przypadku „Polityki” dostrzeżono tendencję do akcentowania podmiotowości kobiet opiekunek i angażowania ojców w proces wychowawczy, natomiast na łamach „Do Rzeczy” podkreślono szczególną rolę matki, która dla kobiety powinna stać się rolą priorytetową.

The Impact of an Educational Support Program on Formal Caregivers of Elderly People with Dementia in the Institutional Context

With the aging of the population and the increase of social services tackling their needs, it has been increasing the concern about the qualifications of formal caregivers, with the aim of continuous improvement of the quality of the services they provide to the elderly. The goal of this study is to evaluate the impact of an educational support program on formal caregivers of elderly people with dementia in an institutional context. It follows a quasi-experimental design where the 97 formal caregivers that have participated in the study came from two different institutions. They were randomly selected to participate in an educational support program on dementia, with two groups formed: a control group and an experimental group. Pre and post-training tests were used to evaluate knowledge and perceptions about dementia in old age. Findings suggest that the impact of the educational support program has improved knowledge and perceptions about dementia in old age among formal caregivers.

The labor market in gerontological nursing in Brazil.

to analyze the development of the labor market in Gerontological Nursing in Brazil, between 1970 and 1996. a descriptive-qualitative study with a historical approach that uses the oral history of 14 research nurses working in the historical period, based on the ideas of Eliot Freidson. Nursing overcame barriers to change the care practices to elderly people in the period described, considering the lack of a specific labor market; the need for theoretical knowledge for Gerontology care; the scarcity of research and researchers in the field; the emergence of caregivers for elderly people; the construction of multidisciplinarity and the transformation of institutions for a long-term stay. the expansion of the labor market at the time was grounded on advances on the production of knowledge of the aging process, supported by the demographic transition, that determined the increase in the demand by elderly people for health services and the enactment of specific laws protecting this population.

Patterns of use of time by family caregivers of elderly persons with dementia

Abstract Objectives: to describe patterns of use of time in family caregivers of elderly people with dementia, considering the characteristics of the caregivers, the care recipients and the context. Method: Fifty family caregivers of elderly people with intermediate and high levels of physical and cognitive disability participated in an interview about time spent on obligatory care activities over four periods of six hours during a 24-hour period. In addition, a questionnaire about social activities, scales of physical and cognitive functionality of the elderly and an inventory of burden in the family caregivers were applied. Results: 88.0% of the caregivers were women, with a mean age of 57.9 (±11.2) years; 45.92% of the time of the caregivers was used in care activities, 36.92% in discretionary activities, 31.17% in recuperation, and 25.67% in the obligatory activities of the life of the caregiver. The greater the dependence, the longer the care, the less time for self-care and greater the caregivers’ subjective burden. Conclusion: The level of dependence of elderly persons affected by dementia results in an increase in caregiving time and competes with other activities performed by the caregiver. Reorganization of the use of time by family caregivers and provision of formal support can reduce the caregiving burden and benefit the well-being of caregivers.

Multiple roles and subjective well-being of middle-aged women who are caregivers of elderly people in Chile

ABSTRACTWomen who fulfill many roles, particularly caregivers who fulfill other social responsibilities, risk their well-being. Using a nationally representative sample, we studied the association between being a caregiver to elderly people, performing other social roles, and subjective well-being in middle-aged women in Chile. Using ordinary least squares models, we found that being a caregiver was negatively associated with life satisfaction, which significantly decreased if the caregiver was also head of household. Economic and health conditions were also related to well-being. Thus, policies that improve the living conditions of the elderly and mitigate the role overload experienced by caregivers are important.

Challenges and technologies of care developed by caregivers of patients with Alzheimer's disease

Abstract Objective: to identify the challenges and technologies of care developed by caregivers of patients with Alzheimer's disease. Method: an exploratory study with a qualitative approach was carried out with nine caregivers of elderly people with Alzheimer's disease from the mutual help group of a university hospital in the south of Brazil. Data collection took place between May and August 2017 through a semi-structured interview. Content analysis was used to analyze the data. Results: two categories emerged from the analysis of the data: the challenges faced by caregivers of elderly people with Alzheimer's Disease and the care technologies developed by caregivers of elderly people with Alzheimer's disease. Conclusion: the study showed that the care strategies elaborated by the caregiver can enhance understanding, reflection and discussion among health professionals, caregivers and family members about quality care for the elderly and minimize the difficulties of care in order to provide greater quality of care for the elderly.