Family Caregivers Of Elderly Research Articles

一過疎農山村における家族介護者の老人介護と農業両立の意味に関する記述的研究

一過疎農山村における家族介護者の老人介護と農業両立の意味に関する記述的研究

Telecommunication interventions for caregivers of elders with dementia.

Caregiver Interventions via Telecommunications (CIT) is designed for family caregivers of elders with dementia. Building on Riegel's dialectical theory of human development, the authors argue that psychotherapeutic interventions, made highly accessible by telecommunication technology, assist caregivers to achieve positive developmental outcomes. Specific components of CIT are described, and an outline for a structured protocol is provided. Advantages, disadvantages, and future directions of telecommunications therapy are discussed.

Study on the Relationship of 'Sekentei' to Utilization of Health, Social and Nursing Services,and Care Burden for Family Caregivers of the Impaired Elderly

Study on the Relationship of 'Sekentei' to Utilization of Health, Social and Nursing Services,and Care Burden for Family Caregivers of the Impaired Elderly

American Indian Family Caregivers' Perceptions of Burden and Needed Support Services

American Indian families are frequently the primary providers of long-term care for functionally dependent elders. In spite of the rapid growth in the numbers and needs of older American Indians, little is known about the experiences and perceived needs of their informal caregivers. This study used focus groups with family caregivers of frail elders from 5 tribes to elicit caregivers' views of their situation and needed support services. Findings revealed a strong cultural mandate to provide elder care despite the lack of access to essential long-term care services. Major sources of caregiver burden included anxiety about managing in-home medical care, problems in dealing with psychosocial aspects of care, strains on family relations, and negative effects on personal health and well-being. Desired services identified by these caregivers included caregiver training and support groups, enhanced care coordination, adult day care and respite. Cultural considerations in developing these services are discussed.

Well-Being of Caregivers of Spouses with Parkinson's Disease

This study examined the relationship among stages of Parkinson's disease (PD), elderly care receivers' physical and social functioning, and spousal caregivers' physical, social, psychological, and economic well-being. The nonrandom, convenience study sample comprised 30 spousal caregivers of elderly individuals diagnosed with PD; all attended group support sessions. Findings indicated a statistically significant linear relationship between stages of PD and care receivers' functional ability and between care receivers' functional and social ability and caregivers' hours of caregiving. Caregivers' health was associated with diminished physical functioning of care receivers. Caregivers' age, years of marriage, and educational level were associated with their social, psychological, and financial well-being. The main implication for nursing practice is that elderly family caregivers must be included in mutually developed care plans; they are at high risk for diminished well-being because of the time and energy involved in providing needed care.

Three-track care: Older patient, family member, and physician in the medical visit

When older patients come to medical appointments accompanied by a family member, patterns of interaction ensue that reflect uncertainties about the capabilities and responsibilities of each person in this triad. In this study, ongoing discourse from 40 transcribed medical visits with an elderly patient, family caregiver, and physician were analyzed. Interactive behaviors that support patient self care capabilities and those that support dependency are identified and described, and patterns of interaction related to the patients' cognitive or sensory impairments are explored. The presence of a family member at an older patient's medical visit—in combination with the authoritarian traditions of medical care, assumptions about frailty and aging, and true impairment—appears to trigger behaviors that marginalize the patient and that are supportive of dependent self care. Behaviors that support independent self care are less evident. An awareness of this tendency toward dependent supportive interactions may enable physicians, family members, and patients to change this pattern, breaking the cycle of increasing dependence and supporting instead the patient's adult independent status in the clinic setting.

The Relationship between Burdens and Stress Symptoms of Family Caregivers of the Demented Elderly

The Relationship between Burdens and Stress Symptoms of Family Caregivers of the Demented Elderly

Elder Care as Family Labor

This research indicates that gender differences in the performance of specific caregiving tasks and the amount of time spent providing care by family caregivers of frail elders should be considered in the context of family position-related norms and expectations. Using a nationally representative sample of noninstitutionalized impaired elderly people in the United States ( N = 813), the results show that husbands (when compared to wives) and daughters (when compared to sons) report spending more time and performing a greater number of caregiving tasks. The authors suggest that family position may confound interpretations regarding the association between gender and family caregiving.

A comparison of elderly family caregivers' and noncaregivers' perceptions of stress in daily experiences

Interactive factors of stress were examined by comparing a group of elderly family caregivers to a control goup of noncaregiving peers. The groups were compared on their perceptions of positive and negative aspects of daily activities as well as on the relationship between these perceptions and psychological symptoms. A daily experience list, the RUCHL (Routines, Uplifts, Challenges, and Hassles List), and the HSCL (Hopkins Symptom Checklist) were administered to each respondent. A buffering effect of positive experiences did not emerge; positive scores did not interact with negative scores, nor did they interact with group membership in predicting overall psychological symptoms. Caregivers rated greater negative impact in everyday experiences than did noncaregivers, whether or not experiences directly related to caregiving were included. The ratings of positive impact were higher than for negative impact and were similar in both groups. Negative impact scores predicted psychological symptoms for both groups, whereas positive impact scores did not.