Carers and caring Flashcards

1
Q

What is the definition of caring?

A
  • Displaying kindness and concern for others
  • the work or practise of looking after those unable to care for themselves
  • Can be:
    • paid or unapid
    • non contractual or contractual
    • private or public
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2
Q

Who are carers?

A
  • Paid carers include staff who work with people in residential care homes, in day centres and who provide personal care in someones home.
  • Unpaid carers provide care by looking after an ill, frail or disabled family member, friend or partner.
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3
Q

What are the statistics around caring in the UK?

A
  • 6.5 million carers –> 10% of adult population!
  • 58% female, 42% male
  • 50-59 peak age
  • Increasing number are over 65 years
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4
Q

What are the statistics around caring and ethnicity?

A
  • Evidence that there are a smaller proportion of black and ethnic minority population that white providing unpaid care
  • BUT if age is controlled for, they are more likely to be providing care
  • Less likely to identify as carers
  • B % EM more likely than white carers to be caring
  • have less access to financial and practical services
  • report lack of culturally app. services
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5
Q

What are the stats of LGBT carers?

A
  • no official data but estimated 400,000 LGBT carers in UK
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6
Q

What are the statistics on caring in the future?

A
  • Projected that over the next 30 years increase to 10 mill carers
  • 3/ 5 people will be carers at some point in their lives
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7
Q

LO: Main kinds of support that unpaid carers provide

What are the carers caring for?

A
  • Mental health conditions (13%)
  • dementia (10%)
  • physical disability (58%)
  • older age grops and frail (14%)
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8
Q

Who are carers caring for?

A
  • In third of cases for a parent
  • 20% cases for spouse/ partner
  • 13% cases for a child
  • Then friends/ neighbours/ parents in law/ other relatives/ grandparent
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9
Q

LO: Main kinds of support that unpaid carers provide

What do carers do?

A
  • Practical help
  • Keeping an eye on the person cared for and keeping them company
  • Taking cared person for outings
  • helping with paperwork/ financial matters
  • Dealing with care services and benefits
  • personal care
  • Physical help
  • Medicines
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10
Q

What are the financial implications of caring?

A
  • Estimated care worth of £57-100 BILLION per YEAR –> comparabel to total spending on the NHS!
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11
Q

Why might someone not identify as a carer?

A
  • The care role/ experience of caring is willingly accepted by many carers
  • Therefore carers may not identify as a “carer”, their role is normalised
  • They may miss out on support
  • Important for us as Drs to identify if someone is providing care
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12
Q

LO: Why some people may not use the term ‘carer’ i.e. advantages and disadvantages of using the term

Why might the term “carer” not be used?

Why might it be used?

A
  • Advantages of “carer” term:
    • Identify need and therefore services
    • Recognition of work and contribution of carers
    • sense of identity –> more likely to attend support groups
  • Disadvantages of “carer” term:
    • Only seen in terms of being a carer
    • locked into a role they did not want
    • prefer to define themselves as a son/ daughter/ mother etc
    • Undermines person being cared for
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13
Q

What are the overarching impacts of caring?

A
  • Financial
  • Work
  • relationships and social exclusion
  • health
  • education (young carers)
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14
Q

What are the impacts of caring on work and finances?

A
  • Lower incomes and higher costs (laundry, heating bills etc)
  • Third of carers struggle to make ends meet
  • Half report cutting back on esssentials
  • Third report having given up a job to care for someone
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15
Q

What are the effects of caring on relationships and social exclusion?

A
  • Difficulty accessing holidays, leisure pursuits and social activities
  • May be harder to maintain relationships and social networks
  • May get few or no breaks from caring responsibilites
    • individuals cared for by relatives are less likely to receive services
    • black and minority ethnic carers less likely to receive practical support
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16
Q

What are the impacts of caring on health?

A
  • May have poorer mental and physical health than non carers (72% reported mental health poorer and 61% physical ill health as a result).
  • Evidence that caring for a child with limiting long term illness/ disability increases risk of parent developing LLTI/disability
  • Injuries due to manual handling and lack of time to care for own health
17
Q

What financial support is available to carers?

A
  • Financial support –> carers allowance of £64/ week if caring for at least 35 hours for a patient on disability allowance and not earning more than £120/ week
  • Carer premium payable with a means tested benefits
  • Carer’s assessment: Care act (2014) gives local authorities a resonsibility to assess an adult carer’s own needs for support
18
Q

What are the stats on young carers?

A
  • 166,000 between ages 5-18years (12 average age)
  • BME x1.5 likely to be carers
  • 13,000 give 50+ hours of care p/week
  • Child/ Young Person care to: Parent, Sibling, Relative
19
Q

What are the impacts of caring on young people?

A
  • Absence from school
  • lower educational attainment
  • behavioural problems and bullying
  • social exclsuions and isolation
  • stress
  • physical health problems
  • traumatic life changes
  • poverty
  • lack of support and benefits
20
Q

What support is there for young people?

A
  • Social services –> legal entitlements
  • Since April 2015 social worker from local authority must visit to carry out a young carer’s needs assessment
  • School
  • young carers projects
21
Q

What is the young carers project?

A
  • Young carers project provides:
    • Most importantly helps family find support they need and are entitled to from lcal services to reduce childs caring responsibilites
      • Opportunities for young carers to take a break from their caring, spend time with other carers and share experiences
  • May also:
    • Support young carers to use local services e.g. sports clubs/ support groups/ health centres
    • provide advice and emotional support through counselling and drop in sessions
    • Liasing with schools so teachers can better support students
    • Provide opportunities for young carers to learn more about their parents illness or disability
22
Q

What is the role of Drs in supporting carers?

A
  • Identify whether someone has caring responsibilites when discussing their helath
  • provide responsive health care for carer and person cared for
  • Consider the carer when planning patient care and discharge, involve carer n all stages
  • carer and patient have assessment prior to discharge
  • families/ friends have choice on whether to take on caring
  • Give early info about rights and entitlements
  • Signposting carers to services
23
Q

What are some key ways of improving health and wellbeing of carers?

A
  • Better access to social care
  • better social security benefits for carer and person cared for
  • Carer friendly employment policies
  • increased awareness of services for:
    • BME groups
    • Child carers
24
Q
A