Ch 35: Family Caregiving

Question 1

nurses responsibilities in family care of older adults

Answer 1

• Understand family structures, roles, and relationships
• Identify family members
• “Persons fulfilling significant family functions”
• Don’t have to be biologically related

Question 2

family roles for the older adults

Answer 2

-decision-maker
-caregiver
-deviant
-dependent
-victim
-negative roles and positive roles

Question 3

role of decision maker

Answer 3

makes decisions; assumes responsibility; consulted
for problem-solving

Question 4

role of caregiver

Answer 4

provides direct care services; assist with personal care
and home management

Question 5

role of the deviant

Answer 5

“problem child”; scapegoat; people rescue this
person

Question 6

role of the dependent

Answer 6

relies on other family members

Question 7

roles of the victim

Answer 7

forfeits rights and could be
abused by the family

Question 8

exploring family dynamics and relationships

Answer 8

• How they feel about each other
• Manner of communication
• Attitudes, beliefs, and values
• Links with organizations and the community
• Skipped-generation households
• Sandwich generation households

Question 9

types of family assistance

Answer 9

• Cleaning
• Finances
• Socialization
• Transport
• ADLs
• Protecting
• Performing treatments
• Reminders
• Cooking and providing meals
• Healthcare decision making

Question 10

roles of the caregiver

Answer 10

advocate
nurse
consoler
helper
chef
companion
safety guard
merrymaker
stewart

Question 11

long distance caregiving

Answer 11

-For caregivers living more than 1 hour away
-Can help with coordinating local services, managing finances, respite care
-Nurses should help guide task to complete
-Consider the physical, emotional, social, and economic toll
-evaluate quality of care

Question 12

evaluating quality of care in long-distance caregiving

Answer 12

• Unannounced visits
• Local friends and neighbors to
  visit
• Monitor for unusual behavior

Question 13

nurses roles in long-distance caregiving

Answer 13

• Help guide tasks to complete
• Encourage discussion of feelings and seek support groups
• Guide family on selection of assisted care options

Question 14

Protecting the Health of the Older Adult and Caregiver

Answer 14

• Evaluate physical, emotional, and social health of caregivers
• Provide TLC
• Ask them how they are doing
• Middle-aged daughters at high risk
• Assess motivation and ability to perform care

Question 15

Providing TLC for protecting health

Answer 15

• Training in care techniques, resources, meds, etc.
• Leaving the care situation for respite and maintain of needs
• Caring for themselves with sleep, nutrition, exercise,
  support, stress reduction, health management, financial aid, socialization

Question 16

s/s of family dysfunction and abuse

Answer 16

• Less able to fulfill the physical, emotional, socioeconomic, and spiritual needs of family members
• Rigid in roles, responsibilities, and opinions
• Unable/unwilling to obtain and use help from others
• Composed of members with psychopathology or behavioral disorders
• Inexperienced or ineffective at managing crises
• Ineffective/inappropriate with their communication and
  behavior

Question 17

interventions for family dysfunction

Answer 17

• Collect a family history
• Identify factors related to family dysfunction and plan appropriately
• Facilitate open, honest communication
• Develop realistic goals
• Provide privacy for family
• Explain care outcomes, prepare for changes, and involve family
• Caregiver education and support
• Make family aware of support groups and self-help groups

Question 18

profiles of elder abuse

Answer 18

woman, disabled, >75, lives with relatives, dependent on others

Question 19

forms of elder abuse

Answer 19

infliction of pain/injury; withholding food, money, meds, care; confinement/restraint; theft; sexual abuse; verbal/emotional abuse; neglect; abandonment

Question 20

s/s of elder abuse

Answer 20

malnutrition,
FTT,
injuries,
oversedation,
unexplained financial problems,
depression

Question 21

Elder Mistreatment Assessment Instrument

Answer 21

• If suspected, assess degree of immediate danger and take appropriate action
• Then ongoing interventions to prevent further abuse
• Abuser could be distressed and have ineffective coping skills

Question 22

nursing strategies to assist family caregivers

Answer 22

1. Guide the family to view the situation realistically
2. Provide information that can assist in anticipating needs
3. Assess and monitor the impact of caregiving on
   the total family unit
4. Introduce and
   promote a review
   of care options
   * Various services
   * Continuum of care

Question 23

rewards of caregiving

Answer 23

• Love and richness
• Opportunities for relatives to learn about each other
• Obtain gratification