Family Caregivers of Older People Flashcards
What makes us age differently?
- genetics
- who we are
- (a lifetime of): where we live
- our health behaviour
- our access to health care
Public Health Framework for Healthy Ageing
- healthy aging does not mean aging without disease
- on average capacities will decline with age
- interaction with environemt will enable functioning (declining vision makes us getting glasses)
Public Health Framework for Healthy Ageing three groups:
- high and stable capacity
- declining capacity
- significant loss of apacity
Functional ability is interaction between intrinsic capacity and interaction with environment
Healthy ageing and long-term care
those that need long term care do belong to the third group: significant loss of capacity
Percentage of the population with a limitation in one or more of five basic activities of daily living (ADL)
Generally, developed countries seem to have a percentage of 10-30% some developing countries (South Africa, Russi, India: 30-80%)
Focus of Long-Term Care on:
Peoples’ needs
Focus on trajectory of functional ability
Not merely taking over, but stimulating to do as much possible themselves
Not only focusing on meeting older people’s basic needs for survival, but also people’s abilities:
- to move around,
- to build and maintain relationships,
- to learn,
- grow and decide,
- and to contribute to their communities
People have the right and deserve the freedom to realize their continuing aspirations to well-being, meaning and dignity, and a good life, even in the event of significant loss in intrinsic capacity.
Long-term Care
Can be delivered in a range of settings:
- at home
- communities
- hospitals
- care homes
Can be delivered by a range of caregivers:
- Family,
- friends,
- volunteers,
- paid help,
- professionals
- Paid or unpaid
- Trained or untrained
Can be financed through different mechanisms
LTC-systems: Current Global Situation
Many countries rely almost entirely on families
- Challenge is to start from scratch
Some countries (JP, NL) have well established systems
- Generous set of services
- Mandatory insurance schemes,
- tax revenues,
- own contributions
Challenge is continuous improvement (f.i. integration) and sustainability
Dementia (Who is affected?)
The majority of people with dementia are cared for at home
Family and friends provide most of the care (alzheimers disease)
Gender inequity:
Informal caregivers are mostly females
Impact of care on health caregivers
Psychological distress:
- feelings of burden, perceived stress, depressive symptoms, symptoms of anxiety
- Physical problems
- Financial problems
Carers report of the impact of caring on their health, by WHO Region (alzheimers disease) ….online survey
Caregiving stress model (pearlin et al., 1990) Important note
large stressor is problematic behaviour or behavioural changes in people with dementia, these behaviours are especially difficult for caregivers
Agreement that there are adequate community services by WHO Region (% agree
most caregivers dont believe there are adequate services in their communities around the world
Psychoeducation: dementia glasses
https://www.dementiebril.nl/
Corona mortality rate in china (N=44,672)
