Lecture 2 - Caregiving Flashcards
What is person-centered care
Put the person first and collaborate with them on their medical decisions and what is best for their own health and interests
What are 3 aspects of the PCR model
- The person-professional dyad
- Respectful of and tailored to the person beyond individualized interventions for the patient
- Reflexive and adaptive to the situation at hand, not script-based
- Nurtures a supportive relationship—compassionate, trustful, and caring
- Focused on meanings, hope, and strengths—beyond addressing deficits
- Collaborative, empowering, and enabling coconstructed rehabilitation
2. The microsystem level - Inclusive of significant others
- Articulated through a PCR team
- Delivered in a welcoming and secure environment
3. The macrosystem level - Inclusive of persons and staff in service design, evaluation, and improvement
- Creating the context for person-centeredness
- Organized for continued, coordinated, and tailored services
What are the barriers to person-centered care in PT
What are facilitators of person-centered care in PT
What are the impacts of person-centered care
Describe patient and caregiver partnering
Caregivers fall into what 2 categories
- Formal (paid): regulated/unregulated HCP
- Informal (unpaid): Spouse, family member, friend, neighbour, volunteer
What are sandwich/dual caregivers
Caring for both children and care-dependent adults at the same time
Describe gender differences with care
- Women were more likely than men to be caregivers and be sandwich caregivers
- Women are more likely to provide personal care and emotional support
- Men perform more household and outdoor maintenance tasks
- Transportation and finances are evenly split between women and men
What is the caregiver burden
the level of multifaceted strain perceived by the caregiver from caring for a family member and/or loved one over time
What are the attributes of caregiver burden
self-perception, multifaceted strain, and over time.
What are the antecedents of caregiver burden
insufficient financial resources, multiple responsibility conflict, lack of social activities.
What are the consequences of caregiver burden
decreased care provision, decrease in quality of life, physical and psychological health deterioration.
What is the mental health impact on caregiving
- Tired
- Anxious
- Overwhelmed
- Poor sleep
- Women more likely than men to feel this way
Who is most likely to be distressed as caregivers?
- Caregivers who have to provide more support and need greater assistance
- Caregivers who have to care for a person with communication difficulties or behavioural problems
- Caregivers wo live with the person receiving care
Describe caregiver burnout
“A state of physical, emotional and mental exhaustion. […] may be accompanied by a change in attitude, from positive and caring to negative and unconcerned [for the well-being of the care recipient].”
What are important factors to consider about caregiving
- Include support for caregiver in plan
- Offer opportunities to speak to caregiver alone
- Offer educational resources to caregiver
- Remember the caregiver is not a patient so do not treat them but if injured due to unsafe transfers you can reeducate them
What are different self-management models
- Stanford - peer led
- Finders Program - person-centered
- The 5A Model - structured approach
- Motivational Interviewing - flexible approach
- Health Coaching - interactive
Self-management requires
- Knowledge of the condition and its management
- Creating a plan in partnership with the entire team and shared decision making
- Monitoring and managing the condition as well as its impact on daily life
- Lifestyle changes focused on prevention and early intervention
- Access to services and confidence to use/advocate for
