Lecture 2 - Caregiving Flashcards

1
Q

What is person-centered care

A

Put the person first and collaborate with them on their medical decisions and what is best for their own health and interests

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2
Q

What are 3 aspects of the PCR model

A
  1. 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
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3
Q

What are the barriers to person-centered care in PT

A
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4
Q

What are facilitators of person-centered care in PT

A
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5
Q

What are the impacts of person-centered care

A
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6
Q

Describe patient and caregiver partnering

A
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7
Q

Caregivers fall into what 2 categories

A
  1. Formal (paid): regulated/unregulated HCP
  2. Informal (unpaid): Spouse, family member, friend, neighbour, volunteer
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8
Q

What are sandwich/dual caregivers

A

Caring for both children and care-dependent adults at the same time

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9
Q

Describe gender differences with care

A
  • 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
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10
Q

What is the caregiver burden

A

the level of multifaceted strain perceived by the caregiver from caring for a family member and/or loved one over time

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11
Q

What are the attributes of caregiver burden

A

self-perception, multifaceted strain, and over time.

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12
Q

What are the antecedents of caregiver burden

A

insufficient financial resources, multiple responsibility conflict, lack of social activities.

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13
Q

What are the consequences of caregiver burden

A

decreased care provision, decrease in quality of life, physical and psychological health deterioration.

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14
Q

What is the mental health impact on caregiving

A
  • Tired
    • Anxious
    • Overwhelmed
    • Poor sleep
    • Women more likely than men to feel this way
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15
Q

Who is most likely to be distressed as caregivers?

A
  • 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
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16
Q

Describe caregiver burnout

A

“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].”

17
Q

What are important factors to consider about caregiving

A
  • 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
18
Q

What are different self-management models

A
  • Stanford - peer led
    • Finders Program - person-centered
    • The 5A Model - structured approach
    • Motivational Interviewing - flexible approach
    • Health Coaching - interactive
19
Q

Self-management requires

A
  • 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