W4: caregiver stress Flashcards
which % persons with dementia are cared for by family members in their homes
75-80% of persons with dementia are cared for by family members in their homes
Who are the Care givers?
(Caregivers, Care Providers)?
*Anyone involved in the day to day care of the client:
Spouses (vợ chồng) Family members (live in with client or has the client live with them) Friends Neighbors Mostly female relatives Institutional caregivers Home care support caregivers
- Or a person who helps out in one or more ways:
- Personal care, helping around house, transportation, shopping, organizing care, gives psychosocial support, comes and visits, calls to see how things are going, assist with financial and or legal affairs
- Raising their own children and take care of their older family members – call the sandwich generation
- Have obligations outside the home – volunteer, fundraising, church, school
- Working full or part time •
Risk of Caregiving
stress-related illness
substance abuse
depression
premature death or deterioration in health
Decreased self-care
Decreased in taking care of own health
Strain on relationships – family, marital
What is Caregiver Stress?
The consequence of caring for an individual
The emotional and physical strain of caregiving
Affects women more than men (61% of caregivers are women).
Also known as:
-Caregiver burden
-Caregiver strain
-Caregiver burnout
What Causes Caregiver Stress?
-Practical: The physical strain/demands of giving care – injury to self -Behavioral: Emotional strain due to patient behaviour such as: agitation, incontinence, and aggression -Interpersonal: Changing role, relationship -Social: Loss of contact with friends (isolation)
What Causes Caregiver Stress?
Practical: injury to self
Behavioral: Emotional stress due to patient behavior
Interpersonal: Changing role, relationship
Social: Loss of contact with friends (isolation)
Who is most Likely to Experience Caregiver Stress?
Previous tendency to suffer stress
Inflexibility re: routine of patient
Excessive fastidiousness (khó tính)(excessively particular)
Reluctance (miễn cưỡng) to ask for or accept outside help
Lack of support
Lack of information
Signs of Caregiver Stress
Headaches; muscle tension
Digestive problems —> changes in eating patterns
Sleep disorders
Sexual difficulties
Teeth grinding (nghiến)
Obesity – overeating, no exercise
Worsening diabetes, cardiovascular, pulmonary complications
Worry, fear, anxiety, embarrassment
Anger, resentment, irritability, guilt
Depressed mood, pessimism, lack of caring
Decreased concentration and disorganization
Memory loss, confusion
Difficulty making decisions, decreased problem solving skills
Feelings of being overwhelmed
Frustration (thất vọng), crying, yelling, swearing, throwing things, blaming
Despair (tuyệt vọng), helplessness, grief, mourning
Loss of confidence
Lack of sleep
Nervous habits (pacing, fidgeting, nail-biting)
Smoking, drinking
—»> Depression and grief most common when client is placed in an institution
What are the result (consequence) of Caregiver Stress??
Higher risk of developing depression and anxiety
Stress affects the quality of care given
Patient abuse (elder abuse)
Barriers to Accepting Help for caregiver whose stressing?
Beliefs, attitudes (tháu độ)
Culture
Lifelong patterns and habits
Misconceptions (quan niệm sai lầm)
Negative “self-talk“ – we have never asked for help
Fear – robbery, don’t like someone knowing your business (embarrassment: bối rối)
What would be considered successful coping with the burden of caring?
Remaining flexible
Willingness to seek help and advice
Using problem focused strategies
Taking a step back from the situation when necessary
What can be done to reduce (lessen) caregiver stress?
self care Seeking professional help relaxation Getting assistance for care Using social and community resources Respite care if patient at home take those social, intellectual and social activities Support groups
Educating self Be honest about what you can and can’t do Having a plan of care communication – you can say no Be forgiving
