caregiver
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Introduction
A person who provides direct support for a disabled individual, usually in the home.
Epidemiology
- spouses & adult daughters are most often primary caregivers.
- ambulatory disability has the highest prevalence rate in adults > 65 years (22%) thus assistance with ambulation & climbing stairs* is the most likely activity where a caregiver is needed[1] (see disability)
* this would assume she has stairs in her home or in her out-of-home activities
Notes
- caregiver burden is a stronger predictor of institutionalization than patient characteristics[1]
- the presence of a daughter is a strong predictor of continued community living[1]
- improving the confidence & comfort of the caregiver is as important as maximizing function of a demented patient in maintaining effective home-based care[2]
- caregiver support has a positive impact on
- caregiver burden
- caregiver depression & impact on daily lives, behaviors[3]
- caregiving frustration[3]
- caregiver support group of benefit[5]
- caregiver support does not effect
- caregiver general health
- time spent providing care[3]
- caregiver support may delay institutionalization of dementia patients (1.5 years) without increasing caregiver burden[1][7]
- depression common among caregivers of patients discharged from the ICU after mechanical ventilation[5]
- high risk for depression in 67% of caregivers at 1 week, & 43% at 1 year
- a caregiver succession plan should be in place if patient likely to outlive caregiver
More general terms
More specific terms
Additional terms
References
- ↑ 1.0 1.1 1.2 1.3 1.4 Geriatrics Review Syllabus, American Geriatrics Society, 5th edition, 2002-2004
Geriatric Review Syllabus, 9th edition (GRS9) Medinal-Walpole A, Pacala JT, Porter JF (eds) American Geriatrics Society, 2016
Geriatric Review Syllabus, 11th edition (GRS11) Harper GM, Lyons WL, Potter JF (eds) American Geriatrics Society, 2022 - ↑ 2.0 2.1 Gitlin LN et al. A biobehavioral home-based intervention and the well-being of patients with dementia and their caregivers: The COPE randomized trial. JAMA 2010 Sep 1; 304:983. PMID: https://www.ncbi.nlm.nih.gov/pubmed/20810376
- ↑ 3.0 3.1 3.2 3.3 Nichols LO, Martindale-Adams J, Burns R, et al. Translation of a dementia caregiver support program in a health care system--REACH VA. Arch Intern Med 2011; 171(4):353-359. PMID: https://www.ncbi.nlm.nih.gov/pubmed/21357811
Widera E, Covinsky KE. Invited Commentary: Fulfilling Our Obligation to the Caregiver: It's Time for Action: Comment on "Translation of a Dementia Caregiver Support Program in a Health Care System--REACH VA" Arch Intern Med 2011;171(4):359-360. PMID: https://www.ncbi.nlm.nih.gov/pubmed/21357812
Glasgow RE. Invited Commentary: A model program for a devastating disease: Important content and methods issues in translating research into practice: Comment on "Translation of a Dementia Caregiver Support Program in a Health Care System-REACH VA". Arch Intern Med 2011; 171(4):360-361. PMID: https://www.ncbi.nlm.nih.gov/pubmed/21357813 - ↑ Chu H, Yang CY, Liao YH, Chang LI, Chen CH, Lin CC, Chou KR. The effects of a support group on dementia caregivers' burden and depression. J Aging Health. 2011 Mar;23(2):228-41 PMID: https://www.ncbi.nlm.nih.gov/pubmed/20847363
- ↑ 5.0 5.1 5.2 Cameron JI et al One-Year Outcomes in Caregivers of Critically Ill Patients. N Engl J Med 2016; 374:1831-1841. May 12, 2016 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/27168433 <Internet> http://www.nejm.org/doi/full/10.1056/NEJMoa1511160
- ↑ Cassie KM, Sanders S. Familial caregivers of older adults. J Gerontol Soc Work. 2008;50 Suppl 1:293-320. Review. PMID: https://www.ncbi.nlm.nih.gov/pubmed/18924398
- ↑ 7.0 7.1 Mittelman MS, Haley WE, Clay OJ, Roth DL. Improving caregiver well-being delays nursing home placement of patients with Alzheimer disease. Neurology. 2006 Nov 14;67(9):1592-9. PMID: https://www.ncbi.nlm.nih.gov/pubmed/17101889
- ↑ Herrera JR et al Caring for the Alzheimer Caregiver First During COVID-19 Ann Longterm Care. 2020;28(4):9-10 Not indexed in PubMed https://www.managedhealthcareconnect.com/articles/caring-alzheimer-caregiver-first-during-covid-19
- ↑ Gupta A The Caregiver. N Engl J Med 2020; 383:2404-2405. Dec 17 PMID: https://www.ncbi.nlm.nih.gov/pubmed/33314872 https://www.nejm.org/doi/full/10.1056/NEJMp2001881
- ↑ Keiro Senior Health Care Benefits of a Support Group for Caregivers http://www.keiro.org/caregivers-support-group
- ↑ Caring for Someone with Alzheimer's: NIH Senior Health http://nihseniorhealth.gov/alzheimerscare/toc.html