Introduction The study of Rapp and Chao (2000) aimed to understand the relationship between appraisals of strain and of gain and psychological wellbeing of family caregivers of dementia patients. The study addressed the gaps in the literature related to applying caregivers’ appraisals of strains and of gains to predict both negative and positive affect on caregivers’ wellbeing. Thus, Rapp and Chao (2000) proposed three hypotheses. First, the study hypothesized that the greater caregivers appraise their role strains, the higher negative affect (NA) they would experience on their psychological wellbeing and vise-versa. Second, the researchers predicted that the relationship between caregivers’ appraisals of strains and of gains and negative …show more content…
The introduction of the study, however, does not explain some concepts well. From the title of the article, Rapp and Chao (2000) emphasize the scope of the study as caregivers’ psychological wellbeing. During the introduction of the article, there is no specific conceptualization of the term “psychological wellbeing”, except for a brief mention that there are positive affect and negative affect related to psychological wellbeing. Likewise, in the third hypothesis, the researchers express an interest in understanding objective stressors without providing a definition of objective stressors. The lack of main concept explanation may mislead readers’ understandings in the next sections. Design and methods In the method section, Rapp and Chao (2000) present participants and interview procedures, measurement, and statistical procedures. Notably, the researchers did not explicitly explain their study design. No information about the design and the duration of the research project was noted. Regarding participants and recruitment procedure, the article proposes that 65 primary caregivers were recruited from three community-dwellings. Among them, 27 caregivers were from a university-affiliated dementia clinic, 25 from a local Alzheimer’s association, and 13 from the community. The inclusion criteria show that family caregivers who provide daily living assistance or instruction to an older
According to Kim, Chang, Rose, & Kim (2011), care-giver burden has been defined as a multidimensional response to the negative appraisal and perceived stress resulting from the taking care of an ill individual (p. 846). More easily stated a care-giver is a person who assists another individual with one or more of their daily activities of living. A person who finds it necessary to care for a loved one suffering from dementia often finds the task daunting if not polarizing. The role of caregiver often times has a negative effect on the caregiver. These can include feelings of depression, isolation, fear and anger as well as the feelings of constant responsibility and social isolation (Kim et al., 2011).
This paper is a critical analysis of two academic papers: McKeown, J., Ryan, T., Ingleton, C., and Clarke, A., 2015, ‘You have to be mindful of whose story it is ': The challenges of undertaking life story work with people with dementia and their families. Dementia, (Qualitative) and Milne, A., Guss, R., and Russ, A., 2014, Psycho-educational support for relatives of people with a recent diagnosis of mild to moderate dementia: An evaluation of a ‘Course for Carers '. Dementia. (Quantitative) These papers have been selected as they embrace contrasting research strategies on Dementia- qualitative and quantitative. The main aim of this analysis is to underline the positive/negative facts in the academic papers in terms of the
Ultimately the goal of this research is to evaluate what interventions work to help caregivers of dementia patients cope with the daily issues of caring for a loved one. Both of these articles yielded enough evidence about several alternative interventions. It is of utmost importance to choose the appropriate design for research study. If an inappropriate model is used all questions related to the research may not be answered.
The article “Roles and Coping Strategies of Sons Caring for a Parent With Dementia” addresses the specific demographic of sons caring for a parent (or parent-in-law) with dementia and explores the roles and coping strategies of these individuals as well as the emotional impact that care giving has on them. The participants were recruited through information about the study that was provided to group participants and health care providers as well as paper and online flyers. The data was gathered using a semi-structured interview either over the phone or in person and these interviews were conducted over a two year span (from 2011-2013).
Alzheimer’s is a worldwide disease that many people over the age of 65 years old are diagnosed. Alzheimer’s disease is a current situation in my household the past three years. It is one of the many health issues that do not yet have a known cause or cure. In this investigative report I researched how Alzheimer’s patients affect their family caregivers. All my information was cited from the West Warwick High School research tool as well as google to find articles related to my claim. Many families around the world are going through the same struggles as my own and are seeking advice from others on how to carry on with this daily hassle. My family as well as other families are not alone. There are different ways to cope with our issues depending
In this cross-sectional study, Oken, Fonareva, and Wahbeh try to figure out whether the stress of taking care of dementia patients can produce cognitive dysfunction. This study adopted a quantitative method to assess the relationship between cognitive function and dementia caregiving.
A large health factor in which Alzheimer’s family caregivers attempt to cope with is stress. Denial about the disease and the effect of the person diagnosed swarms the mind making the caregiver believe that the patient will overcome the obstacle. Patience runs low and anger takes over the person due to the everyday activities they once did they are no longer capable of doing. For the most part, providers also pull away from friends and activities that would ease their mind away from any given issue. Anxiety overcomes the mind. What will happen in the future? Can I make it through another day? The caregiver now falls into depression, all the care in the world has been washed away and they can no longer cope with the burden. The caregiver becomes exhausted with the daily activities needed to be done for one human being, the Alzheimer’s patient. The caregiver experiences many sleepless nights because all one can do is worry about what can happen to a loved one with Alzheimer’s throughout the night.“They may also feel being angry and short-tempered with their loved ones, or feeling burdened with the caregiving duties in the first place.” Moreover, a weak immune system derives from the lack of rest and sleep due to the feeling of 24-7 care for the Alzheimer’s patient. Due to the responsibilities an Alzheimer’s disease caregiver it is impossible
Week 5 Nurs 8200 The article is titled “Dementia carer education and patient behavior disturbance. International journal of geriatric psychiatry” by Coen et al. (1999). The topic is on the topic of dementia carer with the purpose to evaluate the impact of dementia Carer Education Program on carer quality of life, wellbeing, and burden. The study was a Single group before and after the intervention study. The clear description of the study design makes it convenient to understand. A sample population of 32 dementia carers was taken. Thirty-two carers were enrolled for the successive three runs each about 8 months apart. They were interviewed prior to starting the study. Of the thirty-two carer, four were lost to longitudinal follow-up and the remaining 28 were interviewed again 6±7 months after the program. The intervention applied was clearly mentioned as eight weekly two hours support and education sessions by a Psychogeriatric clinical team. The interview was done by an experienced psychologist. The result of the study was, therefore, valid. The researcher did a Pre-programme and 6 months post-programme to obtain the data. The data source Measures included quality of life, burden, well-being, managing problem behavior, appraisal of social support, knowledge of dementia, and perception of the program. The Patients were characterized in terms of cognition, behavior disturbance, and functional status. With the two pilot runs of the program, out of the thirty-two enrolled in
For instance, female or daughter plays a vital role as a primary caregiver. Therefore, family’s role and responsibility lead to intensifying stress in caregivers. Consequently, caregiver’s burden or stress is marked concerns when dealing with family with dementia. I would like to share one study, which it is matching with the content of lecture regarding focusing on caregiver’s and family unit is needed. In the multicenter longitudinal study, the authors investigated caregiver burden (Ransmayr et al., 2018). The findings revealed that majority primary caregivers are female (67.8%), median age = 61, mild burden are reported at baseline. After 2-year follow-up, approximately 30% reported mild to moderate burden, 16.8% moderate to severe or severe, and 46.2% absent to little burden. Also, restriction of time, increase health problems, and negative emotion are frequently reported within 2-year. The authors also suggested that health policy should focus on caregiver’s health and quality of life as well as the dementia patients. Providing the best care for patients and family with dementia is, therefore, holistic care and family-centered approach
Written especially for caregivers to encourage them on their journey, this book shares the laughter, crying, struggles and triumphs of over 100 Alzheimer’s caregiver’s and their patients. This book serves as
The family are expected to care for the person with dementia at home, often despite their own health.
The measurements for the research were variety, they used the theoretical caregiving stress model based on a framework conducted by Pearlin, Mullan,
Two articles formed the basis for this PICO question about caregivers’ satisfaction. The first article conducted a cross-sectional study with a sample of caregivers with different caregiving extents ranging in age 50-89 years with the aim of investigating life satisfaction with contributing factors. This article pays particular attention to the factors associated with the satisfaction of being a caregiver. Part of the study employed a questionnaire using a form called Life Satisfaction Index Z (LSIZ) to measure caregiver’s life satisfaction, with scores ranging from 0 to 26. A high score shows an overall level of high satisfaction. To illustrate, frequent caregivers had lower life satisfaction with an average score of 14.8, whereas,
Clare, Rowlands, Bruce, Surr & Downs (2008) stated the phenomenon of interest very clear that the article is about the personal accounts of older adults living with dementia in a residential care home. The justification of using qualitative method was to have the personal accounts and interviews to have a better understanding of the subjective experience of being in residential care home and living with dementia (Clare, Rowlands, Bruce, Surr & Downs, 2008, pg. 712). Prior studies that were quoted in this article had used observational and questionnaire-based studies, this article took a rare approach of getting the direct accounts from the residents face to face (Clare, Rowlands, Bruce, Surr & Downs, 2008, pg. 712). The philosophical underpinning of the research method is the 28 qualitative research studies before this study focused on capturing the personal accounts and interviews through comprehensive review with utilizing the grounded theory or phenomenological methods (Clare, Rowlands, Bruce, Surr & Downs, 2008, pg. 712).
Objective data. The family roles have changed due to the maternal grandmother illness. They are not dealing well with the situation. There is evidence of role overload. The current development of grandparents’ physical and psychological conditions is affecting the family function. The family does not have an emergency plan to deal with family crisis. They show symptoms of anxiety (crying), and feelings of powerlessness. The paternal grandmother does not have health insurance; she is also noncompliance with the medication regimen and she does not want to visit a doctor. Grandparents are not adjusting well to their age developmental tasks regarding health and role changes. The two parents are trying to adapt and accommodate the caregiving roles between children and grandparents, but they are unable to do so.