Caregiver Adaptations to Having a Relative with Dementia Admitted to a Nursing Home

Abstract

This sludy examined caregivers' adaptation lo placing a relative, who suffers from dementia, in a nursing home. Relatives of 84 residents of a non-proprietary skilled nursing facilily parlicip a k d in the study. The perception of burden in caring for their relative decreased significantly following nursing home placement.The effects of the stress of having a loved one with dementia on caregiver's emotional adaptation and perceived burden was dependent on familial rela~ionship. Care-receiver's acceptance of the nursing home placemenl and length of caregiving affected caregiver's burden, which, in turn, affected emotions regarding nursing home placement, salisfaction with the nursing home, and socialrecreational activities.

Spilling over Strain between Elders and Their Caregivers in Hong Kong

“…Moreover, the finding that the caregiver's experience of burden reduces the elder's satisfaction with the caring service is supportive of the hypothesis (Riddick, Cohen-Mansfield, Fleshner, & Kraft, 1992). Hypothesis 2 is consistent with past research on the reward of caring.…”

Institution-Based Caregiving as a Container for Leisure

“…The original study was limited to adult daughters caring for persons with dementia for a number of reasons. Most important, I chose to focus on these women because research has suggested that the approach to caregiving and the experience in the role differs by gender (Brody, Dempsey, & Pruchno;Fisher & Lieberman, 1994), familial relationship to the care receiver (Grau, Teresi, & Chandler, 1993;Riddick et al, 1992), and the care receiver's functional health status (Ory, Hoffman, Yee, Tennstedt, & Schulz, 1999). Given that situations differ for various types of caregivers, Harper and Lund (1990) recommended that more homogeneous categories of caregivers be considered in future analyses.…”

“…Nonetheless, the meaning of caregiving and the behaviors associated with the role do change in this new context. Caregiving in the institution-based context, therefore, should be conceptualized differently than caregiving in the community (Riddick, Cohen-Mans eld, Fleshner, & Kraft, 1992).…”

An Evaluation of a Family Visit Education Program

“…Although responsibility for the physical care of a frail family member with dementia decreases after nursing home placement, family members often continue to experience a significant amount of stress after institutionalization takes place 1–13 . Placement can increase family members' feelings of guilt about not being able to meet the needs of the person with dementia 7,14 .…”

“…Placement can increase family members' feelings of guilt about not being able to meet the needs of the person with dementia 7,14 . Emotional and tangible support from other family members and friends often declines after placement, increasing the isolation and sense of burden of the family member 3,9,11–13 . Problem behaviors such as aggression and wandering are more visible after institutionalization 11,12,15,16 .…”