Experiences of being a family member to an older person with diabetes receiving home care services

Bendixen, Bente E.; Kirkevold, Marit; Graue, Marit; Haltbakk, Johannes

doi:10.1111/scs.12511

Cited by 2 publications

(3 citation statements)

References 34 publications

(53 reference statements)

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“…Various physical care activities provided by informal caregivers, restricted social life, and reciprocity of care have been reported by previous studies (Akgun-Citak et al, 2020;Bendixen et al, 2018;de Lima Lopes & Silva Marcon, 2013;Faronbi et al, 2019;Mthembu et al, 2016;Thai et al, 2016). Notwithstanding, motivation for care emanating from obeying instructions from the Bible as a belief system, non-availability of home for the aged, institutionalization and home care services, social workers, and occupational therapists as helpful support systems to reduce burden were some identified concepts that were unique to this study.…”

Section: Discussionmentioning

confidence: 60%

“…The healthcare needs of older adults with more than one disease, such as diabetes mellitus and hypertension, result in an increased financial burden for them, their informal caregivers, and the healthcare system as a whole (Ferris et al, 2018;He et al, 2018). In addition, the presence of a chronic condition in an older adult puts many limitations on his or her ability to manage the health condition alongside the various changes he or she may be exposed to as a result of ageing (Bendixen et al, 2018;de Lima Lopes & Silva Marcon, 2013), justifying the need for care support. Faronbi et al (2019) reported on providing physical care to older adults with NCDs similar to those provided by informal caregivers in this study, although they did not specify the NCDs suffered.…”

Section: Discussionmentioning

confidence: 99%

“…Self-management skills by older adults with diabetes mellitus enhance the caregiver’s security (Bendixen et al, 2018). This study also identified that self-management by older adults with hypertension and/or diabetes mellitus reduces caregiver burden for participants.…”

Section: Discussionmentioning

confidence: 99%

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“She is My Work”: Caregiving for Older Adults With Hypertension and Diabetes Mellitus

et al. 2023

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To explore the lived experiences of informal caregivers of older adults with hypertension and/or diabetes mellitus in Kumasi, Ghana. A qualitative research approach was used to conduct the study using informal caregivers of older adults with hypertension and/or diabetes mellitus at a teaching hospital in Ghana. In all, 20 participants were purposively sampled, interviewed, and data were analyzed using thematic analysis. Three main themes emerged: “Experience with care demands,” “Coping with care demands,” and “Motivation for caregiving.” Older adults with hypertension and/or diabetes mellitus had needs that placed a burden on informal caregivers’ work life, health, and social life. Informal caregivers of older adults with hypertension and/or diabetes mellitus are under strain. Caregiving is a difficult task, requiring a lot of time, effort, attention, and devotion. Nurses should plan the care of older adults with hypertension and/or diabetes mellitus in collaboration with their informal caregivers.

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Section: Discussionmentioning

confidence: 60%

Section: Discussionmentioning

confidence: 99%

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“She is My Work”: Caregiving for Older Adults With Hypertension and Diabetes Mellitus

et al. 2023

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Documented diabetes care among older people receiving home care services: a cross‐sectional study

et al. 2021

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Background Home care services plays an important role in diabetes management, and to enable older adults remain home-dwellers. Adequate follow-up and systematic nursing documentation are necessary elements in high quality diabetes care. Therefore, the purpose of this study was to examine the diabetes treatment and management for older persons with diabetes receiving home care services. Methods A cross-sectional study was used to assess the diabetes treatment and management in a Norwegian municipality. Demographic (age, sex, living situation) and clinical data (diabetes diagnose, type of glucose lowering treatment, diabetes-related comorbidities, functional status) were collected from electronic home care records. Also, information on diabetes management; i.e. follow-up routines on glycated haemoglobin (HbA1c), self-monitoring of blood glucose, insulin administration and risk factors (blood pressure, body mass index and nutritional status) were registered. HbA1c was measured upon inclusion. Descriptive and inferential statistics were applied in the data analysis. Results A total of 92 home care records from older home-dwelling persons with diabetes, aged 66–99 years were assessed. Only 52 (57 %) of the individuals had the diabetes diagnosis documented in the home care record. A routine for self-monitoring of blood glucose was documented for 27 (29 %) of the individuals. Only 2 (2 %) had individual target for HbA1c documented and only 3 (3 %) had a documented routine for measuring HbA1c as recommended in international guidelines. Among 30 insulin treated older individuals, a description of the insulin regimen lacked in 4 (13 %) of the home care records. Also, documentation on who performed self-monitoring of blood glucose was unclear or lacking for 5 (17 %) individuals. Conclusions The study demonstrates lack of documentation in home care records with respect to diagnosis, treatment goals and routines for monitoring of blood glucose, as well as insufficient documentation on responsibilities of diabetes management among older home-dwelling adults living with diabetes. This indicates that home care services may be suboptimal and a potential threat to patient safety.

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Experiences of being a family member to an older person with diabetes receiving home care services

Cited by 2 publications

References 34 publications

“She is My Work”: Caregiving for Older Adults With Hypertension and Diabetes Mellitus

“She is My Work”: Caregiving for Older Adults With Hypertension and Diabetes Mellitus

Documented diabetes care among older people receiving home care services: a cross‐sectional study

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