Caregiver Stress

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The theory of caregiver stress is a middle range theory that was developed from the Roy Adaptation Model in understanding relationships among caregivers and the stress they may face from caring for a chronically ill family member (Tsai, 2003). Caregiver stress stems from the fact that family members, usually children or spouses, must care for their loved one as they age and lose their independence. Children usually feel obligated to care for their parents and normally they want to provide care for this person who has taken care of them through-out life. However, something that these caregivers do not count on is all the added stress caring for an ailing adult entails, especially if that ailing person has a chronic condition like dementia or heart failure. The emotional upheaval, financial burden, and time commitment are all factors that lead to the caregiver stress. This paper will examine the difficulties experienced by caregivers in relation to the chronic conditions of dementia, and heart failure, examine why there is an increase in patients receiving healthcare from family members at home, and the theories’ application in nursing practice.
According to Brodaty and Donkin (2009) It is estimated that there are over 30 million people living with dementia worldwide and it is believed that this figure will double every 20 years. Without a personal caregiver like a spouse, child, or spouses of their children, these people would have a poor quality of life and would most likely be institutionalized much earlier. They state that people with dementia are cared for more often by females in developing countries, like India, than in the USA. In the USA the percentage of men caring for family members was 40% in 2008, which was a 21% incr...

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...ournal of Community Health Nursing, 16(4), 243-253. doi: 10.1207/S15327655JCHN1604_4
Home- the best place for health care: A positioning statement from The Joint Commission on the state of the home care industry. (2011). 1-17. Retrieved from http://www.jhartfound.org/images/uploads/resources/Home_Care_position_paper_4_5_111.pdf
Hwang, B., Sleischmann, K, E., Howie-Esquivel, J., Stotts, N, A., Dracup, K. (2011). Caregiving for patients with heart failure: Impact on patients’ families. American Journal of Critical Care, 20(6), 431-442. doi: 10.4037
Lim, J., Zebrack, B. (2004). Caring for family members with chronic physical illness: A critical review of caregiver literature. Health and Quality of Life Outcomes, 2(50), 1-9. doi: 10.1186/1477-7525-2-50
Tsai, P.F. (2003). A middle-range theory of caregiver stress. Nursing Science Quarterly, 16(2), 137-145. pmid: 12728832

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