Caregiving is an essential and very necessary aspect of the medical field. However, caregiving is also one of the most strenuous and stressful positions that exists. The patients require constant supervision, precise care and an extremely high level of patience, tolerance and skill. Eventually, this type of care begins to take a physical, emotional and financial toll on the caregiver. Because of the adverse effects of this profession, the Theory of Caregiver Stress was developed to aid those working in this difficult profession.
The Theory of Caregiver Stress was a significant breakthrough for the reasoning of why caregivers are so deeply affected by this job. “The Theory of Caregiver Stress was derived from the Roy Adaptation Model to use as basis in understanding the relationships among caregivers and the stress faced when caring for a chronically ill relative” (Tsai, 2003). The Theory of Caregiver stress is a middle-range theory used to predict the outcome for stress and other various side effects (Dobratz, 2011). These adverse effects are predicted by: Demographic Characteristics, Burden in Caregiving, Stressful life events, Social Support and Social Roles. Also, because of the multitude of different scenarios and background for both the patient and the caregiver, these categories are necessary to compare and effectively use the results. The theory makes four main assumptions regarding adaption: “environmental change; the caregivers’ perceptions will determine how they will respond to the environmental stimuli; the caregivers’ adaptation is a function of their environmental stimuli and adaptation level, and lastly the caregivers’ effectors are results of chronic caregiving such examples include marital satisfaction and self-...
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... are as accurate as possible. In all, the development of the Theory of Caregiver Stress has been a great benefit to the medical field and caregivers as a whole.
References
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Caring for someone with significant health issues is an exhausting and stressful experience and it is hardly surprising that carers are prone to developing ‘burnout’. Observed in nursing, this phenomenon, described as ‘…a haemorrhaging of oneself for others’ is detrimental as stress over-load causes the cognitive and emotional responses to severely malfunction (O’Mahoney, 1983 cited in Farrington, 1997). Carers in this state of mind inevitably develop negative internalised and externalised feelings, including self-depletion, low self-esteem, limited energy, negativity and hopelessness (Taylor and Barling, 2004). A report conducted by Age UK highlights that 6 out of 10 carers suffer damaging conditions related to their mental health, including depression and lack of confidence. Furthermore, these feelings are often intensified by carers’ perseverance which aggravates existing disabilities, such as arthritis, crumbling spine, heart problems and cancer, and leads to further pain (Carers Trust,
He is perhaps the posterchild for stress. Stuck at a dead-end job, longing for freedom, but unable to do so because he is the main caregiver for his brother, he does a remarkable job of showing patience when dealing with a developmentally disabled person. However, as a stressed out individual, his relationships tend to suffer, as he is riddled with frustration and thinks very negatively about himself. As the primary caregiver for his younger sibling, this is to be expected. Caregivers of physically or mentally disabled family members are at risk for chronic stress. Spouses who care for a disabled partner are particularly vulnerable to a range of stress-related health threats, including influenza, depression, and heart disease. Caring for a spouse who has even minor disabilities can lead to severe stress (Harvey
(Davidson, F. G.) Due to the nature of dementia being a neuropsychological disorder, those affected by the disease tend to look like they will not require much care, which, in reality, they often require more care than the caregiver originally expected, leading to stress and burnout. Another effect caused by this can be the caregiver blaming themselves by feeling like they are failing to give proper care, which, in reality, can often be very far from the truth. If the caregiver does not receive help from anyone else, the task of watching over the victim becomes a daunting twenty for hour task. Sometimes, the caregiver won’t be allowed quality sleep. Over 66 percent of home caregivers suffer from some form of psychological or physical illness. The most common illness that is resulted from giving care to Alzheimer’s disease is depression. The caregiver needs to monitor their emotional well-being as well as the well-being as the person that they are giving care to. Usually, giving care to those with dementia is actually more stressful than giving care to those with cancer. When the caregiver is a family member and not a professional, the emotional toll is often even greater. It is important for caregivers to remember that they need to take care of themselves first and
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Also, the whole family needs to come to term with the health condition, make change in priorities and schedule, and keep the family. For example, it can be much more stressful for a young or a newly married couple because they may have more experience to overcome life's difficulties. As a result, as with individual maturation, family development can be delayed or even revert to a previous level of functioning (Hockenberry, p 762.) Therefore, health care providers need to apply family development theory while planning care for a child and family with chronic health condition. Indeed, family centered care should be a part of that intervention. Parents and family members have huge and comprehensive caregiving responsibilities for their chronically ill child at home or at hospital. Moreover, the main goal taking care of chronic ill child is to “minimize the progression of the disease and maximize the child’s physical, cognitive, psychological potential” (Hockenberry, p 763). Therefore, it is essential to family being part of the child care to give highest quality of care. On the other hand, we are as a part of the health care provider need to give attention to all
...health. The demanding physical duties contribute to stress and mental health problems and carers have higher levels of psychological distress than non-carers (Pinquart & Sörensen, 2006). Research suggests that the physical effects of caregiving stem primarily from psychological impact (such as depression) rather than direct physical labouring in the provision of care (Pinquart & Sörensen, 2006).
Robertson, S. M., Zarit, S. H., Duncan, L. G., Rovine, M. J., & Femia, E. E. (2007). Family Caregivers Patterns of Positive and Negative Affect. Family Relations , 12-23.
Kaakinen, Gedaly-Duff, Coehlo & Hanson, (2010) report family is the biggest resource for managing care of individuals with chronic illness; family members are the main caregivers and provide necessary continuity of care. Therefore, it is important for health care providers to develop models of care based on an understanding what families are going through (Eggenberger, Meiers, Krumwiede, Bliesmer, & Earle, 2011). The family I chose to interview is in the middle of a transition in family dynamics. I used the family as a system approach as well as a structure-function theoretical framework to the effects of the changes in dynamic function. Additionally, the combinations of genogram, ecomap, adaptations of the Friedman Family Assessment model as well as Wright & Leahey’s 15 minute family interview were utilized.
Having a family is no easy task, especially when you are faced with many challenges that are unforeseen. Sometimes one imagines or hopes for an ideal family. The ideal family would consist of a spouse, one or two kids and live happily with little to no conflicts. The reality is that even if one tries to avoid conflict by all possible means, conflict is inevitable. Stressors and strengths within a family can be seen in almost every situation. Although stressors tend to be more noticeable than the strengths. Some of which will be discussed later on, although it will be mainly focused on the strength and stressors faced after a divorce for children. But if one focuses on the stressors more than the strengths, one will only see stressors rather than solutions.
The Theory of Caregiver Stress explains the primary caregiver’s social role, how they reduce stress, and how they cope with stress. Tsai (2003) was able to list several propositions in this theory that can be found and applied in the nursing practice. Many research articles have related or applied the Theory of Caregiver Stress in the recent years. This paper will explain those propositions in the Theory of Caregiver Stress as well as several examples that are applied to this theory.
Wittenberg, E., Saada, A., & Prosser, L. (2013). How illness affects family members: A qualitative interview survey. The Patient: Patient-Centered Outcomes Research, 6(4), 257-268. doi:10.1007/s40271-013-0030-3
-Sonnenberg, E. 2008.Caregiver Stress: The Impact of Chronic Disease on the Family. Available at: http://www.beliefnet.com/healthandhealing/getcontent.aspx?cid=74397.Access date 21 December 2013.
There are many issues that can be related to carers of people with dementia. The physical and psychological workload can be attributed as the most common concern among carers (Fjelltun et al., 2009). In addition, O’ Dowd (2007) has stated that carers are more likely to endure more anxiety, and feeling of liability which resulted to carers’ negligence of their own wellbeing. Moreover, carers suffer more stress than those who are not giving care to elderly with dementia. In relation to this, carers’ health is not interrelated with their emotional functioning (Bristow et al., 2008). These different reports suggested that carers undergo psychological issues more notable in comparison with just ordinary people. This can be regarded to carers’ exposure to a stressful environment.
Families and clients’ can operate on different levels of stress, which can vary from good to bad depending on the situation (Catherall, 2004, p.325). One individual might be better in a single life style where as another might be better in a relationship life style (Catherall, 2004, p.325). There are also individuals who function better in a working life style than in a home life style, or vice versa (Catherall, 2004, p.325). It is well known that stressors can come from any part of our lives as well as coping mechanisms as well (Catherall, 2004,