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Stress management introduction
Stress management introduction
Stress and coping strategies theory
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Theory of Caregiver Stress and its Practice in Nursing Primary caregivers are given an opportunity to take care of their loved ones; however, this job comes with a lot of stress and its consequences (Tsai, 2003). Primary caregivers take care of those with a chronic illness such as a family member or friend, are given a task that is so immense that it induces a lot of stress. In the previous decades, many research articles have developed studies which focused on stressors that were associated with the task of being the primary caregiver; yet, a theory surrounding this topic has not been developed until the early 2000s. Tsai (2003) developed the Theory of Caregiver Stress based on the Roy Adaptation Model to identify the caregiver’s response, perceptions, and adaptations to the stress and burden that primary caregiver’s experience. 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. The Theory of Caregiver Stress is derived from the Roy Adaptation Model (RAM), which is used in many studies, but only a few studies of caregiving have utilized it (Tsai, 2003). RAM was developed from the three human responses (focal, contextual, and residual), based from the input of stimuli from the environment (Tsai, 2003). The output response follows which is based on the input, which will follow either a compensat... ... middle of paper ... ... patients with heart failure: Impact on patients. American Journal of Critical Care, 20(6), 431-442. Leggett, A., Zarit, S., Taylor, A., & Galvin, J. (2010). Stress and burden among caregivers of patients with lewy body dementia. The Gerontologist, 51(1), 76-85. Li, T., Lee, Y., Lin, C., & Amidon, R. (2003). Quality of life of primary caregivers of elderly with cerebrovascular disease or diabetes hospitalized for acute care: Assessment of well-being and functioning using the sf-36 health questionnaire. Quality of Life Research, 1081-1088. Tsai, P. (2003). A middle-range theory of caregiver stress. Nursing Science Quarterly, 16(2), 137-145. Weng, L., Huang, H., Wang, Y., Chang, C., Tsai, C., & Lee, W. (2011). Primary caregiver stress in caring for a living-related liver transplantation recipient during the postoperative stage. Journal of Advanced Nursing, 1749-1757.
the role of illness characteristics, caregiving, and attachment. Psychology, Health & Medicine, 15(6), 632-645. doi:10.1080/13548506.2010.498891.
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,
(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
My clinical rotation for NURN 236 is unique in that all patients I care for at Union Memorial Hospital in Baltimore, Maryland have a diagnosis of heart failure (HF). HF occurs when the heart is unable to pump adequate blood supply, resulting in insufficient oxygen and nutrients to the tissues of the body (Smeltzer, Bare, Hinkle, and Cheever, 2012). Approximately 670,000 Americans are diagnosed with HF each year and is the most common hospital discharge diagnosis among the elderly (Simpson, 2014). Moreover, according to the Centers for Medicare and Medicaid Services (CMS), HF is the leading cause of 30-day hospital readmission followed by acute myocardial infarction (AMI) and pneumonia (medicare.gov|Hospital Compare, 2013).
Care givers can be the PD patients relative, friends or non-professional caregivers (Martinez-Martin, Benito-Leon, Alonso, Catalan, Pondal, Zamarbide, …& Pedro, 2005). There are formal caregivers, paid helpers (Cifu, Carne, Brown, Pegg, Ong, Qutubuddin & Baron, 2006). Caregiver customarily means the patient’s daily needs such as household chores and personal hygiene will be taken care of. Caregivers have to understand the patient’s needs and work according to it (Hounsgaard, Pedersen & Wagner, 2011). The services rendered by the caregivers are essential. Regrettably, the burdens of the caregivers are not fully researched upon in our local context. Preceding researches from other nations has proven that caregivers do face numerous challenges. My research will focus on our local caregivers and the challenges they encounter which has not been told to the World.
Heart failure is a major clinical, social and economic problem in the United Kingdom according to the Department of Health [DH] (2013).The National Institute for Health and Clinical Excellence [NICE] (2010) reported that about 900,000 people suffer from heart failure in the United Kingdom. The National Institute for Cardiovascular Outcomes Research [NICOR] (2011) conducted a national audit which found that one in every 20 people over the age of 65 is diagnosed with heart failure which demonstrates that it mainly affects the elderly. As a leading cause of mortality, heart failure contributes to more than 6,000 deaths each year (NICOR, 2011). Newly diagnosed cases of heart failure have a 40% risk of dying within a year (NICOR, 2011). Despite advances in therapy, mortality is still high and only half of patients are alive five years after being diagnosed with heart failure (NICE, 2010).
Informal supports, such as aid for housekeeping and running errands, are crucial to maintaining the lifestyle of individuals with Alzheimer’s in the community; however, the disease’s erosion of physical, cognitive, and communicative abilities often creates tremendous strain for family caregivers. Individuals and family caregivers dealing with Alzheimer’s often experience increasing social isolation as the disease’s progression undermines both mobility and the capacity for meaningful and appropriate engagement with the community (Banerjee et al., 2003). A number of studies have documented the physical and mental health costs borne by unsupported caregivers, and the link between caregiver stress and the institutionalization of their ill family members (Andren & Elmstahl, 2005; Banerjee et al., 2003). Taken together, the stress and isolation of dealing with Alzheimer’s disease undermine the health and quality of life of everyone involved, eventually precipitating institutionalization.
However, this type of care brings a lot of unconditioned difficulties due to the constant care they have to provide the elderly people with dementia. In a recent study it was discovered that caregivers experience stress differently given the circumstance this was shown by analysis of 234 people with dementia (Robertson, Zarit, Duncan, Rovine, & Femia, 2007). The findings were that caregivers in intense and distressed groups experienced higher behaviora...
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.
As a caregiver, you spend the majority of your time meeting your loved one’s needs and providing an invaluable service, but you need to care for yourself, too. That’s why it’s important for you to recognize and alleviate the symptoms of caregiver burnout. Additionally, you may contact us for reliable, professional and compassionate care that meets your loved one’s needs and fits your schedule. Whether you need us every day, once a month or occasionally, take advantage of our services as you care for your loved one and
Piccinato, J. M. & Rosenbaum, J. N. (1997). Caregiver hardiness explored within Watson’s theory of human caring in nursing. Journal of Gerontological Nursing, 23(10), pp. 113-117. 32 – 39. Strickland, D. (1996).
-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.
According to Honea et al. (2008), cognitive behavioral interventions facilitate the development of a therapeutic relationship between the caregiver and a trained professional, and “teaches self-monitoring, challenges negative thoughts, helps caregivers develop problem-solving abilities by focusing on time management, overload, and emotional reactivity management; and helps the caregiver reengage in pleasant activities and positive experiences” (p. 511). The goals of cognitive behavioral interventions can be best achieved when patients, their families, nursing, and organizations work together to recognize and address the growing issues related to caregiver stress and burden. In order to develop an evidence-based approach to relieving caregiver strain and burden, the PICOT question guiding this proposal is: For oncology patient caregivers, how does an informal caregiver (IC) cognitive behavioral intervention program compared to no formal training or support affect caregiver stress level and self-efficacy within 3 months of
In health care, there are many different approaches throughout the field of nursing. When considering the field of family nursing, there are four different approaches to caring for patients. This paper will discuss the different approaches along with a scenario that covers that approach. The approaches that will be discussed include family as a context, family as a client, family as a system, and family as a component to society. Each of these scenarios are approach differently within the field of nursing.
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-...