Caregiver Identity Discrepancy

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Participants will be introduced to basic tenants of the Caregiver Identity Theory and implications of the theory for understanding the caregiving experience and its impact on caregivers. A center piece of this perspective is the assertion that the caregiving role is not a new role, but rather a transformation of an existing role. Participants will learn about five phases of caregiving and identity discrepancy which many caregivers experience as they move between phases. The implications of this perspective for strategically intervening to support caregivers will also be discussed.

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<ul><li>1.Please share your email address with us! Wed like to send you a link to this webinars recording and resources, and notifications for future webinars. Provide feedback and earn CE Credit with one link: We will provide this link at the end of the webinar Welcome to the Military Families Learning Network Webinar This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, and the Office of Family Policy, Children and Youth, U.S. Department of Defense under Award Numbers 2010-48869-20685 and 2012-48755-20306. Caregiver Identity Discrepancy &amp; Implications for Practice </li></ul> <p>2. This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, and the Office of Family Policy, Children and Youth, U.S. Department of Defense under Award Numbers 2010-48869-20685 and 2012-48755-20306. Research and evidenced-based professional development through engaged online communities. eXtension.org/militaryfamilies Welcome to the Military Families Learning Network 3. POLL How would you best describe your current employer? 4. This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, and the Office of Family Policy, Children and Youth, U.S. Department of Defense under Award Numbers 2010-48869-20685 and 2012-48755-20306. To receive notifications of future webinars and other learning opportunities from the Military Families Learning Network, sign up for the Military Families Learning Network Email Mailing list at: http://bit.ly/MFLNlist eXmilcaregiving @eXmilcaregiving #eXmilcaregiving milfamln Military Families Learning Network Military Caregiving 5. This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, and the Office of Family Policy, Children and Youth, U.S. Department of Defense under Award Numbers 2010-48869-20685 and 2012-48755-20306. Available Resources https://learn.extension.org/events/1631 6. The Military Caregiving Concentration team will offer 1.00 CE credit hour from NASW. To receive CE credit please complete the evaluation and post-test found at: https://vte.co1.qualtrics.com/SE/?SID=SV_1STvj6by9bw6tp 3 *Must pass post-test with an 80% or higher to receive certificate. This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, and the Office of Family Policy, Children and Youth, U.S. Department of Defense under Award Numbers 2010-48869-20685 and 2012-48755-20306. Evaluation &amp; CE Credit Process 7. Caregiver Identity Change Theory 7 Tailored Care Enterprises, LLC 2014 8. Dr. Rhonda JV Montgomery Founder and Chief Scientific Officer Tailored Care Enterprises, LLC To learn more about our care management program that incorporates the key concepts discussed today, please visit www.tailoredcare.com or call 262-643-4740. 9. Theory Helps Us Understand Sources of caregiver distress Differences in the way that caregivers experience this distress Reasons that caregivers use or do not use services Strategies for helping caregivers Differences among caregivers in the types of support needed 9 10. Basic Premises About Caregiving Journey There is no single, generic caregiver role Caregiving role emerges as an extension of a prior role relationship Role is influenced by the unique values, beliefs and circumstances 10 11. Basic Facts about the Caregiving Journey Caregiving is a dynamic process that unfolds over time The length of the journey varies 11 12. The Caregiver Journey 13. Caregiving Journey: Systematic Change Process Change in activities Change in relationship with care receiver Change in identity of caregiver 13 14. Caregiving Journey: Adult Child 0 10 20 30 40 50 0 1 2 3 4 5 Personal Other Tasks Household Shop/Trans Bank/legal 15. 15 Parent Child Relationship Decision Making Personal Care Household Chores Shop &amp; Trans Legal &amp; Banking Affection Affection 16. 16 Adult Child Parent Relationship Decision Making Personal Care Household Chores Shop &amp; Trans Legal &amp; Banking Affection Affection 17. My Rules for a Good CAREGIVER My Rules for a Good Daughter Relationship Rules 17 18. Relationship Identities Mother/Father Sister/Brother Spouse/Partner Parent Employer Many more 18 19. Rules for How We Act (Identity Standards) 19 We know how to act because we follow our internalized rules 20. SOCIETY COMMUNITY FAMILY Immediate Environment Living Arrangement Functional Level of CR Health of CG Financial Support Social Support Where do we get our rules? 20 21. Rules Change Over Time We develop new rules We throw out old rules rules that dont work anymore We tweak existing rules 21 22. Reasons that Rules Change Family demands Work obligations Our health Health of other family members Economics of situation Acceptance of situation 22 23. Annes Relationship Identity with Tom Wife Cook Companion Parenting Partner Rules 23 24. Decision Maker Nurse Advocate Rules Annes Relationship Identity with Tom Wife Cook Companion Parenting Partner Rules 24 Caregiver 25. 25 Five Phases of Caregiver Identity Caregiver Wife Caregiver Wife CaregiverWife Caregiver Wife 26. 26 Five Phases of Caregiver Identity Caregiver Wife 27. When we think about it. Change in roles leads to change in relationship identity 27 28. The Caregiver Journey 28 29. 29 30. Caregiver Wife Caregiver Wife 30 31. Identity Discrepancy My actions dont match my expectations My responsibilities dont match my rules 31 32. Identity Discrepancy: Source of Stress Stress comes when What we are doing does not match what we think we should be doing. 32 33. Types of Caregiver Stress Relationship Stress Workload Stress Emotional Stress 33 34. Workload Stress Caregivers feel like they do not have the time or energy for Their daily chores Other family members Their job and work responsibilities Friends Themselves 34 Caregiving responsibilities and/or tasks are interfering with other parts of a caregivers life 35. Tension or strain in the relationship between the caregiver and the care recipient Feeling that wounded/ill service member: Expects too much from them Is taking advantage of them Does not appreciate their help Is difficult to get along with Criticizes what the caregiver is doing Does not communicate with them 35 Relationship Stress 36. Emotional Stress When caregiving responsibilities make the caregiver anxious or nervous worry or fret emotionally upset 36 37. Matching rules and tasks Relief comes when Caregivers change what they are doing to match their expectations OR Caregivers change their rules (expectations) to match what they are doing 37 38. First Step Toward Getting Help Set a realistic goal Is it best for the caregiver to Let go? (reduce caregiver responsibilities) Continue in similar manner? (maintain) Get comfortable assuming necessary tasks? (embrace) 38 39. Remove Identity Discrepancy Changing behavior Changing rules 39 40. CaregiverWife Making a Big Change 40 Caregiver Wife 41. 41 42. 42 43. Making a Small Change 43 44. Maintain Current Identity Small Change: (Maintain Current Identity) Change (tweak) rules Change behaviors (actions) Change self-appraisal 44 45. How to Reduce Identity Discrepancy Big Change: Change identity and rules Embrace larger caregiver identity Reduce caregiver identity Small Change: Maintain Current Identity Change (tweak) rules Change behaviors (actions) Change self-appraisal 45 46. Take-away Points Caregiving involves an identity change process. Change often involves a lag time when there is a misfit between what a caregiver is doing and what the caregiver thinks she/he should be doing. That lag is called identity discrepancy and it causes distress. To support caregivers, we must identify the best strategy to bring their personal rules in line with their responsibilities and tasks. 46 47. Questions or Comments? 47 48. The Military Caregiving Concentration team will offer 1.00 CE credit hour from NASW. To receive CE credit please complete the evaluation and post-test found at: https://vte.co1.qualtrics.com/SE/?SID=SV_1STvj6by9bw6tp 3 *Must pass post-test with an 80% or higher to receive certificate. This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, and the Office of Family Policy, Children and Youth, U.S. Department of Defense under Award Numbers 2010-48869-20685 and 2012-48755-20306. Evaluation &amp; CE Credit Process 49. This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, and the Office of Family Policy, Children and Youth, U.S. Department of Defense under Award Numbers 2010-48869-20685 and 2012-48755-20306. Military Caregiving Upcoming Event Caregiver Compassion Fatigue Date: August 20, 2014 Time: 11:00 a.m. Eastern Location: https://learn.extension.org/events/1604 For more information on MFLNMilitary Caregiving go to: http://www.extension.org/pages/60576 50. Military Families Learning Network This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, and the Office of Family Policy, Children and Youth, U.S. Department of Defense under Award Numbers 2010-48869-20685 and 2012-48755-20306. Family Development Military Caregiving Personal Finance Network Literacy Find all upcoming and recorded webinars covering: http://www.extension.org/62581 </p>