caregiver identity discrepancy

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Please share your email address with us! We’d like to send you a link to this webinar’s 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 & Implications for Practice

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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.

TRANSCRIPT

Page 1: Caregiver Identity Discrepancy

Please share your email address with us!We’d like to send you a link to this webinar’s 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 & Implications for Practice

Page 2: Caregiver Identity Discrepancy

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

Page 3: Caregiver Identity Discrepancy

POLL

How would you best describe your current employer?

Page 4: Caregiver Identity Discrepancy

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 NetworkMilitary Caregiving

Page 5: Caregiver Identity Discrepancy

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

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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_1STvj6by9bw6tp3

*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 & CE Credit Process

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Caregiver Identity Change Theory

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Tailored Care Enterprises, LLC © 2014

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Dr. Rhonda JV Montgomery

Founder and Chief Scientific OfficerTailored 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.

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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

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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

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Basic Facts about the Caregiving Journey

• Caregiving is a dynamic process that unfolds over time

• The length of the journey varies

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The Caregiver Journey

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Caregiving Journey: Systematic Change Process

• Change in activities• Change in relationship with care receiver• Change in identity of caregiver

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Caregiving Journey: Adult Child

0 1 2 3 4 50

10

20

30

40

50

Personal

Other Tasks

Household

Shop/Trans

Bank/legal

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Parent – Child Relationship

Decision Making

Personal Care

Household Chores

Shop & Trans

Legal & Banking

Affection

Affection

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Adult Child – Parent Relationship

Decision Making

Personal Care

Household Chores

Shop & Trans

Legal & Banking

Affection

Affection

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My Rules for a “Good” CAREGIVER

My Rules for a“Good” Daughter

Relationship Rules

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Relationship Identities

• Mother/Father• Sister/Brother• Spouse/Partner• Parent• Employer• Many more

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Rules for How We Act (Identity Standards)

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We know how to act because we follow

our internalized rules

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SOCIETY

COMMUNITY

FAMILY

ImmediateEnvironment

Living Arrangement

Functional Level of CR

Health of CG

Financial Support

Social Support

Where do we get our rules?

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Rules Change Over Time

• We develop new rules• We throw out old rules

– rules that don’t work anymore• We tweak existing rules

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Reasons that Rules Change

• Family demands• Work obligations• Our health • Health of other family members• Economics of situation• Acceptance of situation

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Anne’s Relationship Identity with

Tom

Wife

Cook

Companion

Parenting Partner

RulesRules

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Decision Maker

Nurse

Advocate

RulesRules

Anne’s Relationship Identity with

Tom

Wife

Cook

Companion

Parenting Partner

RulesRules

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Caregiver

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Five Phases of Caregiver Identity

Caregiver

Wife

Caregiver

Wife

CaregiverWifeCaregiver

Wife

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Five Phases of Caregiver Identity

Caregiver

Wife

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When we think about it….

Change in roles leads to change in relationship identity

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The Caregiver Journey

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CaregiverWife

CaregiverWife

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Identity Discrepancy

• My actions don’t match my expectations

• My responsibilities don’t match my rules

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Identity Discrepancy: Source of Stress

Stress comes when …

What we are doing does not match what we think we should be doing.

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Types of Caregiver Stress

• Relationship Stress• Workload Stress• Emotional Stress

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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

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Caregiving responsibilities and/or tasks are interfering with other parts of a caregiver’s life

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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

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Relationship Stress

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Emotional Stress

When caregiving responsibilities make the caregiver…

• anxious or nervous• worry or fret• emotionally upset

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Matching rules and tasks

Relief comes when …Caregivers change what they are doing to match their expectations ORCaregivers change their rules (expectations) to match what they are doing

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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)

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Remove Identity Discrepancy

–Changing behavior –Changing rules

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CaregiverWife

Making a ‘Big Change’

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Caregiver

Wife

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Rules

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Rules

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Rules

Making a ‘Small Change’

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Rules

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Maintain Current Identity

• Small Change: (Maintain Current Identity)– Change (tweak) rules– Change behaviors (actions)– Change self-appraisal

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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

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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.

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Questions or Comments?

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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_1STvj6by9bw6tp3

*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 & CE Credit Process

Page 49: Caregiver Identity Discrepancy

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 CaregivingUpcoming Event…

Caregiver Compassion Fatigue

Date: August 20, 2014 Time: 11:00 a.m. EasternLocation: https://learn.extension.org/events/1604

For more information on MFLN–Military Caregiving go to: http://www.extension.org/pages/60576

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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 CaregivingPersonal Finance Network Literacy

Find all upcoming and recorded webinars covering:

http://www.extension.org/62581