Definition of Caregiver

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4 Stages of Caregiving

Source: http://www.agingcarefl.org/caregive

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• The Four Stages of Caregiving covers caregiving from beginning to heavy home care to nursing homes and end-of-life care.

• Stage One: Getting StartedRecognize the impact of caregiving on your life and family, learn how to be a caregiver, and find out more about the older person who needs care.

• Section 1: Impact of caregiving. • Section 2: Dignity and Decisions. • Section 3: Educating Yourself. • Section 4: Using a Care Manager. • Section 5: Information List and Notebook. • Section 6: Disater Plan Update. • Section 7: Driving Assessment.

• Stage Two: Finding HelpAccept help from family, friends, place of worship, support groups, and formal services. Learn about help for working caregivers.

• Section 1: Help from Family and Friends. • Section 2: Help from Faith Communities. • Section 3: Support Groups. • Section 4: Help for Employed Caregivers. • Section 5: Formal Support Services. • Section 6: Relief Through Self Expression. • Section 7: Relief From Telemarketers.

• Stage Three: Heavy CarePrevent caregiver burnout and injury while providing heavy-duty care, protect your care receiver's health and safety, and consider facility care.

• Section 1: Preventing Caregiver Burnout. • Section 2: Protecting Your Care Receiver. • Section 3: Facility Care.

• Stage Four: Letting GoResolve relationships, complete end-of-life decisions, use Hospice care, let yourself grieve, care for yourself, and have a plan for your life after caregiving has ended.

• Section 1: Resolving Relationships. • Section 2 End-of-Life Decisions. • Section 3: Hospice Care. • Section 4: Common Concerns of the Dying. • Section 5: Grieving. • Section 6: Caring for the Stage Four Caregiver. • Section 7: Memorials to the Deceased. • Section 8: Reconnecting.

Responsibilities of a Caregiver

• Respect patient’s privacy and individuality• Cultivate patient’s trust• Objective in dealing with the patient• Communicate thoughts clearly• Approach the patient with an open mind• Be organized• Have good hygiene• Perform the different caregiver skills adequately

CAREGIVING FOR:

CAREGIVER TRAINING PROGRAM: Louise nd Cin

Relationship of the caregiver and the patient’s family - ysa, ralph

Communication between family, patient, and caregiver

Family Meetings

• Focus: patient care• Develop series of questions and concerns (health, legal,

economic or housing issues)• Reassessment the patient’s situation once in a while• Bring up new developments since the last meeting• Be neutral when moderating, with a clear agenda • Avoid arguing. (Don’t try to resolve old family wounds)

Spouse Involvement

• Openly communicate his/her feelings

Children Involvement

• Honesty about the situation• Listen to their concerns• Ask for their help

Parental Involvement

• Crucial• talk to parents

– importance of working together in meeting their needs

– issues and agree on ground rules

Sibling Involvement

• Direct care : Limited participation

Modified Caregiver Strain Index - ange

Modified Caregiver Strain Index

• Can provide invaluable clues to the physician – as to the needs of the caregiver– To tailor interventions to address them

• Score of– ≥ 29 = severe caregiver strain– 24-28 = predispose to strain– ≤ 23 = normal

Modified caregiver strain index (MCSI) questionnaire Lagyan ng check ang kahon ng iyong napiling sagot

Madalas3

Paminsan-

minsan

2

Halos hindi1

1. naaabala ang aking pagtulog dahil sa pagasikaso sa pasyente

2. ang pag-aalaga sa aking pasyente ay nakakapagod dahil sa pagkarga, pag-alalay at pag-asikaso

3. ang pag-aalaga sa aking pasyente ay nagdulot ng mga pagbabago sa buhay ng aking pamilya dahil sa nagulong pangaraw-araw na gawain

4. nauubos ang aking pansariling oras sa pag-aalaga ng aking pasyente

5. ang pag-aalaga sa aking pasyente ay nagdulot ng mga pagbabago sa aking mga plano sa buhay tulad ng pagpalit o pagtigil sa trabaho o pag-aaral, paglabas-labas, pagbabakasyon atbp

Madalas3

Paminsan – minsan

2

Halos hindi

1

6. bukod sa pag-aalaga sa aking pasyente, mayroon pang dumagdag na responsibilidad na nangangailangan din ng aking oras

7. ang pag-aalaga sa aking pasyente ay nangangailangan ng tibay ng loob dahil sa hindi naiiwasang mga alitan at hindi pagkakaunawaan

8. ako ay nalulungkot dahil malaki na ang ipinagbago ng aking pasyente mula ng sya ay magkasakit

9. may mga pagkakataon na nauubos ang aking pasensya at ako ay naiinis dahil sa ikinikilos ng aking pasyente

10. lubos akong nag-aalaala kung paano ko makakayanan ang sitwasyong ito

11. malaki na ang aking gastusin dahil sa pag-aalaga sa pasyente

TOTAL:

Community resources for caregivers

• Ask a friend of your parent to pick up groceries or get books from the lib

• A neighbor’s child might visit after school

• A civic group could provide volunteer home repair or transportation services

• Your friends could provide back-up child care or transportation

Caregiver Stress

• It is the emotional and physical strain of caregiving.

Impact of Stress

• both the mind and body are involved • there is a complex interaction of social factors,

physical and psychological stress, individual personality, and the ability to adapt to pressure

• wears down our immune system and can lead to less resistance to various diseases

Warning Signs • Unusual sadness, moodiness or anger• Social withdrawal from activities and friends• Fatigue, exhaustion and difficulty sleeping, either too much or

too little• Change in eating habits, and weight loss or weight gain• Recurrent headaches, stomachaches and colds• Difficult concentrating on other areas of your life, possibly

resulting in a decline in work performance• Unexplained irritability• Feelings of dread, hopelessness and depression

What Can We Do to Decrease Stress?

• relaxation therapy over a six-week period • breathing techniques • take care of your health

– eat nutritious meals– get enough sleep– exercise regularly – regular medical checkups

• Maintain Social Contacts– regularly talk with a counselor, support group or

close friend – Isolation increases stress– fun, laughing, and focusing on something besides

your problems helps you keep your emotional balance

• Ask for help when you need it