types and levels of caregiving continuum of caregiving
TRANSCRIPT
Types and Levels of Caregiving
Continuum of Caregiving
Four Kinds of People in this WorldFour Kinds of People in this World
Those who have been caregivers,
Those who are caregivers,
Those who will be caregivers,
Those who will need caregivers.
Primary Illnesses -ALL
8
14
9 8
14
97
23
3
7
119
0
5
10
15
20
25
Cancer Diabetes Mental Ill. Heart
Total
18-49 years
50+ years
Primary Illnesses -Older
12
0
15
6
0
8
5
13
65
13
64
0
5
02468
10121416
Old A
ge
Alzhei
mer
's
Stroke
Mobi
lity
Arthrit
isTotal
18-49 years
50+ years
Principle of Substitution
Spouses Adult daughters Daughter-in-law Sons Other relatives Friends & Neighbors
Types of Caregiver
Formal Informal
Types of Caregiving
Personal care Medical care Mental health care Emotional care
Levels of Burden
Activities of Daily Living ADLsADLs
InstrumentalActivities of Daily Living IADLsIADLs
ADL IADL
ADLs and IADLs
Activities of Daily Living Bathing Dressing Walking Toileting Transferring Eating
Instrumental Activities of Daily Living
Transportation Shopping Housework Finances Cooking Taking meds Arranging services
Extension Programs:ADLs and IADLsActivities of Daily Living Bathing Dressing Walking Toileting Transferring Eating
Instrumental Activities of Daily Living
Transportation Shopping Housework Finances Cooking Taking meds Arranging services
Levels of Burden-CaregivingLevel
1Level
2Level
3Level
4Level
5Total 33% 17% 15% 21% 10%
9+ Hours Week
2% 59% 50% 100% 100%
Mean Hrs/Week 3.5 hrs. 9.8 hrs. 12 hrs. 33 hrs. 87 hrs.
Mean # IADLs
3.1 4 4.3 5.2 5.9
Mean #
ADLs0 .4 2.2 2.9 4.2
Continuum of Caregiving
Level 1 IndependentLevel 2 Semi-IndependentLevel 3 Semi-DependentLevel 4 Dependent @ HomeLevel 5 Dependent
Institutional
Housing
ChoicesWork & Caregiving
Em
oti
on
al Is
sues
End-of-L
ife
Legal
Ho
me
Mo
dif
icat
ion
Independent: Care1
Errands Social and emotional
support Assistance with heavy
work Planning for potential
needs
Housing
ChoicesWork & Caregiving
Finances
Em
oti
on
al Is
sues
End-of-L
ife
Legal
Ho
me
Mo
dif
icat
ion
Semi-Independent: Care2
More time needed Expanded help with
errands, heavy housework
Provide guidance for financial, legal and healthcare management
Beginning ADL needs
Housing
ChoicesWork & Caregiving
Finances
Em
oti
on
al Is
sues
End-of-L
ife
Legal
Ho
me
Mo
dif
icat
ion
Semi-Dependent: Care3
Consider formal steps with finances, legal issues.
2+ ADLs require more direct care time
More direct involvement: Time and in-person
Dependent @ Home: Care4
Nearly full-time job Support for ADLs &
IADLs increasing Caregiver needs
respite Utilize myriad formal
supports
Dependent Institutional: Care5
More than full-time job -80+ hours
Support for most ADLs & IADLs
Institutional care
Housing
ChoicesWork & Caregiving
Finances
Em
oti
on
al Is
sues
End-of-L
ife
Adaptives
Legal
ADLs
IADLs
Ho
me
Mo
dif
icat
ion
Integrated Continuum of Care
Credits
This presentation adapted for XXXXX county and presented by:XxxxxxxxXxxxxxxx County Cooperative Extension OfficeXxxxxxxx phone number/address/email
This presentation prepared by: Carolyn S. Wilken, Ph.D., M.P.H.Associate Professor, FYCSExtension Specialist, GerontologyUniversity of [email protected]