Caregivers definition and roles
Break Out Session
In groups of 2 to 3, share -
Experience of Caregiving
Condition of Care recipient:
e.g. Cancer / Stroke / Dementia
Relationship to the care recipient:
Spouse / Children / Grandchildren / Niece / Nephew/ Others
Years of care-giving: ___years
e.g. Tired / Angry / Helplessness / Guilty / Resentful / Bitter / Frustrated / Lonely / Overwhelmed etc.
What can we do? How can we help?
Primary care physicians can aid in the identification, support, and treatment of caregivers by offering caregiver assessments—interviews directed at identifying high levels of burden—as soon as caregivers are identified.
Repeat assessments may be considered when there is a change in the status of caregiver or care recipient.
Caregivers should be directed to appropriate resources for support, including national caregiving organizations, local area agencies on aging, Web sites, and respite care. Psychoeducational, skills-training, and therapeutic counseling interventions for caregivers of patients with chronic conditions such as dementia, cancer, stroke, and heart failure have shown small to moderate success in decreasing caregiver burden and increasing caregiver quality of life.
Further research is needed to further identify strategies to offset caregiver stress, depression, and poor health outcomes. Additional support and anticipatory guidance for the care recipient and caregiver are particularly helpful during care transitions and at the care recipient's end of life.
•LAUREN G. COLLINS, MD, and KRISTINE SWARTZ, MD, Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania
•Am Fam Physician. 2011 Jun 1;83(11):1309-1317.
Support, Support, Support!
What did the research shows?
However, these interventions did not reduce caregiver depression
Caregiver Intervention and Innovation
Training and Technology
Caregiver care is improved by offering innovations in self-management, decision support, information systems, and delivery redesign. One important advance in caregiving is the increased use of high-tech home health care, Web-based technology, and assistive technology. Nearly one-half of caregivers use some form of technology to improve the quality of the care they provide.
Examples of new tools include Internet-based solutions such as the Comprehensive Health Enhancement Support System and Link2Care, which have resulted in increased delivery of information to family caregivers, decreased depression, and increased sense of social support.
Other tools include home telemedicine, telehealth, and disease-state monitoring systems, which can transmit data on health status to base stations. Devices such as automatic medication dispensers, vibrating alarm watches, scooters, and lifting systems can also relieve caregiver burden and improve the safety of the care recipient at home.
Special Care Senarios
Different Conditions will have different challenges!
End of life care
A long term commitment
Transitions in Care
Help in Singapore
SgEnable - Caregiver Basis 101
CWA - http://www.cwa.org.sg/
More disease specific support organisations, for example