Family caregiving in dementia : An analysis of the caregiver's burden at the breaking point when home care has become inadequate


Lena Annerstedt
Bok Engelsk Lena et al. Annerstedt
Omfang
s. 117-140
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Artikkel i bok
Opplysninger
Paper V. - ABSTRACT: The burden of care-givers of patients suffering from dementia of Alzheimer's type(DAT) and vascular dementia(VD) was analysed at the critical time when home care was becoming insufficient and inadequate. The primary family caregivers of 39 DAT and 40 VD patientsconsidered for relocation into group living units were studied. The burden of caregiving was correlated to the patient's abilities and symptoms.. - The study indicates that a closer kinship to the patients imposed a heavier burden. The caregivers' gender, social class and the previous institutionalization of the patients did not seem to influence the caregiver's burden. Ther were no significant correlations between the patient's ADFL ability or cognition and the burden. Multiple regression analysis showed that the amount of caring time provided by the primary carers and the patients' impaired sense of own identity, misidentifications, marked clinical fluctuations and nocturnual deteroriation predicted the breaking-point of home carer for demented patients.
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