Caregiver Burden and Nursing Home Admission of Frail Elderly Persons

McFall, Stephanie L.; Miller, Baila

doi:10.1093/geronj/47.2.s73

Cited by 160 publications

(115 citation statements)

References 8 publications

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“…At least two studies have suggested that the caregiver's sense of burden affects both the patient's functionality and adjustment to Parkinson's disease (PD) [3][4]. In this regard, McFall and Miller identified three factors that predict nursing home placement within a 2-year period, namely, advanced age, race (white), and instrumental ADL impairment [5]. The presence of these factors may suggest a link between individual caregiver "burnout" and placement of the individual with PD.…”

Section: Introductionmentioning

confidence: 99%

Caregiver distress in parkinsonism

Cifu¹,

Carne²,

Brown³

et al. 2006

JRRD

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Abstract-This study examined the frequency and degree of caregiver burden in persons with parkinsonism, a group of disorders with four primary symptoms that include tremor, rigidity, postural instability, and bradykinesia. We assessed associations between perceived caregiver burden and physical, cognitive, and functional impairments using well-established tools for persons with parkinsonism. The 49 individuals with parkinsonism ranged in age from 61 to 87 (mean = 75), while their caregivers (N = 49) ranged in age from 48 to 83 (mean = 70). The caregivers were predominantly either wives (82%) or daughters (6%), with other family members, friends, and/or neighbors (12%) making up the rest. The caregivers reported a relatively high ability for coping (mean scores = 4.6/6). Caregiver burden was significantly negatively associated with activities of daily living and motoric difficulties as measured on the Unified Parkinson's Disease Rating Scale (UPDRS). Likewise, caregiver burden was negatively associated with caregiver self-reported sleep and coping ability. Results did not demonstrate an association on the UPDRS among mentation, behavior, and mood. We found a significant negative correlation for mentation between the Folstein Mini-Mental Status Examination and caregiver burden measures; however, we did not find this association with the Dementia Rating Scale-2. Patient's self-reported pain and caregiver burden were not associated.

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Section: Introductionmentioning

confidence: 99%

Caregiver distress in parkinsonism

Cifu¹,

Carne²,

Brown³

et al. 2006

JRRD

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“…29, These are summarised in tabular format in Appendices 4-7, classified according to study design (26 RCT/quasiexperimental papers; 29, 14 longitudinal beforeand-after papers; [57][58][59][60][61][62][63][64][65][66][67][68][69][70] 19 longitudinal papers; [71][72][73][74][75][76][77][78][79][80][81][82][83][84][85][86][87][88][89] and 45 cross-sectional observational papers ). In some cases more than one paper refers to the same study and so the number of studies at each level of evidence was seven RCTs, 12 quasiexperimental studies, 13 longitudinal before-andafter studies, 13 observational longitudinal studies and 40 observational cross-sectional studies.…”

Section: Studies Included In the Reviewmentioning

confidence: 99%

“…74,77,[84][85][86]88 The methods and results of these studies were heterogeneous and it is difficult, therefore, to draw any firm conclusions because of the lack of definitions and the variation in study contexts. One further study 87 reported on institutionalisation but did not have data linking respite and institutionalisation.…”

Section: Institutionalisationmentioning

confidence: 99%

Systematic review of respite care in the frail elderly

Shaw

McNamara²,

Abrams³

et al. 2009

Health Technol Assess

106

152

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How to obtain copies of this and other HTA programme reports An electronic version of this publication, in Adobe Acrobat format, is available for downloading free of charge for personal use from the HTA website (www.hta.ac.uk). A fully searchable CD-ROM is also available (see below).Printed copies of HTA monographs cost £20 each (post and packing free in the UK) to both public and private sector purchasers from our Despatch Agents.Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per monograph and for the rest of the world £3 per monograph.You can order HTA monographs from our Despatch Agents:-fax (with credit card or official purchase order) -post (with credit card or official purchase order or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you either to pay securely by credit card or to print out your order and then post or fax it. Contact details are as follows: Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to Direct Mail Works Ltd and drawn on a bank with a UK address. Paying by credit cardThe following cards are accepted by phone, fax, post or via the website ordering pages: Delta, Eurocard, Mastercard, Solo, Switch and Visa. We advise against sending credit card details in a plain email. Paying by official purchase orderYou can post or fax these, but they must be from public bodies (i.e. NHS or universities) within the UK. We cannot at present accept purchase orders from commercial companies or from outside the UK. How do I get a copy of HTA on CD?Please use the form on the HTA website (www.hta.ac.uk/htacd.htm). Or contact Direct Mail Works (see contact details above) by email, post, fax or phone. HTA on CD is currently free of charge worldwide.The website also provides information about the HTA programme and lists the membership of the various committees. HTA NIHR Health Technology Assessment programmeT he Health Technology Assessment (HTA) programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care. The research findings from the HTA programme directly influence decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC). HTA findings also help to improve the quality of clinical practice in the NHS indirectly in that they form a key component of the 'National Knowledge Service'. The HTA programme is needs led in that it fills gaps in the evidence needed by the NHS. There are three routes to the start of projects. First is the commissioned route. Suggestions for research are actively sought from people working in ...

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“…In addition, research shows that increased caregiver burden is associated with a greater openness to exploring alternative caregiving options. The greater the perceived burden, the more likely the caregiver is to believe that out of home placement is an acceptable option (McFall & Miller, 1992;Young, Kosloski, & Montgomery, 1998). …”

Section: Caregiver Burdenmentioning

confidence: 99%