Decisional conflict among Chinese family caregivers regarding nursing home placement of older adults with dementia

“Tangled wires in the head”: older migrant Chinese's perception of mental illness in Britain

“…We argued that the reluctance of older Chinese migrants to seek help may be compounded by the vulnerable psychological well-being of Chinese caregivers (Zhan, 2006). It may be exacerbated by the decisional conflict which affected caregivers with regard to nursing home placement of their relatives, for example, those who suffered from dementia (Chang, Schneider, & Sessanna, 2011). This observation had prompted Chang and colleagues to call for early diagnosis and intervention before the symptoms of long-term clinical conditions (such as depression or dementia) became severe.…”

A systematic review of barriers and facilitators to and interventions for proxy decision-making by family carers of people with dementia

“…Carers report a shift in the dynamic to a "mother/child" type relationship and Table 4. Summary of triggers, barriers, and facilitators to decision-making (Butcher et al, 2001;Ducharme et al, 2012) Desire to honor person with dementia's wishes (Elliott et al, 2009) Family and professionals perspectives (Livingston et al, 2010;Ducharme et al, 2012) Carer unable to cope and care/ deterioration in carer health (Cohen et al, 1993;Caron et al, 2006;Ducharme et al, 2012) Emotional impact (anguish, burden guilt) (Butcher et al, 2001;Livingston et al, 2010) Support from others once decision made (Butcher et al, 2001) Change in living environment (Caron et al, 2006) Resistance from person with dementia (Livingston et al, 2010;Chrisp et al, 2012;Wolfs et al, 2012;Chrisp et al, 2013) Relationship to person with dementia (Wackerbarth, 1999) Person with dementia's ability to make decisions (Caron et al, 2006) Barriers to accessing services/lack of support/information (Wackerbarth, 1999;Butcher et al, 2001;Livingston et al, 2010) Adapting caring role following a decision (Kwon and Tae, 2012) Cultural treachery and distress (Chang and Schneider, 2010;Chang et al, 2011;Kwon and Tae, 2012) Collaborating with healthcare professionals (Walker and Dewar, 2001;Heinrich et al, 2003;Torke et al, 2013) Role change to "mother/child" (Cairns, 2012) Mild to moderate dementia severity (Smebye et al, 2012) Knowing when the "right" take to ...…”

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“…This study also found strong support for building a senior nursing home to house elderly Chinese. This is noteworthy since nursing home placement has often been reported as a stressful experience for the elderly and their family caregivers (Caldwell, Low, & Brodaty, 2014;Chang, Schneider, & Sessanna, 2011;Wang, 2011).…”