Factors Determining the Decision To Institutionalize Dementing Individuals:A Prospective Study

Abstract

This longitudinal study of 196 caregiver/care receiver dyads was undertaken to determine the variables predictive of caregiver decision to institutionalize a dependent with dementia. Seven variables (use of services, enjoyment of caregiving, caregiver burden and health, caregiver rating and reaction to care receiver behavior and memory problems, and presence of troublesome behaviors) predicted the decision to institutionalize. Six variables (caregiver health and burden, use of services, care receiver cognitive function and troublesome behaviors, and caregiver reaction to behaviors) predicted actual institutionalization at 18 months.

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

“…later; and doing so was associated with poorer carer health, greater burden and less enjoyment of caring (Cohen et al, 1993). Spouses were significantly more likely to opt for community care over placement.…”

“…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 ...…”

SYNERGISTIC ACTION OF STRESS AND ALCOHOL ON THE HIPPOCAMPAL REGION OF BRAIN AND USE OF “Centella asiatica” AS A BRAIN REJUVENATOR.

“…Situations, which require adjustment, can be stressful. Cohen et al (1993) investigated three aspects of psychological stress viz., negative effect, perceived stress and stressor exposure. These three aspects of psychological stress can be seen as providing information about the extent to which an individual feels equipped to handle the stressor to which s(he) is exposed, and also provide information about stress perception and stressor exposure.…”

Representações sociais de cuidadores principais de pacientes com demência

“…Como a demência é um quadro crônico e progressivo, chega um momento no qual o cuidado domiciliar do paciente pode gerar intensa sobrecarga para os cuidadores 6 . Por "cuidador", entende-se o indivíduo responsável por prover ou coordenar os recursos requeridos pelo paciente 7 .…”