Family Caregiver Strain and Challenges When Caring for Orthopedic Patients: A Systematic Review

Longo, Umile Giuseppe; Arcangeli, Valeria; Alciati, Viviana; Candela, Vincenzo; Facchinetti, Gabriella; Marchetti, Anna; Marinis, Maria Grazia De; Denaro, Vincenzo

doi:10.3390/jcm9051497

Cited by 19 publications

(13 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Ageism can be caused by patients and caregivers because social reputations can influence their perception of aging [ 28 ]. In addition, caregivers’ stress in home care can induce ageism due to depression and the desire to avoid taking care of older people [ 29 ]. As mentioned initially, the causes of anemia in older adults can be divided into three groups: malnutrition, anemia of chronic disease, and anemia of unknown cause.…”

Section: Discussionmentioning

confidence: 99%

Recognition of Anemia in Elderly People in a Rural Community Hospital

Amano

Ohta²,

Sano

2021

IJERPH

View full text Add to dashboard Cite

Anemia in the elderly is a common disease associated with increased mortality and hospitalization rates. It is not clear how adequately elderly patients are assessed and treated in actual clinical practice. This study clarifies the frequency of anemia recognition before assessment and the factors related to recognition among older people in a rural community hospital. This cross-sectional study evaluated 156 elderly patients aged > 65 years. Data on several different variables were collected from patient medical records. Anemia was defined as a hemoglobin level < 11 g/dL. Patients were classified into “anemia recognition” and “no anemia recognition” groups. Statistical analysis of the data included multivariable logistic regression to examine the association between anemia recognition and other factors. The anemia recognition group comprised 63 (40.4%) patients. Age was significantly associated with the recognition of anemia (adjusted odds ratio = 0.70, 95% confidence interval: 0.53–0.92, p = 0.011). Appropriate medical care should be provided to the elderly; however, it may be limited according to age.

show abstract

Section: Discussionmentioning

confidence: 99%

Recognition of Anemia in Elderly People in a Rural Community Hospital

Amano

Ohta²,

Sano

2021

IJERPH

View full text Add to dashboard Cite

show abstract

“…Education and support may facilitate the identification of, expression and processing of strong emotions allowing families to develop skills to live with change and uncertainty. Helping carers to develop an awareness of the burden of caring26 27 and the importance of self-compassion28 29 may help prevent compassion fatigue. Relationships with multidisciplinary staff, patient and family that are open and responsive to knowledge exchange, valuing carer expertise,10 30 may help to identify what matters to them.…”

Section: Discussionmentioning

confidence: 99%

Patient and informal carer experience of hip fracture: a qualitative study using interviews and observation in acute orthopaedic trauma

et al. 2021

View full text Add to dashboard Cite

ObjectivesThe time taken for older people to recover from hip fracture can be extensive. The aim of this study was to gain an understanding of patient and informal carer experience of recovery in the early stage, while in acute care.DesignA phenomenological (lived experience) approach was used to guide the design of the study. Interviews and observation took place between March 2016 and December 2016 in acute care.SettingTrauma wards in a National Health Service Foundation Trust in the South West of England.ParticipantsA purposive sample of 25 patients were interviewed and observation taking 52 hours was undertaken with 13 patients and 12 staff. 11 patients had memory loss, 2 patients chose to take part in an interview and observation. The age range was 63–91 years (median 83), 10 were men. A purposive sample of 25 informal carers were also interviewed, the age range was 42–95 years (mean 64), 11 were men.ResultsThe results identified how participants moved forward together after injury by sharing the journey. This was conveyed through three themes: (1) sustaining relationships while experiencing strong emotions and actively helping, (2) becoming aware of uncertainty about the future and working through possible outcomes, (3) being changed, visibly looking different, not being able to walk, and enduring indignity and pain.ConclusionThis study identified the experience of patients and informal carers as they shared the journey during a challenging life transition. Strategies that support well-being and enable successful negotiation of the emotional and practical challenges of acute care may help with longer term recovery. Research should focus on developing interventions that promote well-being during this transition to help provide the foundation for patients and carers to live fulfilled lives.

show abstract

“…Understanding the risk factors for negative and positive experiences of caregiving are important in the multidisciplinary care of older patients after blunt trauma, and in planning post-discharge support for caregivers. Good family function, social support, behavioral intervention and resilience skills are associated with reduced caregiver burden after injury [ 12 – 14 , 23 – 26 ], which in turn may reduce the risk of recurrent falls in older patients [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

Negative and positive experiences of caregiving among family caregivers of older blunt trauma patients

Wong

Tan²,

Loo³

et al. 2022

PLoS ONE

View full text Add to dashboard Cite

Objectives Family caregivers play a fundamental role in the care of the older blunt trauma patient. We aim to identify risk factors for negative and positive experiences of caregiving among family caregivers. Design Prospective, nationwide, multi-center cohort study. Setting and participants 110 family caregivers of Singaporeans aged≥55 admitted for unintentional blunt trauma with an Injury Severity Score (ISS) or New Injury Severity Score (NISS)≥10 were assessed for caregiving-related negative (disturbed schedule and poor health, lack of family support, lack of finances) and positive (esteem) experiences using the modified-Caregiver Reaction Assessment (m-CRA) three months post-injury. Methods The association between caregiver and patient factors, and the four m-CRA domains were evaluated via linear regression. Results Caregivers of retired patients and caregivers of functionally dependent patients (post-injury Barthel score <80) reported a worse experience in terms of disturbed schedule and poor health (β-coefficient 0.42 [95% Confidence Interval 0.10, 0.75], p = .01; 0.77 [0.33, 1.21], p = .001), while male caregivers and caregivers who had more people in the household reported a better experience (-0.39 [-0.73, -0.06], p = .02; -0.16 [-0.25, -0.07], p = .001). Caregivers of male patients, retired patients, and patients living in lower socioeconomic housing were more likely to experience lack of family support (0.28, [0.03, -0.53], p = .03; 0.26, [0.01, 0.52], p = .05; 0.34, [0.05, -0.66], p = .02). In the context of lack of finances, caregivers of male patients and caregivers of functionally dependent patients reported higher financial strain (0.74 [0.31, 1.17], p = .001; 0.84 [0.26, 1.43], p = .01). Finally, caregivers of male patients reported higher caregiver esteem (0.36 [0.15, 0.57], p = .001). Conclusions and implications Negative and positive experiences of caregiving among caregivers of older blunt trauma patients are associated with pre-injury disability and certain patient and caregiver demographics. These factors should be considered when planning the post-discharge support of older blunt trauma patients.

show abstract

Family Caregiver Strain and Challenges When Caring for Orthopedic Patients: A Systematic Review

Cited by 19 publications

References 41 publications

Recognition of Anemia in Elderly People in a Rural Community Hospital

Recognition of Anemia in Elderly People in a Rural Community Hospital

Patient and informal carer experience of hip fracture: a qualitative study using interviews and observation in acute orthopaedic trauma

Negative and positive experiences of caregiving among family caregivers of older blunt trauma patients

Contact Info

Product

Resources

About