Home Alone Revisited: At a Glance

Abstract

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Receipt of Posthospitalization Care Training Among Medicare Beneficiaries’ Family Caregivers

“…57 The CARE Act requires hospitals to provide education related to postdischarge medical tasks, 34 , 58 although implementation has varied widely by state and includes few enforcement mechanisms. 59 , 60 Although engaging family caregivers during discharge may be associated with improved postdischarge outcomes, 21 the effects of these policies on caregivers are not well understood. Future evaluation of these policies and programs should examine whether they impact caregiver capacity and burden.…”

“… 8 , 9 , 24 , 25 Caregivers report needing additional instruction related to medical and nursing tasks. 26 However, fewer than 1 in 10 caregivers report receiving role-related training, 27 and caregivers commonly report learning how to manage medical and nursing tasks on their own without guidance or instruction from formal health care professionals. 26 Training may be especially important during posthospitalization care transitions.…”

“… 26 However, fewer than 1 in 10 caregivers report receiving role-related training, 27 and caregivers commonly report learning how to manage medical and nursing tasks on their own without guidance or instruction from formal health care professionals. 26 Training may be especially important during posthospitalization care transitions. Patients and family caregivers consistently report feeling unprepared for hospital discharge, 28 , 29 , 30 and caregivers often assume greater responsibility for medical and nursing tasks while they are providing posthospitalization care.…”

Dietary and Feeding Modifications for Older Adults

“…National and state policy makers even codified this construct by linking caregivers' eligibility for respite to the "ADL deficits" of the person they were helping. 3 2012 Report: Family Caregivers Also Perform Complex Medical/Nursing Tasks-without Instruction Although individual studies had described in more complete terms the roles of family caregivers, the Home Alone study published in 2012 4 was the first national population-based study to challenge the common perception of a family caregiver's job description as focusing on ADLs and IADLs alone.…”

The Impact of Psychological Status, Social Well‐Being, and Physical Function on Healthcare Utilization

“…With regard to social supports, a recent report by AARP, Home Care Revisited noted that almost half (46%) of family caregivers performed medical/nursing tasks for care recipients, including medication management, wound care, use of monitors, managing incontinence, or using specific medical equipment. The comfort and skill level of these individuals might be more likely to contribute to a need for a hospital readmission than simply whether the individual had a social network.…”