Social effects of stroke

Brocklehurst, J. C.; Morris, P.; Andrews, Keith; Richards, Ben; Laycock, P. J.

doi:10.1016/0271-7123(81)90043-2

Cited by 65 publications

(60 citation statements)

References 11 publications

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“…There is an increasing tendency for patients to be discharged from the hospital as soon as it is plausible to continue rehabilitation from home (Beech et al, 1999;Bonita et al, 1987;Brocklehurst et al, 1981;Wade and Hewer, 1983) rather than maintaining patients in formal institutions. However, where community care services are unavailable or elderly people cannot afford to pay for such services, reliance is upon the informal sector to provide that care.…”

Section: 52mentioning

confidence: 99%

“…The recent shift in attention from institutional to home care (Anderson, 1995) has resulted in the increased significance ofthe well being ofthe patient after he/she has left the hospital environment. An increasing number of sttoke patients are being cared for in their own homes or in the community (Greveson et al, 1991;Ebrahim and Souri, 1987;Brocklehurst et al, 1981), primarily by spouses and other relatives, and occasionally by fiiends and neighbours.…”

Section: 53mentioning

confidence: 99%

“…The variability in estimates might be due to regional differences in notification systems and hospital referral or differences in the definition and diagnosis of stroke. The extent of home care is again highlighted by the fact that the majority of strokes occur at home (approximately 80%) and somewhere in the region of 80% of surviving stroke patients return to their homes following hospital treatment (Brocklehurst et aL, 1981). However, the great psychological, physical and financial drawbacks of caring for a stroke patient at home are often not adequately considered when the benefits of home care are promoted.…”

Section: Prevalence Of Informal Caregivingmentioning

confidence: 99%

“…Stroke in a partner can often lead to a loss of prior roles and status, significant relationship changes and potential sttain on economic security. Loss of social life may affect three quarters of carers (Holbrook, 1982) and disruption of sleep, described by Sanford (1975) as the, 'least tolerated aspect of caring for someone', is often a difficulty (Brocklehurst et al, 1981).…”

Section: Other Effects Of Caregivingmentioning

confidence: 99%

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Caregiver strain in spouses of stroke patients

Blake¹,

Lincoln²,

Clarke

2003

Clin Rehabil

107

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Objective: To test the ability of a previously generated logistic regression model to predict caregiver strain from carer mood, negative affectivity and perceived patient functional ability. Design: Postal prospective survey. Setting: Spouses of community-residing patients identified from hospital stroke registers. Method: Spouses were assessed at three and six months after stroke. A previously derived equation was used to make predictions at three months of their level of strain at six months, which were compared with observed outcomes. Measures: Spouses were asked to complete the Caregiver Strain Index (CSI), the General Health Questionnaire (GHQ-12), the Positive and Negative Affectivity Schedule (PANAS) and to assess patients' independence in activities of daily living on the Extended Activities of Daily Living Scale (EADL). Results: Of 409 stroke patients, 276 had an identifiable co-resident spouse and 116 (42%) completed the measures. At three months after stroke, 39 carers (34%) were under significant strain with 40 (35%) under strain at six months. The predictive model using the GHQ-12, PANAS and EADL at three months was 78% accurate in predicting levels of caregiver strain at six months. Conclusion: Carers at risk of later strain could be identified for further followup. Services to provide emotional support to carers might be effective in the reduction of carer strain.

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Section: 52mentioning

confidence: 99%

Section: 53mentioning

confidence: 99%

Section: Prevalence Of Informal Caregivingmentioning

confidence: 99%

Section: Other Effects Of Caregivingmentioning

confidence: 99%

See 2 more Smart Citations

Caregiver strain in spouses of stroke patients

Blake¹,

Lincoln²,

Clarke

2003

Clin Rehabil

107

View full text Add to dashboard Cite

show abstract

“…For example, studies on the families of community-residing schizophrenies (80,81), stroke patients (82), and chronically and terminally ill children (83)(84)(85) have provided information about the strains experienced by these caregivers. In the field of gerontology, several In the present chapter, a critical review of studies on the effect of caring for a demented elderly person on the caregiver's physical and psychological health will be presented.…”

Section: Stressfulness Of Carxng For a Demented Persanmentioning

confidence: 99%

The psychological and physical health of family members caring for an elderly person with dementia

Baumgarten

Battista

Infante‐Rivard

et al. 1992

Journal of Clinical Epidemiology

352

220

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The families of the institutionalized dementing elderly: A preliminary study of stress in a French caregiver population

Ritchie¹,

Ledésert

1992

Int J Geriat Psychiatry

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SUMMARYThe present study describes the development of a measure of stress in the family caregivers of institutionalized dementing elders using a brief two-dimensional scale. Univariate and multivariate analysis of the responses of 257 French adult caregivers to the scale suggest that a year after the admission to care unhappiness is expressed by a third of the population, principally due to exclusion from the caregiving role, financial burden, problems with family and poor contact with staff. Responses appear to be independent of the degree of dementia, the presence of associated pathology in the institutionalized elder and recency of admission. Significantly greater satisfaction with care and lower levels of stress were reported by caregivers with a relative in non-medical communal care as opposed to a long-stay hospital.KEY wom-Senile dementia, long-stay care evaluation.A great deal of attention has been given in recent years to the caregivers of elderly demented persons who still live in the community, as these persons not only relieve pressure on formal health services but are also themselves at high risk of physical and mental ill-health (Poulshock and Deimling, 1984;Robinson, 1983;Zarit et al., 1980;Morris et al., 1988). The wellbeing of the families of institutionalized persons with dementia has, on the other hand, been largely ignored on the assumption that institutionalization resolves the problem of caregiver burden. While research in a number of countries has indeed demonstrated a significant reduction in stress for family caregivers as a result of institutionalization (Levin et al., 1983;Wells and Jorm, 1987;Grad and Sainsbury, 1965;Gilleard et al., 1984b), a longitudinal study conducted in the United Kingdom Sainsbury, 1965, 1968;Sainsbury and Grad, 1970) revealed that 21% of family caregivers continued to experience stress despite the institutionalization of the dementing family member. This observation suggests that there are sources of stress in caregiving which are not met by long-term institutionalization and/or that institutionalization itself gives rise to new forms of stress which are not found in community care. Controlled studies of caregiver stress following institutionalization are presently needed in order (a) to identify the needs of this group and (b) to assess to what extent institutionalization of a dementing elderly person actually modifies morbidity rates in caregivers. The present article aims to address the first question by attempting to construct a measure of caregiver stress which targets sources of stress experienced by the families of institutionalized elderly persons, thereby complementing the extensive work which has been done in the area of domiciIiary caregiving. While a number of questionnaires exist for the study of domiciliary caregivers, these are not adequate for institutionalized persons, as institutionalization introduces new elements into the situation, such as satisfaction with care, while removing others, such as the need for surveillance.A review of the liter...

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Social effects of stroke

Cited by 65 publications

References 11 publications

Caregiver strain in spouses of stroke patients

Caregiver strain in spouses of stroke patients

The psychological and physical health of family members caring for an elderly person with dementia

The families of the institutionalized dementing elderly: A preliminary study of stress in a French caregiver population

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