PPN201 - Week 10 Family Caregiving, Compassion Fatigue & Elder Abuse

types of family composition

Nuclear family
extended family
three gen family
dyad family
single-parent family
step family
blended family
common-law family
CHOSEN FAMILY

what is a caregiver

anyone who provides assistance to another in need

what is an informal caregiver

anyone who provides care w/o pay and has personal ties to recipient

what is a family caregiver

uses interchangbly w informal caregiver, includes family and friends

racial diversity in caregiving

preferences for certain types of assistance = racial/ethnic lines
- minortity caregivers more likely to be employed and report having more unmet needs
- race and caregiving a proxy for other social determinants of health

culturally sensitive interventions

Must be aware that definition of family differs from one culturer to another
- vary in how they respond to problems and seeking help
- ethnic differences exist in attitudes toward caregiving
- providing assistance to minority caregivers is most effective when represented by the minority group

gender influences and caregiving

Woman, wives, mothers and adult daughters spend more time as primary caregivers
- gendered nature of caregiving = long term characteristic
- person who is closest to and most involved = most accountable for care

nursing advocacy and assessment

ID problems related to family comms
recognize cues of potential problems if not diclosed
advocate for pt when communicating w client

Health related comms issues

Guilt and anger
unexpressed fears
uncertianty
common ground for shared decision makng

what is family centered care

acknowledges importance of considering the family system when caring
- mutually beneficial partnerships among HCPs
- Health events of one affect all

Nurses role in family centered care

Understanding impact of medical crisis on family
appreciate/respond to emotional intensity of exp.
determine appropriate lvl of family involvment

Interprofessional team and family centered care

-Respect/Dignitiy for pt and family
-provide unbiased, accurate and complete info for pt/family
-encourage and support pt/family to participate in care and collab w plan development

Implementing family centered care

Offer info to client and family ASAP
orient pt/family to facility
Pt right to privacy - info only share w pt or POA

Nursing actions to family centered care

Encouraging the telling of illness narratives
commending family and individual stengths
offer info/support
validating emotional response

Technology and communication

Factors affecting comms - geographic barrier/infection prevention
Tech advancement - mobile tech, access to internet, online support group
- assess client comfort level and individualize plan
- provide education about resources

what is compassion

Deep awareness of the suffering of another coupled w a wish to relieve it
Deep feeling of connectedness w exp. of human suffering that requires personal knowing of suffering evokes a moral response that results in caring
caregiving - compassion fatigue eventually

what is compassion fatigue?

One of the reasons HCP disengage, have noticable change in their clinical practice and leave profession

attributes of compassion fatigue

inability to process emotional stress related to caring for suffering pts, emotional, phyisical, and spiritual exhaustion + onset of symptoms

antecedents of compassion fatigue

- Being a caregiver
- prolonged exposure to individuals trauma/suffering
- empathy for the suffering pt
- desire to alleviate individual suffering

consequences of compassion fatigue

- physical and emotinal exhaustion
- reduced capacity to show empathy/compassion
- caregiver burnout
- placement of care recipent in an insitiution
- neglect/abuse of care recipient
- parents w children with severe developmental disabilites are at risk bc of the frequent exposure

risk factors for abuse

Person - Functional dependence, poor physical health, cognitive impairment, poor mental health, low income, gender, age
Perpatrator - mental illness, substance abuse, abuser dependency
Relationship - victim-perpetrator relationship, martial status
Societal - negative stereotypes of aging, cultural norms

what are the types of abuse

Neglect
Physical
Verbal/emotional
Financial
Sexual

Detection - Abuse and neglect

Older ppl need to be positioned as equal human beings
- Awareness of agism
- Older ppl may internalize ageist assumptions and act out stereotypical
- abusive physical enviroment
- human rights for elders
- assessment tools

Disclosure barriers - abuse and neglect

older ppl may report abuse bc they want behavior change in perpetrator actions
- they justify abuses as deserving d/t percieved burden = not reporting occurence
- shame and worthlessness = decreased impact of abuse
- irrational loyalty to perpetrator bc family life is private
- scared to disclose bc of dependecy on perpetrator
- Comms/cognition challenges

Action - abuse and neglect

Have reasonable ground to believe a client has been abused
- info recieved from a reliable source such as another nurse
- reports from a client about specific incident that occured to them unless it was know the allegations could not be true
- incident reports