Is there a conflicted surrogate syndrome affecting quality of care in nursing homes?

Journal of the American Medical Directors Association
Samuel W Kidder, David A Smith

Abstract

Is there a point at which family complaints about care cease to be constructive and become excessive and counterproductive? Do excessive complaint behaviors represent a "conflicted surrogate syndrome" that is indicative of psychopathology in the family member or family system? Can this psychopathology result in avoidance behavior by the nursing staff sufficient to result in poor care? While many family/resident complaints are valid and should be viewed as constructive there are occasions when excessive complaints by the family of a nursing facility resident are a result of psychiatric illness or psychological problems in the family member(s) or are evidence of an abnormality in the family system. This series of brief case reports is offered to create discussion of what might be termed a "conflicted surrogate syndrome" that may result in avoidance behavior by staff and consequent poor care.

References

Sep 30, 2000·Journal of Advanced Nursing·A A Ryan, H F Scullion
Jul 21, 2001·Journal of Health Economics·D C Grabowski
Mar 28, 2002·Journal of Gerontological Nursing·W Janzen
Sep 11, 2002·Journal of Gerontological Nursing·Carolyn L Lindgren, Anne Marie Murphy

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Citations

Apr 15, 2009·Medical Care·David C Grabowski, Susan L Mitchell
Aug 23, 2012·Journal of the American Medical Directors Association·Rebecca D ElonFatima A Naqvi

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