Medically complex home care and caregiver strain.

The Gerontologist
Sara M Moorman, Cameron Macdonald

Abstract

To examine (a) whether the content of caregiving tasks (i.e., nursing vs. personal care) contributes to variation in caregivers' strain and (b) whether the level of complexity of nursing tasks contributes to variation in strain among caregivers providing help with such tasks. The data came from the Cash and Counseling Demonstration and Evaluation study conducted in Arkansas, Florida, and New Jersey. The paper analyzes the physical and emotional strain of 1,926 paid American caregivers who helped adult Medicaid recipients with personal and nursing care in the home. Over 80% of home caregivers were providing assistance with nursing care, and over 50% of those were providing help with moderate or high complexity tasks. Caregivers who were providing any type of nursing care reported significantly more strain than caregivers who were providing only personal care. Those providing highly or moderately complex nursing care exhibited more caregiver strain than did those providing low-complexity nursing care. Medical complexity is an important contributor to caregiver strain. Policymakers should consider medical complexity in the development of practices to assist the caregivers of Medicaid long-term care recipients, especially through c...Continue Reading

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Citations

Apr 10, 2015·Scandinavian Journal of Caring Sciences·Sara AlvesConstança Paúl
Sep 27, 2014·Home Health Care Services Quarterly·Ayala Ben-Arie, Esther Iecovich
Mar 27, 2018·Home Health Care Services Quarterly·Shanthi Johnson, Juanita Bacsu
Jun 30, 2019·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Sumi NinomiyaToshio Kobayashi
Nov 10, 2017·Health & Social Care in the Community·Margaret SaariAnn E Tourangeau
May 1, 2018·Journal of Nursing Management·Margaret SaariAnn E Tourangeau
Jun 28, 2019·Journal of Medical Internet Research·Lorraine J BlockGillian Strudwick
Jan 13, 2017·Journal of Korean Academy of Nursing·Jiyeon Kim, Hongsoo Kim
Oct 28, 2019·Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society·Mijung LeeIshan C Williams
Oct 17, 2020·Journal of Patient Experience·Jo-Ana D ChaseDavid R Mehr
Mar 12, 2018·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Courtney A PolenickHelen C Kales

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