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British nursing index bni - exported on 8/7/2016

Caring for a relative with delusional beliefs: a qualitative exploration

Background: In recent years, there has been a gradual shift towards the study of individual symptom presentations in psychosis, this is particularly found in studies of delusional beliefs. However, the literature remains sparse on informal caregiver experiences of individual symptoms.

Aim: The study sought to investigate carer experiences of supporting a relative with delusional beliefs, which involve family members.

Methods: Semi-structured interviews were undertaken with five caregivers and subject to interpretative phenomenological analysis.

Thu, 07/20/2017 - 15:17

A qualitative evaluation of the impact of palliative care day services: the experiences of patients, informal carers, day unit managers and volunteer staff

Objectives: To explore the experiences of people involved in UK palliative care day services (PCDS) and identify the important outcomes of this service. Methods: Focus groups were carried out separately with patients, informal carers and volunteers from four purposively selected palliative care day units and with day unit managers from 11 units. Results: Patients benefited from both the support of PCDS professionals and social support of fellow PCDS patients, which contributed to a perceived improvement in their quality of life.

Thu, 07/20/2017 - 15:17

The effects of duration of caregiving on institutionalization

Purpose: Our objective in this analysis was to determine how the duration of caregiving interacts with key care demands (i.e., severity of problem behaviors) to influence the institutionalization of individuals suffering from dementia. Methods: We utilized multiregional data from 4,761 caregivers of individuals with dementia over a 3-year period. We conducted multinomial logistic and Cox proportional hazards analyses to determine the moderating effects of duration on behavior problems when institutionalization was predicted.

Thu, 07/20/2017 - 15:17

Caregivers' and non-caregivers' knowledge regarding HIV/AIDS and attitude towards HIV/AIDS and orphans in Nigeria

Nigeria has an estimated 930 000 AIDS orphans, which has a marked impact on family and community. This study was performed to characterise caregivers’ knowledge regarding HIV/AIDS and their attitude towards HIV/AIDS, orphans in general and AIDS orphans in particular.

Thu, 07/20/2017 - 15:17

Caregiver's burden, depression and support as predictors of post-stroke depression: a cross-sectional survey

To examine the effects of caregiver's burden, depression, and support on post-stroke depression (PSD), cross-sectional data were obtained from an epidemiologic survey of 225 stroke survivors and their caregivers living in Seoul, Korea. Multivariate analyses showed that, taking the clinical status of patients into account, caregiver's burden, depression and support were related to higher PSD. Perceived burden exerts adverse effects on PSD through its influence on the depression in caregivers.

Thu, 07/20/2017 - 15:16

Celebrate carers all year round

As I sit here in the garden, enjoying the cool evening breeze after a hard day decorating the bedroom, I flick through a list of national and world days that have landed in my email in tray. Yes, I know that this is sad. However, a number of interesting—if not rather bizarre-days and weeks swim into view, including National Noodle Day (5 March) and Be Nice to Nettles Day (19 May). I kid you not.

Thu, 07/20/2017 - 15:16

Informal carers in cancer contexts

This paper considers some of the challenges involved in studying informal carers in cancer contexts. It reviews current knowledge by examining, first, the dominant psycho-oncological research tradition that focuses on psychological distress among carers and, second, the more recent sociologically informed body of work examining what carers actually do and the contribution that they make to patient care. The authors suggest that this second sociologically informed approach offers an important counter-weight to the psycho-oncological perspective.

Thu, 07/20/2017 - 15:16

Clinical notes for informal carers in palliative care: recommendations from a random patient file audit

Although palliative care aims to support family members and informal carers, current evidence suggests that high levels of unmet need persist, and that this population is challenging to work with. This study aimed to 1) measure the proportion of patients that have an informal carer, 2) describe the clinical notes data on existing needs and coping, 3) measure the completeness of assessment data recording, 4) appraise the utility of existing informal carers’ sections in the patient files, and 5) make recommendations for improvement. An audit was conducted reviewing 145 closed patient files.

Thu, 07/20/2017 - 15:16

Optimising primary care for people with dementia

This review considers key areas in primary care regarding the diagnosis of dementia. Issues surrounding assessment, policy and incentives are considered. In addition, the relevance of non-medication approaches for dementia in primary care, which aim to enhance or maintain quality of life by maximising psychological and social function in the context of existing disabilities, is deliberated.

Thu, 07/20/2017 - 15:16

Identifying the needs of carers in mental health services

Research to identify and assess informal carers of people with a mental illness cared for by the Gloucester Assertive Community Treatment Team and to examine their needs. Carers were assessed using a standardised care programme approach and the help they provided, the effect on their lives and the problems encountered were examined. 

Thu, 07/20/2017 - 15:16

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