carers

Without the contribution of informal carers of disabled, sick & older people, organised social care in England & Wales could not cope. However, carers can often experience financial hardship, poor health & social isolation, & may find it difficult to combine work & care. The government has developed policies to support carers in their caring role, while also introducing measures to assist carers to work, reflecting the emphasis on paid work as a driving force to reduce poverty.

This quality standard covers the treatment and management of psychosis and schizophrenia (including related psychotic disorders such as schizoaffective disorder, schizophreniform disorder and delusional disorder) in adults with onset before the age of 60 years in primary, secondary and community care. It does not cover adults with transient psychotic symptoms.

For the past 15 years a central theme of government health-care policy has been to encourage the health service to change the way it relates to those who use it. Recent health policy documents such as Our National Health: A plan for action, a plan for change (Scottish Executive, 2000) emphasise a more integrated way of working that reflects co-operative partnerships.

Models depicting the strain and burden that caregivers experience are well known. But none of the models include nutrition, despite its importance to health. About 20 percent of caregivers report changes of appetite and weight. In this article, the author explores nutritional status and its relationship to the experience of caregivers—and their care recipients.

Objectives: People caring for family members who have dementia often experience considerable levels of anxiety and depression. However, relatively little is known about the awareness of carer distress among people with dementia. This study investigated whether or not people with dementia are aware of the level of distress experienced by their carers.

Objectives: Anxiety and depression are major health problems for carers of frail older people. Positive reactions to caregiving have been shown to protect people against anxiety and depression. The aims of this study are to explore specific aspects of self-esteem, termed positive caregiving reactions, and examine its relationship with caregiving anxiety and depressive symptoms.