English

Background: older patients are less likely to receive palliative care than younger patients. As patient and primary carer age correlate positively, patterns may be due to carer rather than patient age, and reflect better ability to obtain support among younger carers.

Objective: to investigate how both patient and carer age relate to palliative care use, controlling for relevant variables.

Longitudinal research on caregiver burden related to mental disorders based on representative samples is scarce. Previous results on the development of burden over time are inconsistent. This article aims to establish whether change in mental disorder status in the index persons predicts subjective burden in their spouses in terms of changed mental health over a period of 11 years.

The Health & Social Care (H&SC) Task Force, the membership of which is set out in annex B, was one of four such task forces established to develop proposals for measures to be included in the new Carers’ Strategy . This report comprises proposals developed by the group which were put to the Interdepartmental Group chaired by David Behan, Director-General Social Care, Local Government and Care Partnerships, Department of Health, which oversaw the development of the strategy as a whole.

The views of carers are often overlooked, but the winner of the Cancer Nursing category at the 2005 NT Awards put them at the centre of a project to improve care for patients with lung cancer, reports Clare Lomas. [Introduction]

While policy promotes comprehensive assessment of family career needs and a plan to adequately meet family career needs within palliative care, there is a lack of studies in the Australian context which examine the current type of assessment and types of care provided to family carers.

The literature suggests that pain in the elderly, especially among seniors with dementia, is under-assessed and under-treated. This qualitative study solicited the perspectives of seniors, front-line nursing staff, nursing-home administrators, and informal caregivers of seniors with dementia on the current status of pain assessment and management. The views of these participants complement the research findings reported in the literature.

In the United States and globally, increasing numbers of older parents are living with their adult children. Making the decision to live together requires careful thought and planning; particularly when the decision means the children will be responsible for their elder parents’ care, the physicians of all parties should be consulted. More than one-third of caregivers state that they seek advice from their physician or other clinician when information is needed about this transition.

May carers are isolated and GP surgeries are often their first point of contact for support and resources. This article describes the role of a carer support and development worker, whose aim is to provide the support carers need. Cites 19 references. [Journal abstract]

Carers of patients with psychiatric disorders show high levels of anxiety and depression, possibly mediated through disruption of the hypothalamo–pituitary–adrenal (HPA) axis. Among carers of patients with treatment-resistant depression (TRD), we set out to determine the psychological and physiological (HPA axis) consequences of caring, and the association of these consequences with long-term outcome in patients.