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Trends in Caregiving

Trends in Caregiving. Rhonda J. V. Montgomery, Ph.D. University of Kansas. Caregiving is the cornerstone of our long-term care system. We know:. Families provide 80% of long term care Nursing home is last choice for care Most caregivers are women NOT ALL CAREGIVERS ARE ALIKE.

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Trends in Caregiving

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  1. Trends in Caregiving Rhonda J. V. Montgomery, Ph.D. University of Kansas

  2. Caregiving is the cornerstone of our long-term care system

  3. We know: • Families provide 80% of long term care • Nursing home is last choice for care • Most caregivers are women • NOT ALL CAREGIVERS ARE ALIKE

  4. Caregivers by Relationship to Elder Care Recipient

  5. Diversity among Caregivers • Gender • Generation • Culture • Caregiving context

  6. What they do When they do it How they do it How long they do it Diversity of Caregiving

  7. HOURS OF CARE

  8. Spouse Emotional Emotional Banking Banking Errands / Shop Errands / Shop House Tasks House Tasks

  9. Spouse Emotional Emotional Banking Errands / Shop House Tasks Personal Care

  10. Child Emotional Emotional Banking Errands / Shop House Tasks Personal Care

  11. Adult-Child Emotional Emotional Financial Errands / Shop House Tasks Personal Care

  12. CareSharing: Wives B S H B P S O H 80% 20%

  13. B S O H H P Care Sharing Husbands B S H P 70% 20% 10%

  14. B T O H P Care Sharing: Daughter B T O H P 70% 30%

  15. Care Sharing:Son B S O H B P s O H 55% P 45%

  16. Caregiving Career: Child

  17. Caregiving Career : Spouse

  18. Comparing Careers CHILD SPOUSE

  19. Basic Premises of Markers Model of Caregiving Careers • There is no single, generic caregiver role • Caregiving role emerges from prior role relationships • Role influenced by the unique values, beliefs and circumstances • Consequently there are: • Consistencies in the caregiving process. • Unique adaptations.

  20. Premises of Marker Model • Caregiving is a dynamic process that unfolds over time • The length of career varies • Requires a change in identity

  21. Caregiving Career Markers • 1. Performing caregiving tasks • 2. Self-definition as a caregiver • 3. Performing personal care tasks • 4. Seeking assistance and formal services • 5. Consideration of nursing home placement • 6. Placement in nursing home • 7. Termination of caregiving

  22. #6 #5 #4 #3 #2 Caregiving career: child

  23. #6 #5 #4 #3 #2 Caregiving Career : Spouse

  24. #6 #5 #4 #3 #2 #2 Comparing Career Markers 70 60 H 50 O 40 U CHILD 30 R 20 S 10 0 0 1 2 3 4 5 6 7 YEARS #6 #5 #4 #3 SPOUSE

  25. Diversity of Burdens • Difficult tasks/Physical Health • Time for other responsibilities • Task Overload • Privacy • Loss of Roles • Isolation • Financial Burden • Guilt

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