Nursing diagnosis – caregiver role restrain

Caregiver Role Restrain

DEFINITION

Difficulty in performing a family caregiver role

DEFINING CHARACTERISTICS

• Difficulty performing/completing required tasks

• Preoccupation with care routine

• Apprehension about care receiver’s health and caregivers’ ability to

provide care

• Fate of the care receiver if the caregiver becomes ill or dies, or the

possible institutionalization of care receiver

• Caregiver–care receiver relationship: grief or uncertainty regarding

changed relationship with care receiver

• Difficulty with watching care receiver experience the illness

RELATED FACTORS

• Care receiver health status

• Caregiving activities

• Caregiver health status

• Family processes

• Caregiver–care receiver

• Resources

relationship

• Socioeconomic

ASSESSMENT FOCUS    (Refer  to  comprehensive  assessment  parameters.)

• Behavior    •  Neurocognition

• Coping    •  Role/relationships

• Emotional    •  Support systems

• Home environment

EXPECTED OUTCOMES

The caregiver will

• Describe current stressors.

• Identify stressors that can and can’t be controlled.

• Identify formal and informal sources of support.

• Show evidence of using support systems.

• Report increased ability to cope with stress.

SUGGESTED NOC OUTCOMES

Caregiver Emotional Health; Caregiver Lifestyle Disruption;

Caregiver Stressors; Caregiver Well-Being; Caregiving Endurance

Potential

INTERVENTIONS AND RATIONALES

Determine: Help caregivers identify current stressors to evaluate the

causes of role strain.

Perform: Provide care, as indicated, to give caregivers respite.

Inform: Suggest ways for caregivers to use time more efficiently. For

example, caregiver may save time by filling out insurance forms

while visiting and chatting with care recipient. Better time manage-

ment may help caregiver reduce stress.

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Attend: Using a nonjudgmental approach, help caregiver evaluate

which stressors are controllable and which aren’t to begin to

develop strategies to reduce stress.

Encourage caregiver to discuss coping skills used to overcome sim-

ilar stressful situations in the past to build confidence for managing

the current situation.

Encourage caregiver to participate in a support group. Provide

information on organizations such as Alzheimer’s Association, Chil-

dren of Aging Parents, or the referral service of the community-

acquired immunodeficiency syndrome task force to foster mutual

support and provide an opportunity for caregiver to discuss personal

feelings with empathetic listeners.

Help caregiver identify informal sources of support, such as family

members, friends, church groups, and community volunteers, to pro-

vide resources for obtaining an occasional or regularly scheduled

respite.

Help caregiver identify available formal support services, such as

home health agencies, municipal or county social services, hospital

social workers, physicians, clinics, and day-care centers, to enhance

coping by providing a reliable structure for support.

If caregiver seems overly anxious or distraught, gently point out

facts about care recipient’s mental and physical condition. Many

times, especially when care recipient is a family member, caregiver’s

perspective is clouded by a long history of emotional involvement.

Your input may help caregiver view the situation more objectively.

Manage: If you believe that excessive emotional involvement is hin-

dering caregiver’s ability to function, consider recommending Code-

pendents Anonymous, a support group for people whose preoccupa-

tion with a relationship leads to chronic suffering and diminished

effectiveness, to provide support.

SUGGESTED NIC INTERVENTIONS

Active Listening; Caregiver Support; Coping Enhancement; Counsel-

ing; Role Enhancement; Support Group

Reference

Schumacher, K., et al. (2006, August). Family caregivers: Caring for older

adults, working with their families. American Journal of Nursing, 106(8),
40–49.

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