scholarly journals “Tipping point” concept analysis in the family caregiving context

Nursing Forum ◽  
2019 ◽  
Vol 54 (4) ◽  
pp. 582-592 ◽  
Author(s):  
Janice D. Crist ◽  
Jian Liu ◽  
Kim D. Shea ◽  
Rachel L. Peterson ◽  
Lori Martin‐Plank ◽  
...  
2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S598-S598
Author(s):  
Lorraine Martin-Plank ◽  
Lori Martin-Plank ◽  
Beverly Heasley ◽  
Cheryl L Lacasse ◽  
Linda R Phillips ◽  
...  

Abstract Defining a Tipping Point as seemingly abrupt, severe, and absolute vividly illustrates the end result of the consequence of not responding to impending events. Failure to detect an impending tipping point can result in unplanned consequences including falls, fractures, emergency care, a change in family caregiving situation, and a cascade of events leading to devastating permanent changes in chosen living arrangements or even death to the aging adult and the family caregiver. Proactive monitoring with a wearable device that can detect subtle changes in daily routines is a valuable tool, which caregiving families can use for decision support in accessing long term support services or planning for change in environment or level of care. Using this definition of tipping points and describing early changes can also be a valuable tool for clinicians when communicating potentially dangerous situations to the older adult and caregivers in the home or senior residential setting.


2017 ◽  
Vol 30 (3) ◽  
pp. 375-384 ◽  
Author(s):  
Ching-Lin Wang ◽  
Li-Min Kuo ◽  
Yi-Chen Chiu ◽  
Hsiu-Li Huang ◽  
Huei-Ling Huang ◽  
...  

ABSTRACTBackground:To develop a theoretical model explaining the longitudinal changes in the caregiving process for family caregivers of persons with mild cognitive impairment (MCI) in Taiwan.Methods:A longitudinal, grounded theory approach using in-depth face-to-face interviews and an open-ended interview guide. We conducted 42 interviews over a two-year period; each participant was interviewed at least once every six months. All participants were interviewed in their home. The participants total of 13 family caregivers of persons with MCI.Results:One core theme emerged: “protective preparation.” This reflected the family caregiving process of preparation for a further decline in cognitive function, and protection from the impact of low self-esteem, accidents, and symptoms of comorbidities for the family member with MCI. Protective preparation contained three components: ambivalent normalization, vigilant preparation, and protective management.Conclusions:Interventions to help family caregivers manage the changes in persons with MCI can reduce caregiver burden. Our findings could provide a knowledge base for use by healthcare providers to develop and implement strategies to reduce caregiver burden for family caregivers of persons with MCI.


2021 ◽  
pp. 1295-1311
Author(s):  
David W. Kissane ◽  
Christopher H. Grossman ◽  
Clare O’Callaghan

Psychological, existential, spiritual, and social issues cause much suffering and deserve extensive study to understand these concerns more fully and to intervene more effectively. Themes that abound include communication, coping, ethics, the family, caregiving, quality of life, death and dying, psychiatric disorders, suffering, and the many expressions of distress. Many study designs are possible to explore these themes, often with complementary quantitative and qualitative components. This chapter summarizes the psychometric properties of many of the instruments that are commonly employed in such studies, and describes quantitative, qualitative, and mixed methods designs used. The goal is to strengthen research design and optimize research outcomes to benefit the discipline.


2017 ◽  
Vol 22 (2) ◽  
pp. 302-320
Author(s):  
Andrea L. Miller

Much remains unknown about the boundary conditions of stereotype threat and the factors that influence how it manifests in various domains. In particular, non-performance-related responses to stereotype threat have been relatively neglected, and little is known about stereotype threats in domains where group membership is less stable over the life course. Using both correlational and experimental methods, these studies use the work–life conflict domain to contribute to stereotype threat theory along these dimensions. Studies 1 and 2 demonstrated that stereotype threat based on caregiver status predicts increased use of coping strategies that involve sacrifices in work productivity, family caregiving, and personal well-being. Studies 1 through 3 suggest that formal flexibility accommodation policies (such as the Family and Medical Leave Act of 1993) may not be an effective intervention in stereotype threat in the work–life conflict domain; providing informal social cues of support for employees with caregiving responsibilities, however, may be effective.


2006 ◽  
Vol 18 (3-4) ◽  
pp. 141-154 ◽  
Author(s):  
Joseph E. Gaugler ◽  
Pamela Teaster
Keyword(s):  

Author(s):  
David W. Kissane ◽  
Annette F. Street ◽  
Erin E. Schweers ◽  
Thomas M. Atkinson

Psychological, existential, spiritual, and social issues cause much suffering and deserve extensive study to understand these concerns more fully and to intervene more effectively. Themes that abound include communication, coping, ethics, the family, caregiving, quality of life, death and dying, psychiatric disorders, suffering, and the many expressions of distress. Many study designs are possible to explore these themes, often with complementary quantitative and qualitative components. This chapter summarizes the psychometric properties of many of the instruments that are commonly employed in such studies and the computer-assisted software packages that assist qualitative analyses. The goal is to strengthen research design and optimize research outcomes to benefit the discipline.


Healthcare ◽  
2019 ◽  
Vol 7 (2) ◽  
pp. 63 ◽  
Author(s):  
Sherman

In Palliative Care, the unit of care is the patient and their family. Although members of the health care team often address the family caregiver’s opinions and concerns, the focus of care remains on the needs of the patient. The readiness and willingness of the family caregiver is often overlooked as they are expected to assume a complex caregiving role. When family caregivers are not intellectually or emotionally prepared or physically capable, the caregiver is at high risk for serious health issues and cognitive, emotional, and physical decline particularly as caregiving extends over time. Family caregivers are often a neglected and at-risk population. Illustrated through the use of a case study, this article addresses the complex role of family caregivers, as both health team members and second-order patients. It emphasizes the importance of family assessment and interventions to balance the burdens and benefits of family caregiving and protect caregivers’ health and well-being.


1998 ◽  
Vol 14 (2) ◽  
pp. 14-22 ◽  
Author(s):  
Kelli I. Stajduhar ◽  
Betty Davies

This study explored the day-to-day experiences of family members providing care at home for their dying loved one with HIV/AIDS. In-depth interviews with seven caregivers were analyzed using grounded theory qualitative methods. A conceptualization of the family caregiving experience portrays HIV/AIDS caregiving as an intense, emotional, and powerful experience filled with pride and enrichment, and conversely, with anger and disillusionment. Findings reflected a significant need for interventions designed to provide direct and effective support for family members caring for a loved one with HIV/AIDS.


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