Family caregivers' perspectives on dementia-related dressing difficulties at home: The preservation of self model
Autor: | Diane Feeney Mahoney, Sharon LaRose, Edward L. Mahoney |
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Rok vydání: | 2013 |
Předmět: |
Adult
Male Psychotherapist Activities of daily living Sociology and Political Science media_common.quotation_subject Grounded theory Blame Dignity Nursing Intervention (counseling) Activities of Daily Living Humans media_common Aged Aged 80 and over Family caregivers Stressor General Social Sciences General Medicine Focus Groups Middle Aged Focus group Caregivers Grounded Theory Dementia Female Psychology |
Zdroj: | Dementia (London, England). 14(4) |
ISSN: | 1741-2684 |
Popis: | Alzheimer’s caregiving literature acknowledges dressing as a major daily stressor but research on this topic is negligible. A qualitative grounded theory approach was used to explore Alzheimer’s family caregivers’ perspectives about issues that arise when their family members lose the ability to dress independently. Three focus groups and seven individual interviews were conducted and audio recorded with 25 information rich caregivers. Constant comparative analyses and coding of the transcripts identified six major themes leading to a ‘Preservation of Self Model: Care Recipient to Care Giver’ that portrays the caregiving trajectory. Initially, caregivers tried to protect the self dignity of the family member by maintaining usual routines and absorbing blame for difficulties. Dressing ‘battles’ occurred and caregivers learned management through trial and error. Crossing adult–child-gender role boundaries escalated discomfort. When facing unrelenting demands, concern shifted to preservation of the caregivers’ health and self. Results suggest that caregivers would benefit from more pro-active dressing counseling to shorten the trial and error periods, dressing aids more relevant to dementia and more knowledgeable helpers. The preservation model can facilitate understanding of the caregiving trajectory and guide intervention support. |
Databáze: | OpenAIRE |
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