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. 1994 Apr;40:679–685.

Are physicians meeting the needs of family caregivers of the frail elderly?

S L Brotman 1, M J Yaffe 1
PMCID: PMC2380098  PMID: 8199520

Abstract

OBJECTIVE: To explore expressed needs, both formal and informal, of family caregivers of frail elderly. To evaluate roles of physicians. DESIGN: Questionnaire survey of members of the Montreal Jewish community providing care for frail elderly family members. SETTING: Jewish community of Montreal. PARTICIPANTS: Volunteer caregivers who were caring for a family member or friend 60 years or older, who had greatest responsibility for providing physical or emotional support to an elderly person, who saw themselves as caregivers, and who could speak English or French were studied. Of 118 volunteers, 32 were excluded because they withdrew for personal reasons or because they did not meet study criteria. MAIN OUTCOME MEASURES: Demographic variables, functional status of the care receiver, use of home care services, and needs assessment to identify additional services. RESULTS: An average of 75.4% respondents did not use formal support services. Just under half of caregivers were dissatisfied with the attention they received from the health care system, and more than one third expressed feelings of stress, depression, guilt, and isolation. CONCLUSIONS: Hypotheses for this discontent are presented. Physicians may be uninterested in helping caregivers; even if they were receptive to counseling caregivers, they could be poorly remunerated for the types of counseling sessions that are usual for caregivers; and being a professional caregiver to family caregivers is demanding in itself.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Aronson M. K., Lipkowitz R. Senile dementia, Alzheimer's type: the family and the health care delivery system. J Am Geriatr Soc. 1981 Dec;29(12):568–571. doi: 10.1111/j.1532-5415.1981.tb01261.x. [DOI] [PubMed] [Google Scholar]
  2. Baillie V., Norbeck J. S., Barnes L. E. Stress, social support, and psychological distress of family caregivers of the elderly. Nurs Res. 1988 Jul-Aug;37(4):217–222. [PubMed] [Google Scholar]
  3. Cantor M. H. Strain among caregivers: a study of experience in the United States. Gerontologist. 1983 Dec;23(6):597–604. doi: 10.1093/geront/23.6.597. [DOI] [PubMed] [Google Scholar]
  4. Caserta M. S., Lund D. A., Wright S. D., Redburn D. E. Caregivers to dementia patients: the utilization of community services. Gerontologist. 1987 Apr;27(2):209–214. doi: 10.1093/geront/27.2.209. [DOI] [PubMed] [Google Scholar]
  5. Farkas S. W. Impact of chronic illness on the patient's spouse. Health Soc Work. 1980 Nov;5(4):39–46. doi: 10.1093/hsw/5.4.39. [DOI] [PubMed] [Google Scholar]
  6. Fengler A. P., Goodrich N. Wives of elderly disabled men: the hidden patients. Gerontologist. 1979 Apr;19(2):175–183. doi: 10.1093/geront/19.2.175. [DOI] [PubMed] [Google Scholar]
  7. Gallagher D. E. Intervention strategies to assist caregivers of frail elders: current research status and future research directions. Annu Rev Gerontol Geriatr. 1985;5:249–282. [PubMed] [Google Scholar]
  8. Grad J., Sainsbury P. The effects that patients have on their families in a community care and a control psychiatric service--a two year follow-up. Br J Psychiatry. 1968 Mar;114(508):265–278. doi: 10.1192/bjp.114.508.265. [DOI] [PubMed] [Google Scholar]
  9. Rabins P. V. Management of dementia in the family context. Psychosomatics. 1984 May;25(5):369-71, 374-5. doi: 10.1016/S0033-3182(84)73035-0. [DOI] [PubMed] [Google Scholar]
  10. Ross H. E., Kedward H. B. Psychogeriatric hospital admissions from the community and institutions. J Gerontol. 1977 Jul;32(4):420–427. doi: 10.1093/geronj/32.4.420. [DOI] [PubMed] [Google Scholar]
  11. Snyder B., Keefe K. The unmet needs of family caregivers for frail and disabled adults. Soc Work Health Care. 1985 Spring;10(3):1–14. doi: 10.1300/J010v10n03_01. [DOI] [PubMed] [Google Scholar]
  12. Wolfson C., Handfield-Jones R., Glass K. C., McClaran J., Keyserlingk E. Adult children's perceptions of their responsibility to provide care for dependent elderly parents. Gerontologist. 1993 Jun;33(3):315–323. doi: 10.1093/geront/33.3.315. [DOI] [PubMed] [Google Scholar]
  13. Yaffe M. J. Implications of caring for an aging parent. CMAJ. 1988 Feb 1;138(3):231–235. [PMC free article] [PubMed] [Google Scholar]
  14. Yaffe M. J., Stewart M. A. The problems and concerns of middle age. Can Fam Physician. 1984 May;30:1089–1093. [PMC free article] [PubMed] [Google Scholar]

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