Improving Caregiver Health through Systematic Assessment and a Tailored Plan of Care.
Michelle E CamiciaBarbara J LutzDouglas StramLue-Yen TuckerCristine RayBrian R TheodorePublished in: Western journal of nursing research (2021)
Caregivers often experience strain and negative effects on their well-being. We tested the effects of a caregiver assessment and tailored care plan for caregivers of patients transitioning home from an inpatient rehabilitation facility (IRF), a study involving two groups: usual care (n = 225) (preimplementation) and intervention (postimplementation) (n = 215). Caregivers in the intervention group were assessed using the 25-item self-reported Preparedness Assessment for the Transition Home during the IRF stay. A tailored care plan was implemented in response to the assessment. Caregivers in both groups completed the Modified Caregiver Strain Index and Global Health Scale at 30- and 90-day postdischarge. After adjusting for baseline and demographics, caregivers in the intervention group reported lower strain (p < .01) and better overall health (p < .05) at 30-day post-IRF discharge, relative to usual care. Implementing a systematic caregiver assessment and tailored care plan in the IRF may mitigate the adverse effects of caregiving.
Keyphrases
- palliative care
- healthcare
- quality improvement
- public health
- randomized controlled trial
- mental health
- affordable care act
- dendritic cells
- global health
- pain management
- end stage renal disease
- chronic kidney disease
- emergency department
- newly diagnosed
- ejection fraction
- health information
- social media
- electronic health record
- human health
- health promotion