The Importance Of Informal Support

It is a known fact that people are living longer today and with older age comes many obstacles for which the elderly overcome. Such obstacles as; physical changes, mental changes, changes in income, friends, family, and at times their way of life. As the baby boomers are getting older, some find that their social life has declined because most of their friends have died. Moreover, some of the boomers are maintaining their lifestyles as though nothing has changed, while others are in the midst of significant changes in their lifestyles and their way of life. The purpose of this discussion board is to compare and contrast two social theories about aging and how it relates to the role of the caregiver. Furthermore, I will discuss the one new

In the U.S, one in four will be aged 60 years and older by 2050 (U.S. Census Bureau). This represents an overwhelming number of people who will either be in the caretaker role or be the ROC. Like today, most of the care will be provided by informal unpaid caregivers. The number of informal unpaid caregivers is expected to rise from 20 million in 2000 to 37 million in 2050 (Office of the Assistant Secretary for Planning and Evaluation [ASPE], 2003). Because of the burden of care giving, many caregivers will experience depression, poor health and quality of life (Etters, Goodall, & Harrison, 2008). Their well-being is an important public health concern.

Adult children caring for their aging parent or grandparent provide the majority of informal support. This is due in part because grandmothers “raise their grandchildren to believe in lifetime reciprocity”, grandchildren often feel an obligation to care for their aging family members (Novak, 2012, p.191). Furthermore, a heavy reliance on family support may be due to a lack of trust exists towards formal health care programs, a lack of access, or a general lack of

Sorrell, J. M. (2014). Moving Beyond Caregiver Burden: Identifying Helpful Interventions for Family Caregivers. Journal of Psychosocial Nursing and Mental Health Services. doi:10.3928/02793695-20140128-05

A current issue for both male and female parents and carers is the ability to function positively amidst the various responsibilities and expectations of society. In today’s society, however, various types of support are available that assists in enhancing the confidence and wellbeing of these parents and carers. Informal support is the assistance gained from relatives, friends or neighbours of parents and carers. This type of support is beneficial for both male and female parents and carers, as they are able to function more effectively with a stronger support system to assist them

Many caregivers are elderly themselves, and the heavy physical and mental toll of caregiving can compromise their own health, resulting in two elderly persons needing assistance. Several years ago, Mr. and Mrs. C, another couple in their late 80’s, moved to a Senior Living Community offering different levels of care including Independent Living, Assisted Living, and a Dementia Care Unit. They were in an Independent Living apartment and on a waiting list for an Assisted Living apartment to become available. Although they have adult children close by, Theresa was the primary caregiver for her husband who has

Professional people have to deal with senior adults as a special population and intervene to prevent and protect them from getting abused. Furthermore, the researchers discuss the ways to recognize the abusers by absorbing how complex or flexible the relationship between the caregivers and the victims and by knowing the caregivers’ personal issues as stress, which may lead to the abuse (Gorbien & Eisenstein, 2005). People who take care of elderly have to provide great attention to these vulnerable people and being aware of all the circumstances that around them whether relationship problems, illness problem as identifying dementia at an early stage, and promoting home service Monod (2013). All of these examples may prevent elder abuse.

With medical and technological advances, the United State’s life expectancy continues to increase, leading to an improved number of elderly individuals. As a nursing student, who worked at a nursing home for three years in high school, I am quite familiar with elderly abuse, especially institutional abuse. Prior to this discussion post, I persisted more familiar with the types of elderly abuse, rather than the incidence rates within the United States. To clarify this discussion post, elderly abuse stands defined as, “an intentional act, or failure to act, by a caregiver or another person in a relationship involving an expectation of trust that causes or creates a risk of harm to an older adult” (Centers for Disease Control and Prevention, 2016). The risk of harm to an older adult subsisted evident in an institutional setting, from my work experience. While I cannot disclose that the nurses physically, sexually, or financially abused the residents, I am aware of the neglect and emotional abuse the occurred in this setting. The abuse that occurs to elderly individuals stems for two triggers – caregiver stress and the vulnerability of the elder. According to the textbook, “Exhaustion and anger can reach a boiling point and can create intergenerational conflicts” (Olson, DeFrain, & Skogrand, 2014, p. 383). When caregivers acquire stress, they tend to take out their aggression on the elder, intentionally or unintentionally, as they remain overwhelmed with emotions. Personally, I

Roberto and Mancini (2009) states, “Informal care is generally provided by untrained social network members known as family or friends which generally takes place in the home of either the caregiver or the care recipient. Informal caregivers also play an important role in long-term care settings where they offer companionship, emotional support, and assistance with daily activities (e.g., feeding, bathing etc)”.

Elder mistreatment is a serious problem in America, yet it often overlooked. Elder abuse is defined as abuse in older adults that includes, but isn’t limited to physical, emotional, financial or sexual abuse. It is a single or repeated act or lack of appropriate action, occurring within any relationship where there is an expectation of trust, which causes harm. It is often misunderstood and dismissed as just a family matter when in fact, that is the least common source of cruelty amongst the elders. According to the National council of aging, 1 in 10 Americans aged 60 and older have experienced some form of abuse. Some estimates range as high as 5 million elders who are reportedly abused yearly.

The aging population is at high risk of being taken advantage of and mistreated by a caregiver or family member. Elders are the most vulnerable group of people and are subject to elder abuse in their later years of life. The Administration of Aging refers to elder abuse as the knowing, intentional, or negligent act that causes harm or serious risk of harm to a vulnerable adult. Every year, hundreds of thousands of older adults are abused, neglected, and exploited. Unfortunately, a trusted caregiver or a loved one commits most of these heinous acts.

Elder abuse is a growing problem that can be a challenge to address. Physical, emotional, and financial abuse is associated with increased mortality rates, especially in those that are alone. The National center on Elder Abuse (as cited in Hoover & Polson, 2014) defines elder abuse as “intentional or neglectful acts by a caregiver or ‘trusted’ individual that lead to or may lead to, harm of a vulnerable elder”. Mistreatment of older adults will incline as the number of adults that need caregivers increase. The elder adult that is the most susceptible to abuse is most likely frail, defenseless, and cognitively impaired. Amidst all other problems, the older adult has encountered at least one type of abuse in their later years. Many cases of older adult abuse are not reported and the abuse continues until mortality.

In the U.S., there is an essential population of informal caregivers that devote a significant amount of time and resources to caring for older adults with impairments. However, due to the informal nature of these caregiver relationships, there is a lack of knowledge and understanding of this population. In “A National Profile of Family and Unpaid Caregivers Who Assist Older Adults with Health Care Activities (2016)”, Wolff and colleagues highlight the importance of understanding the responsibilities of caregivers and how this may affect their own health, as well as the need to identify the basic characteristics of informal caregivers. Therefore, the primary objective of this study by Wolff and colleagues (2016) was to characterize the common responsibilities of caregivers, their utilization of supportive services, as well as to identify the effects of caregiver-related responsibilities on their health. Ultimately, this information may inform future public health services and health care systems to provide much needed support and resources to these caregivers.

Other at-risk groups include people who are socially isolated and people with mental impairments or dementia. While protecting the victim is of the utmost importance, it is vital to not forget the abuser because they are affected as well. Since most abuse happens at home by family members, that is who I am referring to as the abuser. The stresses of caregiving can be overwhelming. While elder abuse is never an acceptable response to any problem, no matter how stressful, many people who are thrust into the role of caregiving can find themselves ill-equipped for it. At its most innocent stage, a caregiver 's unintentional failure to provide proper care and support because of a lack of understanding or lack of skills is abusive behavior that can threaten the safety and well-being of the older adult, but instead of them being penalized it may be more productive to educate them.

The older adult population in the United States has steadily increased thanks to technology and medical advances. While this definitely is an undeniable achievement, it also creates some challenges that society was not as prevalent to face before. Now that people are living longer it’s also means that often times family members are becoming caregivers to their loved ones during their so called golden years. Not only may it be difficult to care for a loved one, but it also becomes even more burdensome when their loved has a disability. In fact “dementia is one of the major causes of disability and dependency among older people worldwide.” (2016). Fortunately there are adult day centers that serve people with dementia and provide services that can benefit them. However many times caregivers are forgotten about and aren’t provided services that can also benefit them as well. While it does take a bit of pressure off of the caregivers while their loved ones are at the day center, it does not eliminate all the other effects. Many people may not be aware that there are detrimental effects that a caregiver may experience as a result of caring for someone with dementia.