Decision-Making Process of Family Caregivers Regarding Placement of a Cognitively Impaired Elderly Relative
Abstract
Grounded theory served to develop a model of the family caregiver decision-making process regarding placement of a cognitively impaired elderly relative. Eighteen caregivers were interviewed every 6 months over an average 20 months. Results show the process is activated when the caregiver or a health care professional introduces the possibility of placement. The caregiver's assessment of the pros and cons of placement is modulated primarily by interactions with the formal and informal social network. Three types of longitudinal trajectory emerged from the data suggesting avenues of intervention to support caregivers during this painful process.
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People with dementia often need increased care at home or to move to live with or nearer relatives or to a 24 h care facility as the illness progresses, due to increasing dependency, safety concerns, neuropsychiatric symptoms, or family members becoming frail and unable to care.
“People with dementia often need increased care at home or are required to move to live with or nearer relatives or to a 24 h care facility as the illness progresses due to increasing dependency, safety concerns, neuropsychiatric symptoms or family members becoming increasingly frail and unable to care [1].”
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- Authors
- Ducharme, F., Couture, M., & Lamontagne, J.
- Affiliations
- Institut Universitaire de Gériatrie de Montréal (CA)
- Université de Sherbrooke (CA)
- Corresponding author
- Ducharme, Francine
- ORCID
- Ducharme, Francine
- Venue
- Home Health Care Services Quarterly
- Publisher
- Informa UK Limited
- Published
- 2012-07
- Volume
- 31
- Issue
- 3
- Pages
- 197-218
- ISSN
- 0162-1424 (ISSN-L)
- 1545-0856
- OpenAlex
- W1979497689
- Semantic Scholar
- 4e7cdacb1ffd02b066257cd1aea34bae3d4c70d9
- Cited by
- 48
- References
- 33
- Citations by year
- 2026: 1 · 2025: 2 · 2023: 2 · 2022: 2 · 2021: 6 · 2020: 5 · 2019: 5 · 2018: 5 · 2017: 4 · 2016: 3 · 2015: 4 · 2014: 5 · 2013: 4
- FWCI
- 7.39
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Home Health Care Services Quarterly (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Keywords
- family caregivers, caregiver decision-making, placement decisions, cognitive impairment, elderly relatives, long-term care placement, social networks, longitudinal trajectories, caregiver support, dementia caregiving
- MeSH terms
- Aged, Decision Making, Dementia, Family, Female, Home Care Services, Humans, Institutionalization, Male, Middle Aged, Models, Theoretical, Nursing Homes, Quebec, Caregivers, Qualitative Research
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