Provide a rationale for the chosen focus of the review highlighting the professional, clinical and conceptual relevance of your review question. This section should clearly articulate the aspect of practice that will be at the centre of the project and how the literature review will contribute to its evaluation. Your rationale should make reference to current policies ( NICE and WHO) and/or research related to evidence based practice and the role of extended literature reviews in that process?
The effects of caring older people with dementia on informal carers.
Following themes have been identified;
To review challenges faced by informal carers (unpaid carers such as family) and the effects of caring.
On one hand if the caregiving can be beneficial for the carers, it can also be stressful for the working age carers, who work in their paid jobs and also devote time to informal caring. This not only compromises their future but also forces them to reduce the working hours. Caring can also lead to burnout and stress, thereby leading to deterioration of the mental and physical health (OECD 2011). Informal carers like the family members face many challenges with respect to caring for the elders. There is rise in the level of expectations of the elders. Moreover, since the employment rate of the family members, specifically women, has risen over the past few decades, the reluctance of giving up the employment because of unpaid caring, has increased. Therefore, it is important to identify the challenges faced by the informal carers in order to adjust the caring schedule or working hours such that they are also at no loss (Hoffmann, F and Rodrigues, R. 2010).
To determine the level of knowledge concerning informal caring and the effectiveness of educating informal carers and frontline health professionals.
It is important to determine the level of knowledge possessed by the informal carers and the effectiveness of their caring in order to reduce risk and minimize damage or errors. This also includes the hygiene related guidelines that should be followed in order to ensure that the patient being cared for, is provided the right and health environment. Along with the informal carers , the frontline professionals are also trained in order to show efficacy n nursing and caring procedure, at the time of emergency. Not only are the informal carers concerned with the delivery of good and correct form of care but with the psychological aspects of caring as well (Triantafillou et al. 2010).
The nurse’s role in identifying the carers and how they can support them in order to provide positive support.
The nurse plays an important role in identifying and selecting the carers fro specific patients because they are trained professionals who are able to identify the right people as carers, who are able to work with diverse communities. Even when the hospital has best intentions, the health professionals are unable to correctly identify and provide support to the carers, if they are not provided adequate time, support and the resources to do so. It is therefore, important that every hospital has carers, who are appointed by the nurses or any other trained health professional, who is able to facilitate the process of identification and support of the carers. Identification doesn’t merely means that tagging someone as a carer. Instead, it means to make the carers understand their roles and responsibilities and let them know that support is available whenever they need it. The role of nurses is to provide positive support to the carers by overcoming the barriers like lack of time for open discussion about the fears and challenges experienced by the carers and the lack of privacy, because of which the carers are not able to open up about the problems they face in the process of coping with the new environment. The nurses are trained for selecting and assigning the people, role of carers such that they are accountable for them (Department of Health 2014).
OECD, 2011, Chapter 3: The impact of caring on family carers, Help Wanted? Providing and paying for long term care.
Hoffmann, F and Rodrigues, R., 2010, Informal carers: Who takes care of them? European centre: Policy brief.
Triantafillou et al., 2010, Informal care in the long term care system, European overview paper, European Centre for social welfare policy and research (AT).
Department of health, 2014, Supporting the health and wellbeing of young carers, viewed on 15th April 2015, https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/299270/Young_Carers_pathway_Interactive_FINAL.pdf.
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