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The transition to caregiving
 — the experience of family members embarking on the dementia caregiving career
Author(s)Kathryn Betts Adams
Journal titleJournal of Gerontological Social Work, vol 47, nos 3/4, 2006
Pagespp 3-30
Sourcehttp://www.tandfonline.com
KeywordsDementia ; Cognitive impairment ; Daughters as carers ; Spouses as carers ; Transitional phase ; Social surveys ; United States of America.
AnnotationAlthough there is an extensive literature on dementia caregiving, research on family members' adjustment to the onset of dementia and on the early stage of caregiving is limited. This article describes a phenomenological study in Cleveland, Ohio based on 20 semi-structured interviews with spouses and adult daughters of someone with early or mild dementia, or mild cognitive impairment (MCI). Participants were asked to describe the earliest changes in the parent or spouse and the changes to their everyday lives and in their relationships brought by cognitive impairment. These family members reported taking on many new responsibilities in a highly interactive caregiving process consisting primarily of decision-making and supervision. Many participants reported experiencing frustration, resentment, grief, and relational deprivation along with increasing protectiveness and tenderness toward the person with dementia. Most of the participants were ambivalent about seeking or accepting help from others, and seemed to want to maintain the status quo for as long as possible. Social workers meeting with families in the context of disclosure of a dementia diagnosis or the early adjustment period may help by identifying their losses, normalising negative feelings, and helping families envision ways they could use outside help. (RH).
Accession NumberCPA-070413218 A
ClassmarkEA: E4: P6:SSH: P6:SN: 4MT: 3F: 7T

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