00062 Risk for caregiver role strain

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00062 Risk for caregiver role strain

Definition of the NANDA label

Situation in which the caregiver is vulnerable to the perception of difficulty in carrying out their role as family caregiver.

Susceptible to difficulty in fulfilling care responsibilities, expectations and/or behaviors for family or significant others, which may compromise health.

Risk factors

• Addiction or codependency.
• Isolation from family or caregiver.
• The recipient of care shows deviant, aberrant behavior.
• Lack of rest and distraction of the caregiver.
• Lack of experience in providing care.
• Serious illness of the care recipient.
• Premature birth or congenital defect.
• Discharge of a family member with significant home care needs.
• Deterioration of the health of the caregiver.
• Unpredictable course of illness or health instability of the recipient of care.
• The caregiver is a woman.
• The caregiver is not developmentally prepared to take on this role (eg a young adult who has to care for an older relative).
• Delay in the development or mental retardation of the person providing the care or the person receiving it.
• Psychological or cognitive problems of the care recipient.
• Marginal situation of the family or family dysfunction prior to the start of the situation in which care is required.
• Marginal coping patterns of the caregiver.
• Previous history of poor relationships between the caregiver and the recipient.
• The caregiver is the spouse.
• Presence of situational stressors that typically affect families (eg, significant loss, disasters or crisis, economic vulnerability, major life events).
• Inadequate physical environment for providing care (eg, home grooming, transportation, community services, equipment).
• Presence of mistreatment or violence.
• Duration of need for care.
• Numerous or complex care.
• The caregiver performs competing roles.

At risk population

• Care receiver’s condition inhibits conversation – Developmental delay of care receiver
• Developmental delay of caregiver
• Exposure to violence
• Female caregiver
• Financial crisis
• Partner as caregiver
• Prematurity

Associated condition

Care Receiver

• Alteration in cognitive functioning
• Chronic illness
• Congenital disorder
• Illness severity
• Psychological disorder
• Psychiatric disorder

Caregiver

• Alteration in cognitive functioning
• Health impairment
• Psychological disorder

NOC

• Well-being of the family caregiver.
• Execution of the role.

NIC

• Support to the family caregiver.
• Promotion of family involvement.
• Role empowerment.
• Family support.
• Advice
• Emotional Support
• Increase coping.
• Intermittent care.
• Individual education.
• Promotion of fatherhood.

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