The home care nurse asks an older patient's caregiver to complete a questionnaire regarding caregiver strain. The caregiver states, "You are here to see my mom. Why do you need information about me?" Which is the most appropriate response by the nurse?
1. "We need to make sure you don't abuse your mother."
2. "It's just something that the insurance companies make us fill out."
3. "We need to gather information about how you are dealing with caring for your mother."
4. "We fill out this paperwork for all caregivers; we have to assess your psychological well-being."
3. "We need to gather information about how you are dealing with caring for your mother."
Explanation: 1. It has been documented that fewer older adults report mistreatment by family members, which may be a protective act. Caregivers of older adults should be assessed at each primary care visit for caregiver stress, substance abuse, and a history of psychopathology. The Modified Caregiver Strain Index has been recommended by the Hartford Institute of Geriatric Nursing as the best practice in the nursing care of older adults. This instrument is a valid and reliable screening tool and can identify caregivers in need of support. Responding that it ensures that the caregiver is not abusing the patient is not a therapeutic response.
2. It has been documented that fewer older adults report mistreatment by family members, which may be a protective act. Caregivers of older adults should be assessed at each primary care visit for caregiver stress, substance abuse, and a history of psychopathology. The Modified Caregiver Strain Index has been recommended by the Hartford Institute of Geriatric Nursing as the best practice in the nursing care of older adults. This instrument is a valid and reliable screening tool and can identify caregivers in need of support. Responding that it is something that insurance companies expect is incorrect information.
3. It has been documented that fewer older adults report mistreatment by family members, which may be a protective act. Caregivers of older adults should be assessed at each primary care visit for caregiver stress, substance abuse, and a history of psychopathology. The Modified Caregiver Strain Index has been recommended by the Hartford Institute of Geriatric Nursing as the best practice in the nursing care of older adults. This instrument is a valid and reliable screening tool and can identify caregivers in need of support.
4. It has been documented that fewer older adults report mistreatment by family members, which may be a protective act. Caregivers of older adults should be assessed at each primary care visit for caregiver stress, substance abuse, and a history of psychopathology. The Modified Caregiver Strain Index has been recommended by the Hartford Institute of Geriatric Nursing as the best practice in the nursing care of older adults. This instrument is a valid and reliable screening tool and can identify caregivers in need of support. The nurse should not state that the reason is to complete paperwork.
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