Janna Broxson, LMSW, is Doctor of Behavioral Health student at Arizona State University and is presently interning at Mayo Clinic's Community Internal Medicine primary care clinic. Her areas of study are aging and integrated behavioral health. She has extensive clinical experience in providing brief interventions and support for caregivers and care recipients.
Leilani Feliciano, PhD, is Director of Clinical Training and Associate Professor at the University of Colorado, Colorado Springs. Her clinical and research program focuses on mental health and aging. Her specific areas of interest include late-life depression, comorbid psychological and medical problems, and behavioral problems associated with dementia.
Prof Case Manag. 2020 Jul/Aug;25(4):213-219. doi: 10.1097/NCM.0000000000000414.
PURPOSE/OBJECTIVES: Identifying risk factors associated with caregiver stress and suggesting methods for systematic caregiver screening for caregiver strain, depression, and anxiety.
Emergency department, primary care, and other health care settings.
FINDINGS/CONCLUSIONS: Caregiver stress can lead to multiple negative outcomes including declines in physical health, increased mental health concerns, and overall decreased quality of life. Caregiver stress also leads to increased financial costs to the person, family, and health care systems, making it a public health issue. Recognizing caregiver stress is the initial step to identifying those in need of support and to providing quality care. Fortunately, caregiver stress can be prevented or reduced using a culturally competent multidimensional approach to addressing social determinants of health and unmet physical, psychological, and social/emotional needs of caregivers.
Case management plays a critical role in assessing, educating, advocating, creating care plans, and advocating for both the caregiver and the care recipient.
目的/目标：确定与照顾者压力相关的风险因素，并提出系统的照顾者压力、抑郁和焦虑筛查方法。
急诊室、初级保健和其他医疗保健场所。
结果/结论：照顾者压力可导致多种负面后果，包括身体健康下降、心理健康问题增加以及整体生活质量下降。照顾者压力也会导致个人、家庭和医疗保健系统增加经济成本，因此成为一个公共卫生问题。识别照顾者压力是确定需要支持的人群并提供优质护理的初始步骤。幸运的是，通过采取文化上适应的多维方法来解决健康社会决定因素和照顾者未满足的身体、心理和社会/情感需求，可预防或减轻照顾者压力。
个案管理在评估、教育、倡导、制定护理计划以及照顾者和被照顾者的倡导方面发挥着关键作用。
