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Paper Topic:

Why someone should choose to have their aging parents taken care of at home rather than sending them to a nursing home facility

Care-Giver Burden

Client Concern

Healthcare in America is an issue of finances . Healthcare is an issue especially for the financially strapped family . The following will focus on the care-giver burden of a patient who cannot afford to be taken care of because of lack of insurance or lack of funds in general .In the following pages care-giver burden will be addressed using several articles concerning care-giver burden and three theorists Martha E Rogers , Imogene King , and Dorothy E . Johnson . The articles are in design stressing the issue of guilt and depression when

a family decides they don 't have the time or the money to keep a loved one at home and must face putting them in a care facility (Sanders article Shouldering the Burden of Care . Other articles address the issue of keeping a family member at home (child ) and the upkeep cost that entails such as home health aid cost , medications , or leaving a job (Wilson , Leslie S et al . The Economic Burden of Home Care for Children with HIV and Other Chronic Illnesses . Also , the review of patient care for nurses and the burden of lack of authority in administration this presents is another form of care-giver burden (Welchman , Jennifer Glenn G . Griener Patient Advocacy and Professional Associations : Individual and Collective Responsibilities . Each of these issues involves a direct relationship to the patient and their concerns for the burden they may become for their family , or for themselves in regards with money and insurance . There are many facets to unravel in the primary care system but for this , care-giver burden is the primary concept in terms of money

Three Approaches to the Concern

Approach of Martha E . Rogers . Roger 's theory involves four postulates energy fields , openness , pattern , and pandimensionality (Barrett et Al 2000 . Each of these postulates involves the client 's concern over their health and the relationships they form with not only the nurses but with their own families . Rogers goes on to explain that power is at the core of each of these relationships , (power .is the capacity to participate knowingly in the nature of change characterizing the continuous patterning of the human and environmental fields . The observable , measurable pattern manifestations of power are awareness choices , freedom to act intentionally , and involvement in creating change (Barrett et al ) Most care-giving authority is given to nurses both in a hospital setting and during stay at home cases . The preceding concept or the patient is its important to have a strong trusting relationship with the care-giver in for them to feel more comfortable and also feel their issues and concerns are being heard . If the patient does not feel comfortable then the care-giver burden becomes apparent in scowling-unreceptive-to-therapy patients . However , in Welchman and Griener 's article , Patient Advocacy and Professional Associations , a rising concern over nurses ' burden when taking care of patients begins to be seen

.nurses are being taught to be patient advocates and both nurses and patients are the...

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