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Mental Health Nursing - PDF

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Added on  2021-06-18

Mental Health Nursing - PDF

   Added on 2021-06-18

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Running head: MENTAL HEALTH-NURSINGEffectiveness of support group and individual counseling for formal caregivers of people withdementia Name of the student:Name of the University:Author’s note
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1MENTAL HEALTH-NURSINGTable of ContentsAbstract:...........................................................................................................................................2Background:.....................................................................................................................................3Review questions, objectives, PICO:...............................................................................................9Review design:...............................................................................................................................12Eligibility or inclusion criteria:......................................................................................................13Search strategy:..............................................................................................................................15Evidence Appraisal:.......................................................................................................................17Analysis:........................................................................................................................................19Rigor:.............................................................................................................................................20Ethical consideration:....................................................................................................................21Dissemination of findings:.............................................................................................................22Timeline:........................................................................................................................................22References......................................................................................................................................24
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2MENTAL HEALTH-NURSINGAbstract:Background: Dementia is a disease condition associated with great burden andpoor quality oflife in both patients and their formal caregivers. Due to the presence of aggressive symptoms anddisruptive behavior, formal or paid caregivers are highly likely to suffer from psychologicalstress and depression. Aim: To investigate about the effectiveness ofsupport group intervention compared toindividual counseling in reducing anxiety and improving well-being in formal carers of peoplewith dementia. Method: Systematic review of recent research articles in accordance with PRISMA guidelinewas done to evaluated research studies on the topic. Articles published between 2008 to 2018were taken from MEDLINE, EMBASE, CINAHL, PsychInfo and PubMed databases for thesystematic review. The quality appraisal for the article was done by the use of CASP tool. Significance: The findings of the study will be useful in evaluation the effectiveness ofcounseling or support group intervention will help to reduce physical and psychological burdenof caregivers.
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3MENTAL HEALTH-NURSINGBackground: Dementia is a disease condition that is regarded as both physical and mental illness andresearch shows that both the burden and quality of life is worst for caregivers who take care ofpatients with both physical and mental illness (Settineri et al., 2014). Paid caregivers or formalcaregivers of dementia patient plays a vital role in patient-centered care and meeting daily lifeneeds of patient. They are involved in administering medication, managing symptoms of patient,facilitation communication and providing emotional support to patient. Although the number offormal caregivers of dementia patient has increased, however the number of caregivers sufferingfrom care giving burden and depression has also increased (Liang et al., 2018). Lot of attentionhas been given to care giving burden and psychosocial issues for informal caregivers of dementiapatient, however analyzing the extent of impact for formal caregiver has also become importantas they are also vulnerable to poor health outcome. Various research studies have investigated about the characteristics of care giving burdenand its impact on health of caregivers. The studies have given evidence on low efficacy, poorphysical health and subjective well being in dementia caregivers compared to other caregivers.Ali & Bokharey (2015) explored lived experience of caregivers of dementia patient by means ofinterpretative phenomenological analysis. The analysis of interview transcript of dementiacaregiver stated that participants found care giving as troublesome and affecting their social andfamilial life. These were indication of cognitive distortion in-patient. The second theme ofphysical symptom gave the indication that symptoms of fatigue lack of motivation and sleepdisturbance is common in caregivers. Hence, the study gave indication about cognitive andphysical impact on caregivers of dementia patient. Ornstein & Gaugler (2012) also explained that
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4MENTAL HEALTH-NURSINGbehavioral and psychological symptoms of dementia (BPSDs) such as aggression, depressionand sleep disturbance have negative impact on caregivers. While looking at the research problem of caregiver burden, it is essential that specificcorrelated and potential causes of burden and its adverse impact is identified. Mohamed et al.(2010) explored the relationship between burden and depression among caregivers to patient andcaregiver characteristics. The study directly measured caregiver burden, depressive symptom incaregiver and symptoms related to distress. Perceived burden was found to be highly associatedwith depression among caregiver’s behavior and psychiatric symptom in-patient. These factorsbecome important predictor of decrease quality of life and high burden and depression incaregiver. Hence, with the examination such correlation between perceived burden anddepression in caregiver, evaluation of management strategies related to stress and psychologicalmorbidity is necessary to promote resilience and motivation of paid staffs to provide care todementia patient. Another common challenges facing caregivers of dementia patient is that they are highlylikely to experience symptoms of anxiety and depression due to dementia patient. Level ofpsychological distress has an impact of coping strategies taken by caregivers. This associationbetween coping strategies and psychological distress in dementia caregiver was shown byGarcía-Alberca et al. (2012) by conducting research with dementia patient and their primary caregivers. By the use of evidence-based tool such as State-Trait Anxiety Inventory, the BeckDepression Inventory and Coping Strategies Inventory to measure anxiety, depression andcoping strategies respectively in caregivers, the research showed that majority of caregivers hashigh anxiety and depression levels. Another important finding of the study was that it showedthat participants using disengagement coping strategies had high anxiety and depression level
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5MENTAL HEALTH-NURSINGcompared to those who used more engagement coping strategies. By this outcome, impact ofcoping strategies on anxiety and depression in caregiver was observed. Hence, evaluating theeffect of intervention that can support caregivers to use optimal coping strategies may help toreduce caregiver burden. The prevalence of anxiety and depression in caregiver of dementia patient needs urgentattention because this has an impact on well being of both patient and caregiver (Draženka et al.,2014). Hence, motivational aspect of care giving and psycho-education is necessary to improvecoping and caring skills of caregiver. The evidence regarding level of anxiety and distress informal caregivers suggest the need to implement appropriate care intervention not only forpatient but also for caregivers. The manner in which prevalence of anxiety and depression incaregivers can affect characteristics of patient and caregiver is understood from the fact thatprevalence of caregiver burden is associated with increase in duration and severity of dementia(García-Alberca, Lara & Berthier, 2011). Hence, taking steps to identify effective intervention tomodify psychological state of formal caregiver becomes necessary. Based on review of intervention to reduce stress and anxiety among caregivers, severaltypes of intervention have been implemented for caregivers. Some examples of this include face-to-face intervention, telephone-based support program and computer based support program.Although variation is found regarding the use and efficacy of telephone-based support programand computer based support program, however programs that are individually tailored to acaregiver is found to be most effective in reducing caregiver burden (Beinart et al., 2012).Further investigation regarding such intervention suggest psycho-education, individualcounseling and support group programs as useful to provide individualized and tailor madesupport to caregivers as per their challenges and severity of burden.
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