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Predictors of Institutionalization Among Caregivers of Patients With Alzheimer's Disease
Author(s) -
Colerick Elizabeth J.,
George Linda K.
Publication year - 1986
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/j.1532-5415.1986.tb04239.x
Subject(s) - institutionalisation , medicine , caregiver burden , coping (psychology) , family caregivers , logistic regression , gerontology , disease , quality of life (healthcare) , alzheimer's disease , activities of daily living , dementia , psychiatry , nursing , pathology
The treatment aim of medical care for home‐based patients with Alzheimer's disease is to maximize the functioning level of the patient without jeopardizing quality of life for the caregiver. Most demented elderly live in the community with their families who, until coping becomes ineffective, usually prefer to keep their relatives out of institutions for as long as possible. In the present study, the question of why some families continue to shoulder the burden of care, often beyond healthful limits, while others relinquish care to professionals is examined longitudinally in a sample of 209 caregivers. Using logistic regression techniques, caregiver characteristics and caregiver well‐being, rather than patient characteristics, emerge as important predictors of placement decisions. Results suggest that practitioners, in evaluating the family's need for institutionalization, must move beyond duration of illness and current cognitive functioning to aspects of the caregiver support system. J Am Geriatr Soc 34:493–498, 1986

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