Literature Review of Caregivers Stress and Coping

Literature Review of Caregivers Stress and Coping A Literature review is a critical summary of research on a topic of interest often prepared to put a research problem in context .A literature review helps to lay the foundation for a study and can also inspire new research ideas. A systematic review of literature and appraisal of all the relevant scholarly literature on the specific topic involves an in depth study. An extensive review of literature was done on the related research and non research literature. The literature was reviewed under the following areas and analyzed: Literature related to Caregivers stress The role of the primary caregivers is stressful. They are unable to balance between providing care for a loved one and maintaining their own health status. It has been shown to be influenced by number of factors like duration of care given, functional impairment, dealing with crisis, loss of friends, social isolation, loss of intimacy, anxiety and depression of the caregiver.(Susan Mockos Parks, 2000) A comparative study was conducted among Euro- Americans and Latinos to study the relationship between family burden of schizophrenia and socio cultural context. Findings suggest differences in levels of family distress in relation to socio-cultural factors like gender, ethnicity, diagnosis, and living situation, across cultural and diagnostic groups. ( Jenkins,J.H. and Schumacher ,J.G.1999). Two Indian comparative studies were conducted in different states of India on the caregivers burden of schizophrenia and OCD patients. Ninety two First degree relatives/ spouses were compared. One study showed higher burden in OCD group that was high among spouses than relatives of schizophrenia group . The same author done another study showed higher burden in schizophrenia than OCD. (Guru raj, 2008). The study was conducted to measure the perception of burden by caregivers of patients with schizophrenia at Institute of Mental Health and Hospital, Agra. the Burden Assessment Schedule (BAS) was correlated to spouse, physical and mental health, external support, caregivers routines, support to patient, responsibility-taking, other relatives, patients behavior and caregivers strategy. A number of sample is thirty four caregivers of patient with schizophrenia. A low positive correlation was found between urban domiciles and support of the patient and the caregivers routine. There was a low positive correlation between age less than 30 years and the physical and mental health of the caregiver, and with taking responsibility. (Sunil Srivastava ,2005) This comparative cross-sectional study assessed family burden among caregivers of patients with OCD and schizophrenia in an Indian setting. Findings shows Indian families experience significant degrees of burden in the care of their relatives with OCD and schizophrenia. Relatives demographic characteristics did not influence burden severity. Illness severity and patients disability had a direct positive relationship with perceived family burden. This study suggests to develop local needs based support programme for families of patients with psychiatric disorders in India. (Rammohan, A., 2002) A case study was investigated the incidence of chronic sorrow in parents of chronically mentally ill children like schizophrenia or bipolar disorder. Convenience samples of 10 parents (four couples and two mothers) of adult children were interviewed using the Burke/NCRCS Chronic Sorrow questionnaire (Caregiver Version). Results showed that 8 out of 10 parents experienced chronic sorrow and suggested that healthcare professionals could assist them by providing information about their childs illness and by involving them in the treatment process. (Georgene G. Eakes., 2004). A study was examined on psychological distress among Latino family caregivers of adult with schizophrenia. The interview was done by using Zarit Burden Scale. The results shows that younger caregiver age, lower levels of caregivers education, and higher levels of the patients mental illness symptoms were predictive of higher levels of caregivers depressive symptoms. Caregivers perceived burden mediated the relation between patients psychiatric symptoms and caregivers depression. (Sandy. M. Magana., 1997). According to Ascher-Svanum and Sobel the comparative study was conducted to study the caregivers of mentally ill relatives to explore the relationship between gender and perceived levels of burden. Ninety-seven caregivers (76 women, 21 men) were interviewed. Women were found to experience a greater sense of burden and frustration than men in caring for their mentally ill relatives. The authors concluded that women encountered a wide range of difficulties centered on family and child rearing. (Gloria Denise Mays.,1989). A study explores the influences of selected social and psychological factors that are associated with perceived caregiver stress among 263 primary caregivers of the elderly in Allahabad City in northern India. The results indicate that although male caregivers perceived stress depends only on the size of the role overload, female caregivers perceived stress depends on the interrelationship between the size of the role overload and adherence to Asian cultural norms. (Rashmi Gupta.,2010). Literature Related to Coping measures to Reduce caregivers stress A study revealed primary caregivers with more active coping strategies perceive low level burden. This findings suggest the nurses to derive problem focused coping strategies for the caregivers. (Schultz, R.Beach., 1999) A analytical study conducted at Iran to identify caregivers at risk for adverse health effects associated with care giving, the stress, coping, and health. The sample size used was 500 primary caregivers of patients with bipolar disorder. The results shows burdened caregivers had less coping levels, lower mastery and social support. Effective and stigmatized groups had better health outcomes and less service use than the burdened group over time; stigmatized caregivers had poorer self-care than effective caregivers. (Perlick, D.A.., 2008). A descriptive study was examined the effectiveness of a stress relief initiative for primary caregivers of adolescents with intellectual disability (ID) at Taiwan. Seventy-seven primary caregivers of people with ID were selected the study, which involved participation in one stress management workshop (intervention group only) and both groups reading an education booklet on stress management. They found that 22.1% of caregivers in the study were at high risk of depressive stress and in need of mental health consultation; this prevalence was nearly six times that of the general population. The study results show that a face-to-face workshop is an effective way to decrease levels of depressive stress. (Hu, J., 2010). The pilot study was conducted to assess the level of stress experienced by caregivers of brain tumor patients and to examine both their interest in and preferences for stress reduction programs at North Carolina in USA. Convenience sampling technique was used. The sample size is 60 adult caregivers. The study examined the caregivers level of stress, beliefs, past experiences, and preferences in regard to stress reduction programs. A seventy two percent of the caregivers reported elevated stress levels , eighty seven percent caregiver believed that stress reduction techniques can help reduce stress ,eighty one percent caregiver were interested in learning about programs to reduce stress . Overall, sixty five caregivers wanted to receive information about stress reduction programs and seventy three percent caregivers were interested in programs such as exercise to reduce stress. Overall, fourty four percentages of caregivers were interested in participating in the various stress reduct ion programs presented to them in this study. These data provide further evidence that caregivers experience elevated levels of stress and are willing to learn more about and participate in programs to reduce stress .(Keir,S.T.,2007). The descriptive study was to examine the effects of music, progressive muscle relaxation (PMR), and music combined with progressive muscle relaxation on the reduction of anxiety, fatigue, and improvement of quality of life in family hospice caregivers at university of Kansas in USA. Sample size is 32 .The duration of study was 2 weeks. Paired t test indicated that the control and PMR group exhibited a significant difference in pre and posttest quality of life scores. Results shows that a significant correlation between anxiety and quality of life, anxiety and fatigue, fatigue and quality of life. (Choi,Y.K.,2010). A mail survey was conducted using a representative sample of 998 employed Chicago residents who provided informal care for at least one person. Ordinary least squares regression models were computed to examine the relationship between caregiver burden and drinking outcomes. Results suggest that caregivers who experience social and emotional burdens related to care giving are at risk for problematic alcohol use and warrant attention from health care and mental health service professionals. (Rosependa, K.M., 2010). A comparative study conducted in Australia to investigate the relationship between depression, nutritional risk and dietary intake in a population of older caregivers. Mailed questionnaire with sub group participating in a home based interview was used. Seventy-six community dwelling caregivers aged 50 years or over from Victoria, Australia. The data collected related to weight, height, hours of care, depressive symptoms, nutritional risk and appetite, dietary intake and shopping, cooking and meal consumption habits. Results shows thirty two percent of caregivers had depressive symptoms, twenty one percent were at risk of malnutrition, and twenty one percent reported their appetite was bad. Caregivers with depressive symptoms (32%) compared to those with no depressive symptoms (53%) had a poorer appetite (p < 0.05). Of the 20 caregivers who participated in the home interview, 25% reported they ate their meals alone. A result suggests older caregivers had depressive symptoms, were at risk of malnutrition and had poor appetites, although the majorities were overweight or obese. (Torres.S.J.,2010). A randomized comparative trial was undertaken comparing yoga with relaxation in South Australia. One hundred and thirty-one subjects with mild to moderate levels of stress. One hour sessions of relaxation or hatha yoga for 10 weeks .Following the 10 week intervention stress, anxiety and quality of life scores improved over time. Yoga was found to be as effective as relaxation in reducing stress, anxiety and improving health status. Yoga was more effective than relaxation in improving mental health. Vitality, social function and mental health. Yoga appears to provide a comparable improvement in stress, anxiety and health status compared to relaxation.(Smith, C., 2007). A pilot study of a yoga and meditation intervention for dementia caregiver stress. Twelve older female dementia patient family caregivers were participated. This study planned to help caregivers cope with stress. Pre test and post test revealed statistically significant reductions in depression and anxiety and improvements in perceived self-efficacy. These findings suggest that yoga and meditation may be a feasible and effective intervention for family caregivers and may improve affect, coping, physical well-being, and stress management.(Waelde, L. C.,2004).

Free Lunch?There Is None Such

There ain't no such thing as a free lunch† (alternatively, â€Å"There's no such thing as a free lunch† or other variants) is a popular adage communicating the idea that it is impossible to get something for nothing. The phrase is central to Robert Heinlein's 1966 libertarian science fiction novel The Moon is a Harsh Mistress,[1] which popularized it. [2] The free-market economist Milton Friedman also popularized the phrase[3] by using it as the title of a 1975 book, and it often appears in economics textbooks;[4] Campbell McConnell writes that the idea is â€Å"at the core of economics†. 5] The acronyms TANSTAAFL (which appears in Heinlein's novel) and TINSTAAFL are also used. Uses of the phrase and the acronym dating back to the 1930s and 1940s have been found, but the phrase's first appearance is unknown. [3] The â€Å"free lunch† in the saying refers to the nineteenth century practice in American bars of offering a â€Å"free lunch† with drinksTh e â€Å"free lunch† referred to in the acronym relates back to the once-common tradition of saloons in the United States providing a â€Å"free† lunch to patrons who had purchased at least one drink. Rudyard Kipling, writing in 1891, noted how he came upon a barroom full of bad Salon pictures, in which men with hats on the backs of their heads were wolfing food from a counter. â€Å"It was the institution of the â€Å"free lunch† I had struck. You paid for a drink and got as much as you wanted to eat. For something less than a rupee a day a man can feed himself sumptuously in San Francisco, even though he be a bankrupt. Remember this if ever you are stranded in these parts.? [6] TANSTAAFL, on the other hand, indicates an acknowledgment that in reality a person or a society cannot get â€Å"something for nothing†. Even if something appears to be free, there is always a cost to the person or to society as a whole even though that cost may be hidden or distributed. For example, as Heinlein has one of his characters point out, a bar offering a free lunch will likely charge more for its drinks

Integrated and multi-agency working Essay

Working with children will often involve you working closely with families and different agencies. Multi-agency working and integrated working plays a very important part in ensuring children and families with additional needs are provided with the best possible support. Multi-agency working requires practitioners and professionals from different sectors and within the workforce to provide integrated support for children and families with additional needs. Multi-agency working provides many benefits for children and their family as they provide them with tailor-made support in the most efficient way. These benefits may include: -early identification and early intervention, -quicker access to services and/or expertise, -improved progress and achievement with their milestones and education, -better quality services, -better support for the families. Integrated working focuses on enabling and encouraging professionals to work together effectively to deliver front line services. Integrated working key elements include: -early intervention if needed, -assessments which allow practitioners to undertake an early and initial assessment of a child’s needs and access whether extra services may be required, -recording information in one place and with the consent of the child or parent, -sharing information with relevant inter-agency practitioners, -the team around the child discussing and making joint decisions with the family on the assessment and recommendations for further support, -the lead professional who is the key to the process of integrated working and is the practitioner who acts as the point of contact with the child, their family and who coordinates and monitors the action plan that may have been implemented.

A Christmas Carol Essays

A Christmas Carol Essays A Christmas Carol Essay A Christmas Carol Essay Essay Topic: A Christmas Carol Literature At the time when dickens was writing the Christmas tradition was not nearly as important as it is today. The Christmas tradition gained popularity during the reign of Queen Victoria in England. One reason for this was that the monarchy supported it: Prince Albert, Queen Victorias husband brought the German tradition of decorating the Christmas tree when he came to England. Life in Victorian Britain for the poor and un-privileged was very hard as children were uneducated; they had very little money and therefore were unable to afford to go to school. Young children were being employed in factories and mines as chimney sweeps. Children were expected to help towards the family budget, often working long hours in dangerous jobs and low wages. On the other hand life for the richer and fortunate people was more relaxing and also benefitted them in many ways. Parents could afford to send their children to school to get a good enough education; some were very fortunate and were able to be tutored at home. It was cold, bleak, biting weather The fog came pouring in at every chink and keyhole. He used external coldness to reflect Scrooges cold nature. We are then introduced to Scrooges nephew, Fred, in a conversation. Dickens creates a contrast between the characters of Scrooge and Fred as Scrooge is described bitterly and with coldness and darkness whereas Fred is described cheerfully and with warmth and light. He makes us like Fred and dislike Scrooge by the way they are described. A frosty rime was on him. This is in contrast with the warm hearted Fred that he was all in a glow; his face was ruddy and handsome. This is similar to Romeo and Juliet where light and dark imagery and reveals the plays theme to reinforce the theme of the novel. As we hear the conversation between Scrooge and Fred we realise their different views about the goodness of Christmas. Scrooge is very negative about Christmas whereas Fred is positive about it. Throughout this section we are taken back to the theme of goodness. There are many things from which I might have derived good, by which I have not profited. Fred is leading Scrooge to be like him in his goodness to people. Scrooge meets Marleys ghost and who says he must change his ways in order to help people through their journey of life, to do goodness, which is the message of the novel. In the second stave Scrooge is taken back into his past and this has an impact on Scrooges character. The spirit of the past takes Scrooge back to innocent childhood which is when we see the first sign of emotion from Scrooge, but fell upon the heart of Scrooge with a softening influence, and gave a freer passage to his tears. Scrooge muttered, with an unusual catching in his voice, that it was a pimple. In this stave the setting is in contrast to the first Stave as we begin in the coldness and grime of the negative urban city of London, then change to beautiful clear and bright positive rural setting. It was cold, bleak, biting; foggy withal. Some shaggy ponies now were seen trotting towards them with boys were in great spirits The spirit then takes him to Scrooges first employer, Fezziwig who was very kind to him and treated him well. We read about Scrooge at the Christmas party where Scrooge becomes emotional about the joy he had and realises there is more to life than money. Scrooge also feels regretful as he sees how an employer can make his employees jubilant and feels he has not done it for Bob Crachit. Fezziwig, bless his heart. There is further evidence that Scrooge is changing by his expression. His heart and soul were in the scene. He is already a very different character from Scrooge we met at his counting house. In Stave three as Scrooge lies upon his bed awaiting for something to happen and finally going to his door, a voice is heard.

Common Chemicals and Where to Find Them

Common Chemicals and Where to Find Them This is a list of common chemicals and where you can find them or how you can make them. Key Takeaways: Locate Common Chemicals Many ordinary household products consist of relatively pure elements and compounds.If you have trouble locating a chemical, check for both its common name and its chemical name. For example, table salt is sodium chloride and saltpeter is potassium nitrate.Read labels to see whether additional compounds have been added. Impurities can have a significant effect on projects. acetic acid (CH3COOH H2O)Weak acetic acid (~5%) is sold in grocery stores as white vinegar. acetone (CH3COCH3)Acetone is found in some nail polish removers and some paint removers. It may sometimes be found labelled as pure acetone. aluminum (Al)Aluminum foil (grocery store) is pure aluminum. So is the aluminum wire and aluminum sheeting sold at a hardware store. aluminum potassium sulfate (KAl(SO4)212H2O)This is alum that is sold at a grocery store. ammonia (NH3)Weak ammonia (~10%) is sold as a household cleaner. ammonium carbonate [(NH4)2CO3]Smelling salts (drug store) are ammonium carbonate. ammonium hydroxide (NH4OH)Ammonium hydroxide may be prepared by mixing household ammonia (sold as a cleaner) and strong ammonia (sold in some pharmacies) with water. ascorbic acid (C6H8O6)Ascorbic acid is vitamin C. It is sold as vitamin C tablets in the pharmacy. borax or sodium tetraborate (Na2B4O7 * 10H2O)Borax is sold in solid form as a laundry booster, all-purpose cleaner and sometimes as an insecticide. boric acid (H3BO3)Boric acid is sold in pure form as a powder for use as a disinfectant (pharmacy section) or insecticide. butane (C4H10)Butane is sold as lighter fluid. calcium carbonate (CaCO3)Limestone and calcite are calcium carbonate. Eggshells and seashells are calcium carbonate. calcium chloride (CaCl2)Calcium chloride can be found as a laundry booster or as a road salt or de-icing agent. If you are using the road salt, be sure it is pure calcium chloride and not a mixture of various salts. Calcium chloride is also the active ingredient in the moisture absorbing product DampRid. calcium hydroxide (Ca(OH)2)Calcium hydroxide is sold with garden supplies as slaked lime or garden lime to reduce soil acidity. calcium oxide (CaO)Calcium oxide is sold as quicklime at builder supply stores. calcium sulfate (CaSO4 * H2O)Calcium sulfate is sold as plaster of Paris in craft stores and building supply stores. carbon (C)Carbon black (amorphous carbon) can be obtained by collecting soot from the complete burning of wood. Graphite is found as pencil lead. Diamonds are pure carbon. carbon dioxide (CO2)Dry ice is solid carbon dioxide, which sublimates into carbon dioxide gas. Several chemical reactions evolve carbon dioxide gas, such as the reaction between vinegar and baking soda to form sodium acetate. copper (Cu)Uncoated copper wire (from a hardware store or electronics supply store) is extremely pure elemental copper. copper(II) sulfate (CuSO4) and copper sulfate pentahydrateCopper sulfate may be found in certain algicides (Bluestoneâ„ ¢) at pool supply stores and sometimes in garden products (Root Eaterâ„ ¢). Be sure to check the product label, since many different chemicals may be used as algicides. helium (He)Pure helium is sold as a gas. If you only need a little, simply purchase a helium-filled balloon. Otherwise, gas supplies usually carry this element. iron (Fe)Iron skillets are made of elemental iron. You can also pick up iron filings by running a magnet through most soils. lead (Pb)Elemental lead metal is found in lead fishing weights. magnesium sulfate (MgSO4 * 7H2O)Epsom salts, usually sold at a pharmacy, are magnesium sulfate. mercury (Hg)Mercury is used in some thermometers. It is more difficult to find than in the past, but many home thermostats still use mercury. naphthalene (C10H8)Some mothballs are pure naphthalene, though check the ingredients since others are made using (para)dichlorobenzene. propane (C3H8)Propane as sold as a gas barbecue and blow torch fuel. silicon dioxide (SiO2)Silicon dioxide is found as clean sand, which is sold at garden and building supply stores. Broken glass is another source of silicon dioxide. potassium chloridePotassium chloride is found as ​lite salt. sodium bicarbonate (NaHCO3)Sodium bicarbonate is baking soda, which is sold in grocery stores. sodium chloride (NaCl)Sodium chloride is sold as table salt. Look for the uniodized variety of salt. sodium hydroxide (NaOH)Sodium hydroxide is a strong base that may sometimes be found in solid drain cleaner. The pure chemical is waxy white solid, so if you see other colors in the product, expect that it contains impurities. sodium tetraborate decahydate or borax (Na2B4O7 * 10H2O)Borax is sold in solid form as a laundry booster, all-purpose cleaner and sometimes as an insecticide. sucrose or saccharose (C12H22O11)Sucrose is ordinary table sugar. White granulated sugar is your best bet. There are additives in confectioners sugar. If the sugar is not clear or white then it contains impurities. sulfuric acid (H2SO4)Car battery acid is about 40% sulfuric acid. The acid can be concentrated by boiling it, though it may be heavily contaminated with lead, depending on the state of the batterys charge when the acid was collected. zinc (Zn)Zinc blocks may be sold by some electronics supply stores for use as anode. Zinc sheets may be sold as roof flashing at some building supply stores.

Using SAP in Electronic Government Research Paper

Using SAP in Electronic Government - Research Paper Example and Europe and will address the various challenges at "The Impact of E-Government in Europe" conference next month in Helsinki, said Ian Swann, vice president of SAP's public sector unit. Last year, SAP joined a program headed by the Center for Technology in Government at Albany State University in New York to help address the challenge of calculating return on investment for public sector IT initiatives. The center has conducted five case studies of organizations that have sought to assess the impact of the IT investments and has drafted a document offering a methodology for measuring ROI. Swann will present the findings of the five case studies and the ROI white paper. SAP is also participating in the European Union's E-Government Action Plan, aimed at helping Europe's sprawling public sector improve the efficiency of its internal operations and external services to citizens. The company is a contributor to the E.U.-funded Picture Project, a Web-based system that lets government officials measure the impact of information and communication technologies on organizational processes, enabling informed choices for long-term technology investments. While pointing to SAP's software expertise in areas such as accounting, human resources and logistics, Swann acknowledged an eagerness on the part of many governments, such as Germany and France, to create applications on "open architectures.†... ing, human resources and logistics, Swann acknowledged an eagerness on the part of many governments, such as Germany and France, to create applications on "open architectures.† Public-sector organizations will use "open source where it is appropriate and where it works," Swann said. But Swann was quick to use the word "open" in the context of SAP's new service-oriented architecture platform. The platform, he said, "opens up the delivery of services" and opportunities to work with independent software vendors. "All of this is about building more agile applications and creating more value out of existing investments," he said. Currently, sales to the public sector account for roughly 10 percent of SAP's total revenue and are growing, according to Swann. But selling to governments, which "are and will remain under severe financial constraints," will continue to be a challenge, he said: â€Å"That’s why we have to deliver value to what they're doing." E- Government complian ce We've seen the news reports with carloads of FBI agents, windbreakers and all, rushing into a business to seize paper records and servers. The evidence is analyzed later to prove a crime using computer forensics. However, the more likely use of computer forensics will be requirements around lawsuits: accounting records, emails, transaction data, and so on, all used to tell a story that will benefit either the plaintiff or the defense. The problem comes when we move data to the public clouds. How do we deal with legal issues, such as lawsuits and law enforcement? For the most part, organizations moving to the cloud have not even considered this issue. Indeed, according to Network World, "Any business that anticipates using cloud-based services should be asking the question: What can my cloud provider

Sustainable Communites Essay Example | Topics and Well Written Essays - 500 words

Sustainable Communites - Essay Example â€Å"Perma-culture  is a sustainable method of edible landscaping that minimizes energy and water usage, while  cohousing  is the sharing of common resources by a group of people.† (Horton, 2011) Sustainable communities help in promoting sustainable living, which refers to a lifestyle that leads to reduction in usage of natural resources. The concept generated because it has been believed and is often believed even now, that only manufacturing companies are contributing to the ill health of earth. The truth is, however, otherwise. Individuals on their own cause a lot of pollution and reduce earth’s life. Sustainable communities help individuals learn how they can improve their lives and the lives of their future generation. That is, they are taught how as individuals they can help in sustainable development. For example, Toyota has been working on reducing its carbon foot print. Accodrding to Toyota, 2011, â€Å"Toyota’s culture of shared environmental responsibility has enabled the company’s manufacturing facility to implement 1,700 energy-saving measures over the past five years—resulting in a CO2—emission reduction result of 120,00 0 tons—that’s roughly equivalent to planting 45,000 trees.† I thought to myself what my carbon footprint is. I calculated it and I read different articles that helped me learn how I can reduce my own carbon foot print and help in making earth’s environment better in my own capacity. Moreover, sustainable communities also help in making others aware about sustainable development plus they give a platform for organizations to form partnerships and coalitions and work for the betterment of the environment and people. â€Å"The Stern Review (2006) concluded that climate change presents very serious global risks, and it demands an urgent global response.† (INFED). This means that companies need to work together for a better cause. Some companies like Coco-Cola have been