risk for Caregiver Role Strain - Intervention, Care Plan, Documentation Focus
Actions/Interventions
NURSING PRIORITY NO. 1. To assess factors affecting current situation:
• Note presence of high-risk situations (e.g., elderly client with total self-care dependence or several small children with one child requiring extensive assistance due to physical condition/ developmental delays). May necessitate role reversal resulting in added stress or place excessive demands on parenting skills.
• Identify relationship and proximity of caregiver to care receiver (e.g., spouse/lover, parent/child, friend).
• Note therapeutic regimen and physical/mental condition of care receiver.
• Determine caregiver’s level of responsibility, involvement in and anticipated length of care.
• Ascertain developmental level/abilities and additional responsibilities of caregiver.
• Use assessment tool, such as Burden Interview, when appropriate, to further determine caregiver’s abilities.
• Identify strengths/weaknesses of caregiver and care receiver.
• Verify safety of caregiver/receiver.
• Discuss caregiver’s and care receiver’s view of and concerns about situation.
• Determine available supports and resources currently used.
• Note any co-dependency needs of caregiver.
NURSING PRIORITY NO. 2. To enhance caregiver’s ability to deal with current situation:
• Discuss strategies to coordinate care and other responsibilities (e.g., employment, care of children/dependents, housekeeping activities).
• Facilitate family conference as appropriate to share information and develop plan for involvement in care activities.
• Refer to classes and/or specialists (e.g., first aid/CPR classes, enterostomal/physical therapist) for special training as indicated.
• Identify additional resources to include financial, legal, respite care.
• Identify equipment needs/resources, adaptive aids to enhance the independence and safety of the care receiver.
• Identify contact person/case manager as needed to coordinate care, provide support, and assist with problem-solving.
• Provide information and/or demonstrate techniques for dealing with acting out/violent or disoriented behavior.
• Assist caregiver to recognize co-dependent behaviors (i.e., doing things for others that others are able to do for themselves) and how these behaviors affect the situation.
NURSING PRIORITY NO. 1. To assess factors affecting current situation:
• Note presence of high-risk situations (e.g., elderly client with total self-care dependence or several small children with one child requiring extensive assistance due to physical condition/ developmental delays). May necessitate role reversal resulting in added stress or place excessive demands on parenting skills.
• Identify relationship and proximity of caregiver to care receiver (e.g., spouse/lover, parent/child, friend).
• Note therapeutic regimen and physical/mental condition of care receiver.
• Determine caregiver’s level of responsibility, involvement in and anticipated length of care.
• Ascertain developmental level/abilities and additional responsibilities of caregiver.
• Use assessment tool, such as Burden Interview, when appropriate, to further determine caregiver’s abilities.
• Identify strengths/weaknesses of caregiver and care receiver.
• Verify safety of caregiver/receiver.
• Discuss caregiver’s and care receiver’s view of and concerns about situation.
• Determine available supports and resources currently used.
• Note any co-dependency needs of caregiver.
NURSING PRIORITY NO. 2. To enhance caregiver’s ability to deal with current situation:
• Discuss strategies to coordinate care and other responsibilities (e.g., employment, care of children/dependents, housekeeping activities).
• Facilitate family conference as appropriate to share information and develop plan for involvement in care activities.
• Refer to classes and/or specialists (e.g., first aid/CPR classes, enterostomal/physical therapist) for special training as indicated.
• Identify additional resources to include financial, legal, respite care.
• Identify equipment needs/resources, adaptive aids to enhance the independence and safety of the care receiver.
• Identify contact person/case manager as needed to coordinate care, provide support, and assist with problem-solving.
• Provide information and/or demonstrate techniques for dealing with acting out/violent or disoriented behavior.
• Assist caregiver to recognize co-dependent behaviors (i.e., doing things for others that others are able to do for themselves) and how these behaviors affect the situation.
NURSING PRIORITY NO. 3. To promote wellness (Teaching/ Discharge Considerations):
• Stress importance of self-nurturing (e.g., pursuing selfdevelopment interests, personal needs, hobbies, and social activities) to improve/maintain quality of life for caregiver.
• Discuss/demonstrate stress-management techniques.
• Encourage involvement in specific support group(s).
• Provide bibliotherapy of appropriate references and encourage discussion of information.
• Assist caregiver to plan for changes that may become necessary for the care receiver (e.g., home care providers, eventual placement in long-term care facility).
• Refer to classes/therapists as indicated.
• Identify available 12-step program when indicated to provide tools to deal with codependent behaviors that impair level of function.
• Refer to counseling or psychotherapy as needed.
• Stress importance of self-nurturing (e.g., pursuing selfdevelopment interests, personal needs, hobbies, and social activities) to improve/maintain quality of life for caregiver.
• Discuss/demonstrate stress-management techniques.
• Encourage involvement in specific support group(s).
• Provide bibliotherapy of appropriate references and encourage discussion of information.
• Assist caregiver to plan for changes that may become necessary for the care receiver (e.g., home care providers, eventual placement in long-term care facility).
• Refer to classes/therapists as indicated.
• Identify available 12-step program when indicated to provide tools to deal with codependent behaviors that impair level of function.
• Refer to counseling or psychotherapy as needed.
Documentation Focus
ASSESSMENT/REASSESSMENT
• Identified risk factors and caregiver perceptions of situation.
• Reactions of care receiver/family.
PLANNING
• Treatment plan and individual responsibility for specific activities.
• Teaching plan.
IMPLEMENTATION/EVALUATION
• Caregiver/receiver response to interventions/teaching and actions performed.
• Attainment/progress toward desired outcome(s).
• Modifications to plan of care.
DISCHARGE PLANNING
• Long-term needs and who is responsible for actions to be taken.
• Specific referrals provided for assistance/evaluation.
ASSESSMENT/REASSESSMENT
• Identified risk factors and caregiver perceptions of situation.
• Reactions of care receiver/family.
PLANNING
• Treatment plan and individual responsibility for specific activities.
• Teaching plan.
IMPLEMENTATION/EVALUATION
• Caregiver/receiver response to interventions/teaching and actions performed.
• Attainment/progress toward desired outcome(s).
• Modifications to plan of care.
DISCHARGE PLANNING
• Long-term needs and who is responsible for actions to be taken.
• Specific referrals provided for assistance/evaluation.
Tags: care plan, Documentation Focus, intervention, risk for Caregiver Role Strain
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