Fulfilling our obligation to the caregiver: it's time for action: comment on Translation of a dementia caregiver support program in a health care system--REACH VA'.

摘要

Family caregivers are relied on by health care systems, yet, at the same time, neglected. They provide the bulk of care given to the more than 5 million persons with Alzheimer disease in the United States. They are expected to take on increasing amounts of complex care in the home, a task that requires entire health care teams in institutional settings. Their work keeps people out of nursing homes, while providing high-quality care at minimal cost to public and private health care systems. In return, their efforts and their well-being too often go ignored.Family caregivers are often thrust into this position, with no training and little support, resulting in increased prevalence of adverse physical, social, and psychological outcomes. Caregivers are at greater risk for depression and anxiety. They are less likely to engage in preventive health measures, and there is some evidence suggesting an increased risk of mortality. Although caring for those with dementia requires considerable out-of-pocket costs, many family caregivers stop working in order to care for their loved ones.