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Pisces are one of the water signs, all of which have the common characteristics of being caring, sensitive and emotional.
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Validating a model of chronic illness and family caregiving Humongous breast dating site

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The primary outcome is a reduction in caregiver burden.

Secondary outcomes include improvements in caregiver mental well-being, quality of life, fatigue and self-efficacy.

Nurses will be increasingly called upon to provide care to this chronically ill, aging segment of the population.

There is a dearth of research in this area as no longitudinal or intervention studies were found.

This study aims to implement and evaluate an innovative, multi-modal support service programme that aims to empower family caregivers by improving their coping strategies, enhancing hopeful feelings such as self-efficacy and helping them make the most of available sources of social and financial support.

Methods and analysis A randomised controlled trial consisting of 360 caregiver–patient pairs (180 in each of the intervention and wait-list control groups).

The intervention group will receive the following: (1) mail-delivered cognitive behavioural therapy designed to improve psychological adjustment and adaptive coping skills; (2) telephone-delivered group counselling sessions allowing caregivers to explore the impacts of caring and share their experiences; and (3) education on available community services/resources, financial benefits and respite services.

Either way, from this traditional patient-centric point of view families have no intrinsic value in themselves, but matter only instrumentally, that is, to the extent that they can be deployed as a resource or if necessary circumvented to serve the needs and preferences of the patient.

A common way out of the conundrum of potential conflict between the interests of the patient and his or her family has been to fudge it by declaring “the family as the unit of care.” While this perspective—a central tenet of social workers, and particularly prominent in the rhetoric of hospice and palliative care— places important emphasis on the patient’s wider social milieu, have we really faced up to the ethical complexities of that mantra?

The issue of family caregiver burden is a useful lens through which to examine the question.

While the family caregivers’ assumption of such responsibilities is not new, the frequency may have increased over time due to shorter hospital stays, adults living longer with significant ailments, and technological and health care improvements allowing more nursing or medical care to be provided at home.

This trend has implications for families, patients, family caregivers’ workplaces, health care organizations, and insurers, including Medicare and Medicaid.