In-hospital respite as a moderator of caregiver stress.

Health and Social WorkVol. 18 Nbr. 2, May 1993

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In-hospital respite as a moderator of caregiver stress.

As the number of physically and mentally impaired elderly people increases, some form of caregiving will become common for many families. To lessen the physical and emotional stress that caregiving often entails, respite care services such as home health care, adult day care, and temporary nursing home placement have been developed. Indeed, the term "respite care" has come to describe a broad spectrum of supportive programs and incentives aimed at temporarily lessening the strain of family caregiving to disabled, chronically ill, and frail elderly people (Meltzer, 1982).

INSTITUTIONAL RESPITE

Institutional respite provides for short-term patient stays in a hospital, nursing home, or residential care facility. In the United States, respite programs have been developed in a wide range of medical settings including nursing homes (Foundation for Long-Term Care, 1983), a psychiatric ward (Geiser, Hoche, & King, 1988), acute care medical units (Hasselkus & Brown, 1983), and geriatric assessment units (Gonyea, Seltzer, Gerstein, & Young, 1988).

Current knowledge on institution-based respite is rather limited and preliminary (Kane & Kane, 1987). Few studies have examined the influence of institutional respite in moderating caregiver stress. In one study, Scharla...

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