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Distress in informal carers of the elderly in New Zealand

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Authors:
Summary:

Findings are described from this investigation into informal, unpaid care of the elderly in New Zealand. Forty-eight carers of elderly relatives participated in telephone interviews that explored their psychological experiences, their motivations for providing care, the costs involved and their experience of aggression. Analysis of the transcripts revealed high rates of anxiety and depression amongst the carers, most of whom were partners or offspring of the carees. The carers reported a sense of feeling personally and socially restricted as a result of their caring duties, which impacted adversely on their physical and emotional health, and were reportedly the most burdensome aspect of the caring experience. Most cited love as being the driving force that motivated them to care for their relative. Economic costs involved were substantial. The study researchers note that the health system needs to provide much higher levels of emotional support for these carers to be able to continue their work.

Comment:
I think the issues raised here are particularly relevant and important for Māori health. Whānau provide care to whānau for many wonderful reasons, including aroha. And although the study highlighted the issues for younger people providing care of older adults, I think there are similar issues at the other end of the spectrum with grandparents looking after grandchildren. As well as the financial burden, there are important health concerns including mental illness, heart disease and back injuries. Screening for common physical, emotional and social health issues with whānau caregivers, at each clinical (and often opportunistic) interaction, is recommended.
Reference: N Z Med J. 2018;131(1485):60-6
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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