This article has set forth a strategy to increase family/staff cooperation in the care of persons institutionalized with AD. The FIC program was developed as an outgrowth of research that demonstrated family member dissatisfaction with their roles. It is specifically designed to provide a partnership role with staff for families whose relatives with AD are institutionalized. Hypothesized outcomes include the reduction of stress in caregiving, increased satisfaction in role and improved patient cognitive and functional outcomes. Testing of the FIC is currently underway.
Get full access to this article
View all access options for this article.
References
1.
1. Buckwalter KC, Hall GR: Families of the institutionalized older adult: A neglected resource. In TH Brubaker (Ed). Aging, health and family. Newbury Park, CA: Sage Publications, 1987
2.
2. Maas M, Buckwalter KC, Kelley LS, Stolley JM: Family members' perceptions: How they view care of Alzheimer's patients in a nursing home. The Journal of Long Tenn Care Administration, 1991: 19;21-26
3.
3. Smith KF, Bengston VL: Positive consequences of institutionalization: Solidarity between elderly parents and their middle aged children. The Gerontologist, 1979: 19;438-447
4.
4. Rosenthal CJ, Dawson P: Wives of institutionalized elderly men. Journal of Aging and Health, 1991:3;315-334
5.
5. Rubin A, Shuttlesworth G: Engaging families as support resources in nursing home care: Ambiguity in the subdivision of tasks. The Gerontologist, 1983:23;632-636
6.
6. Bowers B: Family perceptions of care in a nursing home. The Gerontologist, 1988:28;361-368
7.
7. Hall B: The role of adult children in helping chronically ill hospitalized patients. Canadian Journal on Aging, 1989:8;68-78
8.
8. Schwartz A, Vogel M: Nursing home staff and residents' families' role expectations. The Gerontologist, 1990:30;49-53
9.
9. Shuttlesworth G, Rubin A, Duffy M: Families vs. institutions: Incongruent role expectations in the nursing home. The Gerontologist, 1982:22;200-208
10.
10. Greene R: Families and the nursing home social worker. Social Work in Health Cam, 1982:7;57-67.
11.
11. Montgomery R: Impact of institutional care policies on family integration. The Gerontologist, 1982:22;54-58
12.
12. Strow C, Mackreth R: Family group meetings-strengthening a partnership. Journal of Gerontological Nursing, 1977:3;3-35
13.
13. Maas M, Buckwalter KC: Nursing Evaluation Research: A Special Alzheimer's Unit, Final Report. National Center for Nursing Research, 1990
14.
14. Kahana E: A congruence model of person-environment interaction. In PG Windley, TO Byerts, FG Ernst (Eds): Theory development in environment and aging. Washington, D.C.: Gerontological Society, 1975
15.
15. Lawton MP: Competence, environmental press and the adaptation of older people. In PG Windley, TO Byerts, FG Ernst (Eds): Theory development in environment and aging. Washington, DC: Gerontological Society, 1975
16.
16. Parr J: The interaction of persons and living environments. In LW Poon (Ed): Aging in the 1980's. Psychological Issues. Washington, DC: American Psychological Association, 1980
17.
17. Hardy ME, Conway ME: Role theory: Perspectives for health professionals. New York: Appleton-Century-Crofts, 1978
18.
18. O'Neill G, Ross MM: Burden of care: An important concept for nurses. Health Care for Women International, 1991: 12; 111-122
19.
19. Wolanin MO, Phillips L: Confusion: Prevention and care. St. Louis: C.V. Mosby, 1981
20.
20. Silverstone B, Burach-Weiss A: Social work practice with the frail elderly and their families: The auxiliary function model. Springfield, IL: Thomas, 1983
21.
21. Roberts BL, Algase DL: Victims of Alzheimer's disease and the environment. Nursing Clinics of North America, 1988:35; 113-118
22.
22. Hall GR, Buckwalter KC: Progressively lowered stress threshold: A conceptual model for care of adults with Alzheimer's disease. Archives of Psychiatric Nursing, 1987:1;399-406
23.
23. Maas M: Management of patients with Alzheimer's disease in long term care facilities. Nursing Clinics of North America, 1988:23;57-68
24.
24. Bohland JR, Davis L: Sources of residential satisfaction amongst the elderly: An age comparative analysis. In SM Golant (Ed): Location and environment of elderly population. Washington, DC: V.H. Winston & Sons, 1979
25.
25. Brody EM, Dempsey MP, Pruchno R: Mental health of sons and daughter of the institutionalized aged. The Gerontologist, 1990:30;212-219
26.
26. Wilson HS: Family caregiving for a relative with Alzheimer's dementia: Coping with negative choices. Nursing Research, 1989:38;94-98
27.
27. York JL, Calsyn RJ: Family involvement in nursing homes. The Gerontologist, 1977: 17;500-505
28.
28. Johnson M: Daughter's responses to a parent's relocation to a nursing home. Unpublished paper. Presented at the 42nd Annual Scientific Meeting of the Gerontological Society of America. Minneapolis, MI, 1989
29.
29. Matthiesen V: Family caregiving following nursing home placement. In KC Buckwalter (Ed), Intervention Strategies for Maintaining Control Throughout the Caregiving Trajectory. Iowa Geriatric Center Monograph Series. The University of Iowa, 1988
30.
30. George LK, Gwyther LP: Caregiver well-being: A multidimensional examintion of family caregivers of demented adults. The Gerontologist, 1986:26;253-259
31.
31. Harper S, Lund DA: Wives, husbands, and daughters caring for institutionalized and noninstitutionalized dementia patients: Toward a model of caregiver burden. International Journal of Aging and Human Development, 1990:30;241-262
32.
32. Stephens MAP, Kinney JM, Ogrocki PK: Stressors and well-being among caregivers to older adults with dementia: The in-home versus nursing home experience. The Gerontologist, 1991:31; 217-217
33.
33. Zarit SH, Todd PA, Zarit JM: Subjective burden of husbands and wives as caregivers: A longitudinal study. The Gerontologist, 1986:26;260-266
34.
34. Montgomery R: Staff-family relations in institutional care policies. Journal of Gerontological Social Work, 1983:6;25-38
35.
35. Spencer B: Partners in care: The role of families in dementia care units. In DH Coons (Ed): Specialized Dementia Care Units, Baltimore: The Johns Hopkins University Press, 1991
36.
36. Clifford A: Your mother is ours now. Journal of Gerontological Nursing, 1985: 10;44-44
37.
37. Pratt C, Schmall V, Wright S, Hare J: The forgotten client: Family caregivers to institutionalized dementia patients. In TH Brubaker (Ed): Aging, health and family. Newbury Park, CA: Sage Publications, 1987
38.
38. Robinson A, Spencer B: Reducing staff burnout in the dementia care unit. In DH Coons (Ed): Specialized Dementia Care Units. Baltimore: The Johns Hopkins University Press, 1991
39.
39. Kramer C, Kramer J: Basic Principles of Long Term Care. Springfield, IL: Charles C. Thomas, 1976
40.
40. Silverstone B, Hyman H: You and Your Aging Parent. Springfield, IL: Charles C. Thomas, 1976
41.
41. Wentzel M: The Emotional Effects of Institutionalization Upon the Family. Denton, TX: North Texas State University, Center for Studies in Aging, 1979
42.
42. Heine, CA: Burnout among nursing home personnel. Journal of Gerontological Nursing, 1986: 12; 14-18
43.
43. Weiner MB, Brock AJ, Snadowsky AM: Working with the aged: Practical approaches in the institution and community. Englewood Cliffs, NJ: Prentice-Hall, 1978
45. Wilson WW, Patterson MA: Perceptions of stress among nursing personnel on dementia units. Paper presented at the 40th Annual Scientific Meeting of the Gerontological Society of America, Washington, DC, November, 1987.
