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Caregiver Identity Discrepancy

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Participants will be introduced to basic tenants of the Caregiver Identity Theory and implications of the theory for understanding the caregiving experience and its impact on caregivers. A center piece of this perspective is the assertion that the caregiving role is not a new role, but rather a transformation of an existing role. Participants will learn about five phases of caregiving and identity discrepancy which many caregivers experience as they move between phases. The implications of this perspective for strategically intervening to support caregivers will also be discussed.

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Caregiver Identity Discrepancy

  1. 1. Please share your email address with us! We’d like to send you a link to this webinar’s recording and resources, and notifications for future webinars. Provide feedback and earn CE Credit with one link: We will provide this link at the end of the webinar Welcome to the Military Families Learning Network Webinar This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, and the Office of Family Policy, Children and Youth, U.S. Department of Defense under Award Numbers 2010-48869-20685 and 2012-48755-20306. Caregiver Identity Discrepancy & Implications for Practice
  2. 2. This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, and the Office of Family Policy, Children and Youth, U.S. Department of Defense under Award Numbers 2010-48869-20685 and 2012-48755-20306. Research and evidenced-based professional development through engaged online communities. eXtension.org/militaryfamilies Welcome to the Military Families Learning Network
  3. 3. POLL How would you best describe your current employer?
  4. 4. This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, and the Office of Family Policy, Children and Youth, U.S. Department of Defense under Award Numbers 2010-48869-20685 and 2012-48755-20306. To receive notifications of future webinars and other learning opportunities from the Military Families Learning Network, sign up for the Military Families Learning Network Email Mailing list at: http://bit.ly/MFLNlist eXmilcaregiving @eXmilcaregiving #eXmilcaregiving milfamln Military Families Learning Network Military Caregiving
  5. 5. This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, and the Office of Family Policy, Children and Youth, U.S. Department of Defense under Award Numbers 2010-48869-20685 and 2012-48755-20306. Available Resources https://learn.extension.org/events/1631
  6. 6. The Military Caregiving Concentration team will offer 1.00 CE credit hour from NASW. To receive CE credit please complete the evaluation and post-test found at: https://vte.co1.qualtrics.com/SE/?SID=SV_1STvj6by9bw6tp 3 *Must pass post-test with an 80% or higher to receive certificate. This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, and the Office of Family Policy, Children and Youth, U.S. Department of Defense under Award Numbers 2010-48869-20685 and 2012-48755-20306. Evaluation & CE Credit Process
  7. 7. Caregiver Identity Change Theory 7 Tailored Care Enterprises, LLC © 2014
  8. 8. Dr. Rhonda JV Montgomery Founder and Chief Scientific Officer Tailored Care Enterprises, LLC To learn more about our care management program that incorporates the key concepts discussed today, please visit www.tailoredcare.com or call 262-643-4740.
  9. 9. Theory Helps Us Understand • Sources of caregiver distress • Differences in the way that caregivers experience this distress • Reasons that caregivers use or do not use services • Strategies for helping caregivers • Differences among caregivers in the types of support needed 9
  10. 10. Basic Premises About Caregiving Journey • There is no single, generic caregiver role – Caregiving role emerges as an extension of a prior role relationship – Role is influenced by the unique values, beliefs and circumstances 10
  11. 11. Basic Facts about the Caregiving Journey • Caregiving is a dynamic process that unfolds over time • The length of the journey varies 11
  12. 12. The Caregiver Journey
  13. 13. Caregiving Journey: Systematic Change Process • Change in activities • Change in relationship with care receiver • Change in identity of caregiver 13
  14. 14. Caregiving Journey: Adult Child 0 10 20 30 40 50 0 1 2 3 4 5 Personal Other Tasks Household Shop/Trans Bank/legal
  15. 15. 15 Parent – Child Relationship Decision Making Personal Care Household Chores Shop & Trans Legal & Banking Affection Affection
  16. 16. 16 Adult Child – Parent Relationship Decision Making Personal Care Household Chores Shop & Trans Legal & Banking Affection Affection
  17. 17. My Rules for a “Good” CAREGIVER My Rules for a “Good” Daughter Relationship Rules 17
  18. 18. Relationship Identities • Mother/Father • Sister/Brother • Spouse/Partner • Parent • Employer • Many more 18
  19. 19. Rules for How We Act (Identity Standards) 19 We know how to act because we follow our internalized rules
  20. 20. SOCIETY COMMUNITY FAMILY Immediate Environment Living Arrangement Functional Level of CR Health of CG Financial Support Social Support Where do we get our rules? 20
  21. 21. Rules Change Over Time • We develop new rules • We throw out old rules – rules that don’t work anymore • We tweak existing rules 21
  22. 22. Reasons that Rules Change • Family demands • Work obligations • Our health • Health of other family members • Economics of situation • Acceptance of situation 22
  23. 23. Anne’s Relationship Identity with Tom Wife Cook Companion Parenting Partner Rules 23
  24. 24. Decision Maker Nurse Advocate Rules Anne’s Relationship Identity with Tom Wife Cook Companion Parenting Partner Rules 24 Caregiver
  25. 25. 25 Five Phases of Caregiver Identity Caregiver Wife Caregiver Wife CaregiverWife Caregiver Wife
  26. 26. 26 Five Phases of Caregiver Identity Caregiver Wife
  27. 27. When we think about it…. Change in roles leads to change in relationship identity 27
  28. 28. The Caregiver Journey 28
  29. 29. 29
  30. 30. Caregiver Wife Caregiver Wife 30
  31. 31. Identity Discrepancy • My actions don’t match my expectations • My responsibilities don’t match my rules 31
  32. 32. Identity Discrepancy: Source of Stress Stress comes when … What we are doing does not match what we think we should be doing. 32
  33. 33. Types of Caregiver Stress • Relationship Stress • Workload Stress • Emotional Stress 33
  34. 34. Workload Stress Caregivers feel like they do not have the time or energy for … – Their daily chores – Other family members – Their job and work responsibilities – Friends – Themselves 34 Caregiving responsibilities and/or tasks are interfering with other parts of a caregiver’s life
  35. 35. Tension or strain in the relationship between the caregiver and the care recipient • Feeling that wounded/ill service member: – Expects too much from them – Is taking advantage of them – Does not appreciate their help – Is difficult to get along with – Criticizes what the caregiver is doing – Does not communicate with them 35 Relationship Stress
  36. 36. Emotional Stress When caregiving responsibilities make the caregiver… • anxious or nervous • worry or fret • emotionally upset 36
  37. 37. Matching rules and tasks Relief comes when … Caregivers change what they are doing to match their expectations OR Caregivers change their rules (expectations) to match what they are doing 37
  38. 38. First Step Toward Getting Help • Set a realistic goal • Is it best for the caregiver to – Let go? (reduce caregiver responsibilities) – Continue in similar manner? (maintain) – Get comfortable assuming necessary tasks? (embrace) 38
  39. 39. Remove Identity Discrepancy –Changing behavior –Changing rules 39
  40. 40. CaregiverWife Making a ‘Big Change’ 40 Caregiver Wife
  41. 41. 41
  42. 42. 42
  43. 43. Making a ‘Small Change’ 43
  44. 44. Maintain Current Identity • Small Change: (Maintain Current Identity) – Change (tweak) rules – Change behaviors (actions) – Change self-appraisal 44
  45. 45. How to Reduce Identity Discrepancy • Big Change: Change identity and rules – Embrace larger caregiver identity – Reduce caregiver identity • Small Change: Maintain Current Identity – Change (tweak) rules – Change behaviors (actions) – Change self-appraisal 45
  46. 46. Take-away Points • Caregiving involves an identity change process. • Change often involves a lag time when there is a misfit between what a caregiver is doing and what the caregiver thinks she/he should be doing. • That lag is called identity discrepancy and it causes distress. • To support caregivers, we must identify the best strategy to bring their personal rules in line with their responsibilities and tasks. 46
  47. 47. Questions or Comments? 47
  48. 48. The Military Caregiving Concentration team will offer 1.00 CE credit hour from NASW. To receive CE credit please complete the evaluation and post-test found at: https://vte.co1.qualtrics.com/SE/?SID=SV_1STvj6by9bw6tp 3 *Must pass post-test with an 80% or higher to receive certificate. This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, and the Office of Family Policy, Children and Youth, U.S. Department of Defense under Award Numbers 2010-48869-20685 and 2012-48755-20306. Evaluation & CE Credit Process
  49. 49. This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, and the Office of Family Policy, Children and Youth, U.S. Department of Defense under Award Numbers 2010-48869-20685 and 2012-48755-20306. Military Caregiving Upcoming Event… Caregiver Compassion Fatigue Date: August 20, 2014 Time: 11:00 a.m. Eastern Location: https://learn.extension.org/events/1604 For more information on MFLN–Military Caregiving go to: http://www.extension.org/pages/60576
  50. 50. Military Families Learning Network This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, and the Office of Family Policy, Children and Youth, U.S. Department of Defense under Award Numbers 2010-48869-20685 and 2012-48755-20306. Family Development Military Caregiving Personal Finance Network Literacy Find all upcoming and recorded webinars covering: http://www.extension.org/62581

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