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Concept of care giving
By:
Tariq Javed gill
Nursing Instructor
Clinics on wheels
Concept of care giving
Description
• This subject consists of the knowledge, skill and
attitude related to care giving, its Characteristics,
Responsibilities, Duties and Tasks.
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Familiarize With Care Giving
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Familiarize With Care Giving
Care giving
• There are only four kinds of people in the
world – those who have been caregivers,
those who are currently caregivers, those
who will be caregivers and those who will
need caregivers"
- Rosalyn Carter
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Care giving --Definition
• A caregiver is a person who is trained to
assume responsibilities for the physical and
emotional needs of another who is incapable
of self-care.
• Types: Personal Care Worker, Supportive
Home Care Worker, Personal Care Aide, etc.
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WHAT DO CAREGIVERS DO?
• If helping people comes second nature to you,
you might be ready for a career as a caregiver.
Caregivers, also known as home
health or personal care aides, give assistance
to people who are sick, injured, mentally or
physically disabled, or the elderly and fragile.
Caregivers work in the home and help their
clients with daily activities, such as bathing
and bathroom functions, feeding, grooming,
taking medication, and some housework.
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• Caregivers help clients make and keep
appointments with doctors, provide or arrange
transportation and serve as a companion for
their clients.
• Caregivers are either hired by a client or their
family, or report directly to a physician or a
nurse.
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JOB SKILLS AND REQUIREMENTS
• Attention to Detail: Some clients have specific
rules or schedules that must be minded, or
specific rules that must be followed.
• Interpersonal Skills: Caregivers work in a very
personal way with their clients. Some will be in
pain or very sensitive to their fragility. Caregivers
must be sensitive and compassionate with clients.
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• Stamina: Caregivers might need to lift clients
into the bathtub, cars and into bed, and need
strength.
• Time Management: Caregivers are schedule
keepers. Caregivers have to be there to make
sure clients get up on time, make sure
medication is taken on schedule and clients
get to appointments on time.
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Caregivers Have Many Roles.
• Care provider
• Care coordinator
• Information source
• Advocate
• Smoke detector
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Function / duties of caregivers
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The role of caregiver is one that can be as
simple as accompanying a family member to
an appointment to act as an extra set of eyes
and ears, or as complicated as administering
therapies and other aid. Caregivers are very
important to the outcome of a serious illness
or disease.
Duties of a Caregiver
• Although a caregiver’s work varies with
different sets of duties each day, there are
some basic tasks that remain the same when
caring for a patient, parent or senior loved
one.
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Functions of Caregivers.
•1. Prepare a Care Plan
• Preparing a care plan that addresses your parent’s
strengths and weaknesses is necessary to create
when beginning your caregiving journey, so that
you can determine how many hours of care a day
your loved one will require.
2. Assess Medical Needs
• Does your parent have prescription medication
or need help with pain management? Meet
with a doctor who can assess your loved one
and create a medical care plan so that you can
provide medical assistance at home.
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3. Monitor Medication
• Monitor your patient’s medication according
to their medical care plan, which should
specify your duties and what times of day you
should provide medical assistance to them.
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4. Assist with Basic Needs
• Assist your loved one with their basic needs,
which could include: bathing, grooming and
toileting.
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5. Prepare Meals
• Food preparation becomes increasingly
difficult as we age. You can help your patients
/ parent by doing their grocery shopping or
preparing their meals, and by monitoring their
nutrition.
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6. Housekeeping
• Maintaining a home takes more time as we
age and become less active. You can provide
assistance to a loved one by doing dishes,
vacuuming or taking out the garbage.
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7. Transfer
• Your patient may have difficulty transferring –
from bed in the morning to chair in the
afternoon, for instance. Be prepared to help
them move and make them comfortable.
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8. Transport
• Transporting your patient / loved one to doctor’s
appointments and other activities will become a
common caregiving duty.
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9. Companionship
• In the midst of all these duties, it’s easy to
forget one of the most important parts of
caregiving – companionship. Focus on how
rewarding it is to care for your patient and
know how thankful they are to have you too.
When you are challenged, these inspirational
caregiver tips can help you put things back into
perspective.
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10. Monitor Performance
• Finally, look at your client’s care plans, monitor
the performance of their care and speak with a
medical professional if any adjustments need
to be made.
• These duties are essential caregiving tasks, but
it’s also important to remember to adjust
them as necessary for the patient, parent or
senior that you’re caring for.
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Caregiver's Responsibilities
Understanding the Nature of Illness and
Treatment: You and your care recipient must
understand the nature of illness. This is crucial for
both of you to participate in all treatment and
care. Knowing the side-effects of medications, for
instance, will help you to recognize adverse
reaction promptly. You have the responsibility to
question your doctors when in doubts. Be an
educated caregiver. Reading on the related illness
and treatment will further broaden your
understanding.
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Involve the Person in His Care
Encourage the person to be as independent as he
can. You have to assess the level of care required
because the person may only need partial
assistance. Assuming full responsibility in his
activities of daily living is not going to help in his
recovery. You should also encourage and
support the to communicate with his healthcare
professionals and when necessary intervene on his
behalf. Do not just focus on positive outcomes.
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• Sometimes you have to be realistic when you
speak with your care recipient. You have to
exercise your judgment, in that given situation,
on what to say and what not to.
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Build Up Your Confidence:
Nursing skills are best learned by practice. You
may be new in performing some tasks, however
you should take every opportunity to learn and
brush up your skills. Get the nurses to supervise
you and allow return demonstrations until you
are comfortable in doing it yourself. Your
confidence and competency in handling any
procedures is important not only for the
person's safety but also to win his trust on you.
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Ensure Your Care Recipient's
Privacy:
Always preserve the person's dignity by
ensuring privacy when rendering your
care. When performing any procedures that
requires the person to be undressed, never
expose him unnecessarily. Towel or blanket,
for instance, can be used to cover the person's
lap when using a commode. In addition, do
not reveal or share the person's information
without his consent, even to close relatives.
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Plan Your Care:
If there are a few caregivers, schedule your
duties. Make a list of the tasks required in the
care. A time-table for the day is also useful for
every member to follow. Each one can take their
turn in caring, with perhaps one member of the
family taking overall responsibility. Also identify a
family doctor who can help you with the long-
term medical care. He will also be able to help
you to decide on the best way to manage your
care recipient. Planning ensures the consistency
of care.
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Carry Out Instructions Punctually
and Exactly as Ordered:
• All prescribed treatments such as medications, ryles'
tube feeding, changing of wound's dressing etc, has to
be carried out punctually. The implications for not
doing so could cause irreversible harm to the
person. Be firm about any medical instructions you
have been asked to carry out. You have the full
responsibility to ensure that all treatments are given at
your best capabilities. If you are afraid of forgetting the
schedules, write them down in a time-table. Also keep
a note book to remind you of any follow-up
appointments.
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Be Patient and Comforting:
When attending to the person needing care, before
you begin any procedure, explain what you are
going to do, what is required of him and how you
will help. This is important to alley his anxiety and
to gain co-operation. You may need to reassure the
person or repeat an explanation if necessary. Do
not be in a hurry. Your movements should be gentle
and calm whether or not a person can respond; a
stroke person, for example, may be unable to speak
but will be aware of your mood and your concern
for his welfare.
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Be careful and Observant:
Watch the person's progress so that you can
report any changes to the healthcare
professionals. Make it a habit to record and
report any abnormalities you have observed to
your doctor-in-charged. Never assume any
signs and symptoms presented as expected
outcomes of treatments. In any cases, do not
alarm the person by your observations.
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Work as a Team:
Team working with all caregivers, including your
healthcare professionals and community
services, is important. Sharing of information
with your team members, such as discussing
the person's condition or reporting an
observation, will ensure that your care recipient
receives the best possible care. If condition
allows, feedback to him his progress so that he
understands and appreciates the treatments
given.
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Do not Breed Resentment:
Your care recipient is likely to be more self-centred
due to his illnesses and hence may make unkind or
hurtful remarks on you. Even you know that he
may not mean to hurt you, it is better to tell him if
he is upsetting you. Keeping your feelings hidden
will soon breeds resentment. Also learn to be
tolerant when the person is difficult to help or is
slow to perform everyday tasks. Remember that
your assistance and company is very valuable to
someone who is ill.
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• Always speak to the person in his presence,
not about him. Careless conversations over an
unconscious person are sometimes clearly
heard by that person. Hearing is thought to be
the last senses to fade.
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Practice Good Hygiene:
Be clean and tidy, both in your person and in the
way you work. Proper hand washing is important
Always wash your hands before and after a
procedure that involves direct or indirect contact
with the person, after contact with any wastes or
contaminated materials, before handling any food
or utensils, or at any time hands become soiled
Avoid wearing accessories such as jewelries or wrist
watch because it provides a place to cultivate
microorganism and may also scratches the skin of
the person who you render care.
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Care Recipient's Interest
Comes First:
If you find that you can no longer manage the
person, let him know rather than
compromising your care. Never be afraid to
admit to having problems or to ask for
help. keep a list of community resources that
may be useful to you. If you just need a
listening ear, consult some counselling
services provided by voluntary welfare
organizations.
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Know What are the Resources
Available to You:
There are various resources that are useful to
caregivers. You must know what are the
resources available and where you can locate
them. Keep a list of the contacts that are
relevant to you for quick reference. You may
refer here for more services from voluntary
welfare organizations.
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38

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Concept of care giving

  • 1. Concept of care giving By: Tariq Javed gill Nursing Instructor Clinics on wheels
  • 2. Concept of care giving Description • This subject consists of the knowledge, skill and attitude related to care giving, its Characteristics, Responsibilities, Duties and Tasks. CliniconWheels 2
  • 3. Familiarize With Care Giving CliniconWheels 3
  • 5. Care giving • There are only four kinds of people in the world – those who have been caregivers, those who are currently caregivers, those who will be caregivers and those who will need caregivers" - Rosalyn Carter CliniconWheels 5
  • 6. Care giving --Definition • A caregiver is a person who is trained to assume responsibilities for the physical and emotional needs of another who is incapable of self-care. • Types: Personal Care Worker, Supportive Home Care Worker, Personal Care Aide, etc. CliniconWheels 6
  • 7. WHAT DO CAREGIVERS DO? • If helping people comes second nature to you, you might be ready for a career as a caregiver. Caregivers, also known as home health or personal care aides, give assistance to people who are sick, injured, mentally or physically disabled, or the elderly and fragile. Caregivers work in the home and help their clients with daily activities, such as bathing and bathroom functions, feeding, grooming, taking medication, and some housework. CliniconWheels 7
  • 8. • Caregivers help clients make and keep appointments with doctors, provide or arrange transportation and serve as a companion for their clients. • Caregivers are either hired by a client or their family, or report directly to a physician or a nurse. CliniconWheels 8
  • 9. JOB SKILLS AND REQUIREMENTS • Attention to Detail: Some clients have specific rules or schedules that must be minded, or specific rules that must be followed. • Interpersonal Skills: Caregivers work in a very personal way with their clients. Some will be in pain or very sensitive to their fragility. Caregivers must be sensitive and compassionate with clients. CliniconWheels 9
  • 10. • Stamina: Caregivers might need to lift clients into the bathtub, cars and into bed, and need strength. • Time Management: Caregivers are schedule keepers. Caregivers have to be there to make sure clients get up on time, make sure medication is taken on schedule and clients get to appointments on time. CliniconWheels 10
  • 11. Caregivers Have Many Roles. • Care provider • Care coordinator • Information source • Advocate • Smoke detector CliniconWheels 11
  • 12. Function / duties of caregivers CliniconWheels 12 The role of caregiver is one that can be as simple as accompanying a family member to an appointment to act as an extra set of eyes and ears, or as complicated as administering therapies and other aid. Caregivers are very important to the outcome of a serious illness or disease.
  • 13. Duties of a Caregiver • Although a caregiver’s work varies with different sets of duties each day, there are some basic tasks that remain the same when caring for a patient, parent or senior loved one. CliniconWheels 13
  • 14. CliniconWheels 14 Functions of Caregivers. •1. Prepare a Care Plan • Preparing a care plan that addresses your parent’s strengths and weaknesses is necessary to create when beginning your caregiving journey, so that you can determine how many hours of care a day your loved one will require.
  • 15. 2. Assess Medical Needs • Does your parent have prescription medication or need help with pain management? Meet with a doctor who can assess your loved one and create a medical care plan so that you can provide medical assistance at home. CliniconWheels 15
  • 16. 3. Monitor Medication • Monitor your patient’s medication according to their medical care plan, which should specify your duties and what times of day you should provide medical assistance to them. CliniconWheels 16
  • 17. 4. Assist with Basic Needs • Assist your loved one with their basic needs, which could include: bathing, grooming and toileting. CliniconWheels 17
  • 18. 5. Prepare Meals • Food preparation becomes increasingly difficult as we age. You can help your patients / parent by doing their grocery shopping or preparing their meals, and by monitoring their nutrition. CliniconWheels 18
  • 19. 6. Housekeeping • Maintaining a home takes more time as we age and become less active. You can provide assistance to a loved one by doing dishes, vacuuming or taking out the garbage. CliniconWheels 19
  • 20. 7. Transfer • Your patient may have difficulty transferring – from bed in the morning to chair in the afternoon, for instance. Be prepared to help them move and make them comfortable. CliniconWheels 20
  • 21. 8. Transport • Transporting your patient / loved one to doctor’s appointments and other activities will become a common caregiving duty. CliniconWheels 21
  • 22. 9. Companionship • In the midst of all these duties, it’s easy to forget one of the most important parts of caregiving – companionship. Focus on how rewarding it is to care for your patient and know how thankful they are to have you too. When you are challenged, these inspirational caregiver tips can help you put things back into perspective. CliniconWheels 22
  • 23. 10. Monitor Performance • Finally, look at your client’s care plans, monitor the performance of their care and speak with a medical professional if any adjustments need to be made. • These duties are essential caregiving tasks, but it’s also important to remember to adjust them as necessary for the patient, parent or senior that you’re caring for. CliniconWheels 23
  • 24. Caregiver's Responsibilities Understanding the Nature of Illness and Treatment: You and your care recipient must understand the nature of illness. This is crucial for both of you to participate in all treatment and care. Knowing the side-effects of medications, for instance, will help you to recognize adverse reaction promptly. You have the responsibility to question your doctors when in doubts. Be an educated caregiver. Reading on the related illness and treatment will further broaden your understanding. CliniconWheels 24
  • 25. Involve the Person in His Care Encourage the person to be as independent as he can. You have to assess the level of care required because the person may only need partial assistance. Assuming full responsibility in his activities of daily living is not going to help in his recovery. You should also encourage and support the to communicate with his healthcare professionals and when necessary intervene on his behalf. Do not just focus on positive outcomes. CliniconWheels 25
  • 26. • Sometimes you have to be realistic when you speak with your care recipient. You have to exercise your judgment, in that given situation, on what to say and what not to. CliniconWheels 26
  • 27. Build Up Your Confidence: Nursing skills are best learned by practice. You may be new in performing some tasks, however you should take every opportunity to learn and brush up your skills. Get the nurses to supervise you and allow return demonstrations until you are comfortable in doing it yourself. Your confidence and competency in handling any procedures is important not only for the person's safety but also to win his trust on you. CliniconWheels 27
  • 28. Ensure Your Care Recipient's Privacy: Always preserve the person's dignity by ensuring privacy when rendering your care. When performing any procedures that requires the person to be undressed, never expose him unnecessarily. Towel or blanket, for instance, can be used to cover the person's lap when using a commode. In addition, do not reveal or share the person's information without his consent, even to close relatives. CliniconWheels 28
  • 29. Plan Your Care: If there are a few caregivers, schedule your duties. Make a list of the tasks required in the care. A time-table for the day is also useful for every member to follow. Each one can take their turn in caring, with perhaps one member of the family taking overall responsibility. Also identify a family doctor who can help you with the long- term medical care. He will also be able to help you to decide on the best way to manage your care recipient. Planning ensures the consistency of care. CliniconWheels 29
  • 30. Carry Out Instructions Punctually and Exactly as Ordered: • All prescribed treatments such as medications, ryles' tube feeding, changing of wound's dressing etc, has to be carried out punctually. The implications for not doing so could cause irreversible harm to the person. Be firm about any medical instructions you have been asked to carry out. You have the full responsibility to ensure that all treatments are given at your best capabilities. If you are afraid of forgetting the schedules, write them down in a time-table. Also keep a note book to remind you of any follow-up appointments. CliniconWheels 30
  • 31. Be Patient and Comforting: When attending to the person needing care, before you begin any procedure, explain what you are going to do, what is required of him and how you will help. This is important to alley his anxiety and to gain co-operation. You may need to reassure the person or repeat an explanation if necessary. Do not be in a hurry. Your movements should be gentle and calm whether or not a person can respond; a stroke person, for example, may be unable to speak but will be aware of your mood and your concern for his welfare. CliniconWheels 31
  • 32. Be careful and Observant: Watch the person's progress so that you can report any changes to the healthcare professionals. Make it a habit to record and report any abnormalities you have observed to your doctor-in-charged. Never assume any signs and symptoms presented as expected outcomes of treatments. In any cases, do not alarm the person by your observations. CliniconWheels 32
  • 33. Work as a Team: Team working with all caregivers, including your healthcare professionals and community services, is important. Sharing of information with your team members, such as discussing the person's condition or reporting an observation, will ensure that your care recipient receives the best possible care. If condition allows, feedback to him his progress so that he understands and appreciates the treatments given. CliniconWheels 33
  • 34. Do not Breed Resentment: Your care recipient is likely to be more self-centred due to his illnesses and hence may make unkind or hurtful remarks on you. Even you know that he may not mean to hurt you, it is better to tell him if he is upsetting you. Keeping your feelings hidden will soon breeds resentment. Also learn to be tolerant when the person is difficult to help or is slow to perform everyday tasks. Remember that your assistance and company is very valuable to someone who is ill. CliniconWheels 34
  • 35. • Always speak to the person in his presence, not about him. Careless conversations over an unconscious person are sometimes clearly heard by that person. Hearing is thought to be the last senses to fade. CliniconWheels 35
  • 36. Practice Good Hygiene: Be clean and tidy, both in your person and in the way you work. Proper hand washing is important Always wash your hands before and after a procedure that involves direct or indirect contact with the person, after contact with any wastes or contaminated materials, before handling any food or utensils, or at any time hands become soiled Avoid wearing accessories such as jewelries or wrist watch because it provides a place to cultivate microorganism and may also scratches the skin of the person who you render care. CliniconWheels 36
  • 37. Care Recipient's Interest Comes First: If you find that you can no longer manage the person, let him know rather than compromising your care. Never be afraid to admit to having problems or to ask for help. keep a list of community resources that may be useful to you. If you just need a listening ear, consult some counselling services provided by voluntary welfare organizations. CliniconWheels 37
  • 38. Know What are the Resources Available to You: There are various resources that are useful to caregivers. You must know what are the resources available and where you can locate them. Keep a list of the contacts that are relevant to you for quick reference. You may refer here for more services from voluntary welfare organizations. CliniconWheels 38