Critique of the Complex Nature of Informal Care in HomeBased Heart Failure Management Article by A M Clark
Management of CHF requires shared responsibilities as an increasing number of CHF patients have decreased formal care provision. Informal care is an avenue that has the best potential for ensuring adequate quality of life for CHF patients and at the same time also ensuring that CHF patients get more attention than would have been possible informal care. Clark et al (2007) survey of informal carers and their patients has pointed out that informal caregivers have been able to manage and ensure adequate quality of life for CHF patients. Authors have pointed out that informal and invisibl3 care could be even better managed if the informal caregivers were given basic training for recognizing and managing some of CHF symptoms.
Francine et al (2002) provide enlightening statistics that in 2002 there were at least 41 million people with chronic debilitating conditions. Another issue might be increased longevity through intervention better nutrition and quality of life – thus the proportion of old people afflicted with chronic conditions is continually rising. Informal caring which may be through family or friends (and usually is honorary) has taken on an increasingly important role as formal carers reduce in proportion to the chronically ill. Incidentally, most of the informal care is given by women, be it daughters or sometimes wives. The toll on women caregivers is quite stressful with many women being forced to take lower paying jobs that allow them more time for. Caregiving has also been known to be mentally taxing and causing emotional stress. Caregivers are more susceptible to indigestion and high blood pressure and caregivers, who care for patients with Alzheimer and psychopathological disorders, may have bouts of depression. Informal caregivers are not given adequate governmental support and many of the services performed for ill-disposed may not be reimbursable through NHA or Medicaid. Francine et al (2002) reiterate that policies should be introduced that recognize the efforts and work performed by the caregivers. As caregivers tend to be over 40, many of the social workers and caregivers might themselves be in need of support in the coming years (Francine et al 2002). .