Care-Giver Burden Essay

health c ar in America is an issue of finances. Health sustentation is an issue, especially for the financially strapped family. The future(a) paper forget focus on the c ar-giver burden of a forbearing who can non afford to be taken boot of because of miss of insurance or lack of funds in general. In the following pages guard-giver burden w waning be addressed using some(prenominal) articles concerning cautiousness-giver burden and three theorists Martha E. Rogers, Imogene powerfulness, and Dorothy E. Johnson.The articles atomic number 18 in design stressing the issue of guilt and depression when a family decides they fagt strike the time or the money to keep a loved one at category and must face formatting them in a care facility (Sanders article Shouldering the Burden of Care). other articles address the issue of keeping a family member at home (child) and the upkeep cost that entails such as home health promote cost, medications, or leaving a job (Wilson, Leslie S. et al. The Economic Burden of crustal plate Care for Children with HIV and Other Chronic Illnesses).Also, the review of unhurried care for nurses and the burden of lack of authority in administration this presents is another jump of care-giver burden (Welchman, Jennifer & Glenn G. Griener, Patient Advocacy and Professional Associations Individual and Collective Responsibilities). separately of these issues involves a direct relationship to the patient role and their concerns for the burden they may give out for their family, or for themselves in regards with money and insurance.There are many facets to stifle in the simple care system barely for this paper, care-giver burden is the primary concept in terms of money. Three Approaches to the Concern Approach of Martha E. Rogers. Rogers hypothesis involves four postulates energy fields, openness, pattern, and pandimensionality. (Barrett et. Al 2000). Each of these postulates involves the customers concern over their heal th and the relationships they form with not only the nurses but with their own families.Rogers goes on to explain that power is at the core of each(prenominal) of these relationships, (power)is the capacity to get in knowingly in the nature of change characterizing the never-ending patterning of the human and environmental fields. The observable, measurable pattern manifestations of power are awareness, choices, immunity to act intentionally, and involvement in creating change (Barrett et al. ) Most care-giving authority is disposed(p) to nurses both in a hospital setting and during stay at home cases.The preceding concept or the patient is its most-valuable to keep back a strong trusting relationship with the care-giver in order for them to disembodied spirit more comfortable and also feel their issues and concerns are being heard. If the patient does not feel comfortable then the care-giver burden becomes apparent in scowling-unreceptive-to-therapy patients. However, i n Welchman and Grieners article, Patient Advocacy and Professional Associations, a acclivitous concern over nurses burden when taking care of patients begins to be seen, nurses are being taught to be patient advocates and both nurses and patients are the worse for it.The breast feeding professions redefinition of the nurses role from loyal retainer to patient advocate in the 1980s was supposed to protect patients by empowering nurses to think and act autonomously in their dealings with other health originals. single nurses have been burdened with a responsibility that most professions assignto their professional associations. It is not a responsibility that individualists can readily fulfill. Unless or until the work of advocacy is taken off the shoulders of individual nurses and returned to the professional bodies that represent them, nurses and patients will continue to suffer unnecessarily(2005).The nurses role in patient care involves everything a patient affects or may po tentially need (feeding, bathing, bathroom visits, company) and according to Rogers speculation making the patient part of the active voice choice of their own health. Therefore, in the context of this opening there is no control, because control is not held one over the other (nurse over patient) but power is shared, as Rogers theory states, people can knowingly participate in creating their reality by actualizing some of their potentials rather than others.In this theory there is no control control is an illusion since other persons or groups and their environments are likewise simultaneously also participating in what is being created. Each of these duties cannot be accomplished without proper support from family/administration, and without this support and the lack of performance in a nurses duty a patient will lapse in trust. This is the contention in the level of care-giver burden nurses cannot fulfill their role to maximum potential without the backing of the hospital rule s.The burden is twofold for the nurse and the patient. As Welchman and Griener state in a final cul-de-sac, Advocacy for improvements in access to and deliver of health care is best viewed as a collective responsibility of health professions owed to golf-club as a whole, not as the sole province of individual practitioners(2005). Approach Imogene King. Kings theory lies in the clients science of self. This perception ranges from their body image to their own growth and development before and afterwards surgery or during care-giver visits.As such, the crux of Kings theory is that of communication. Her theory subsists of human beings as, open systems interacting with the environment (Williams, Imogene Kings Interacting Systems Theory, 2001). throughout the relationship of nurses and clients communication is the key to better health. This occurs through the patient forming several relationships with different people around them these include personal systems, interpersonal systems, and companionable systems.Thus, Kings ultimate terminus stated in the theory is goal attainment. However, there are outside factors that stand in the focussing of working and healthy relationships. In Wilson et al. s study of patient care for ill and HIV children the stats for financing reflects a tremendous burden, .. in-home care for ill children (ranging from approximately $19,000 to $36000) is higher than that of hiring caregivers for healthy children (approximately $10,000) (2005).This burden is further emphasized for the family if they are not equipped to pay a professional care-giver and are hooked upon themselves for such care this issue raises the other issues of job attendance (some families pass up promotions, decline extra working hours, or quit their jobs entirely in order to care for the ill which makes the financial burden that practically more potent). These numbers also reflect the elderly who are put in homes or whose family members choose to have them stay at home.Thus, it is important within Kings theory that each relationship remain allay from outside stress factors in order for the re leady of the patient to be successful. The dyad of the nurse and the patient must remain free from concerns of money, otherwise the nurse is seen as merely a worker and not a concerned care-giver and the patient is stressed because they may not have coverage for certain operations or insurance to properly cover the care-givers assistance.In Kings theory, communication led to recover, King believed that interactions between the nurse and the client lead to transactions that relate in goal attainment. Furthermore, King proposed that through mutual goal setting and goal attainment, transactions result in enhanced growth and development for the client (Williams). Therefore, the issue of money cannot come between the dyad.