Document Detail


Hard lives, God's help, and struggling through: caregiving in Arkansas Delta.
MedLine Citation:
PMID:  17899348     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The purpose of this ethnographic study was to describe the experience of African American adults providing in-home care for a family member with chronic confusion living in the Arkansas Delta. We conducted this study over fourteen months in two rural Delta counties using participant observation and in-depth interviews. The majority of caregivers were adult daughters. Nearly half attributed chronic confusion to a difficult life and emotional stress or "worry;" a third believed it to be a natural component of "old age." Caregivers tended to view their work as an expression of love and devotion that was accompanied by emotional stress and personal sacrifice. While just under half of the caregivers had no other family members willing or available to assist with the physical care of the elder, the majority were able to turn to family members for emotional support. Further they identified strong religious beliefs as the primary force that sustained them in the caregiving role. The centrality of spirituality, faith/religion was noted in nearly all aspects of life. Faith in God was seen as continuing to be an important aspect of the care recipients' lives as well. Recipients' spiritual needs were addressed by accompanying the care recipient to church services and reading Bible passages to them on a regular basis. Selective community services (i.e., adult day care, home health services) were used that supported efforts at maintaining the family caregiver role. Findings are discussed within the context of historical and sociopolitical factors of the geographic region.
Authors:
Linda A Gerdner; Toni Tripp-Reimer; Helen C Simpson
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  Journal of cross-cultural gerontology     Volume:  22     ISSN:  0169-3816     ISO Abbreviation:  J Cross Cult Gerontol     Publication Date:  2007 Dec 
Date Detail:
Created Date:  2007-10-30     Completed Date:  2007-11-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8700909     Medline TA:  J Cross Cult Gerontol     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  355-74     Citation Subset:  IM    
Affiliation:
Stanford Geriatric Education Center, Stanford University, Palo Alto, CA 94304, USA. lgerdner@gmail.com
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MeSH Terms
Descriptor/Qualifier:
African Americans*
Anthropology, Cultural
Arkansas
Caregivers* / psychology
Confusion
Female
Home Nursing
Humans
Male
Religion
Social Support
Spirituality
Stress, Psychological / prevention & control
Grant Support
ID/Acronym/Agency:
K01 NR008433/NR/NINR NIH HHS; P30 NR03979/NR/NINR NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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