Improving Care for the End of Life, Online Edition The Palliative Care Policy Center

Sourcebook : 13.4 Supporting Family Caregivers : 13.4.5 Comprehensive, Multicomponent Interventions

Caregivers have vastly different needs at various points in their lives as caregivers. In addition, no single intervention seems to address all of the needs caregivers are likely to have. To fill this gap, many programs now take a comprehensive, multifaceted approach to caregiver support by offering a range of community services and specific caregiving interventions. Programs have included elements such as: four-hour weekly respite care, weekly caregiver-focused health care visits, education, and monthly support group meetings. When compared to a control group receiving conventional community nursing care of the patient, caregivers reported an improved quality of life.

Multicomponent interventions blanket caregivers with a diversity of services in the hopes that a combination will meet a caregiver's unique needs at the appropriate time. Examples of effective programs include an outpatient clinic program offering psychiatric, medical, social work, nursing, and architectural advice to individual caregivers that resulted in increased caregiver satisfaction with their ability to cope with the patient's physical and mental health.

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This online version of the book Improving Care for the End of Life: A Sourcebook for Health Care Managers and Clinicians is provided with permission of Americans for Better Care of the Dying [ www.abcd-caring.org ] and Oxford University Press. All rights reserved.

For further information on quality improvement in end-of-life care visit The Palliative Care Policy Center [ www.medicaring.org ].

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