Caring: the costs to nurses and relatives

Abstract

There is, unfortunately, increasing evidence that providing care for seriously and chronically ill patients is both stressful and damaging to the health of the carer. In this chapter, I shall outline why and how these stresses and risks to health occur, and what can be done to alleviate such problems. Since carers can be found both within and outside the health professions, this chapter will consider caring by both nurses and relatives. After a discussion of the general conceptual issues involved, I will focus first on caring families and their problems, and next on the difficulties faced by nurses who work with the chronically or seriously ill. It will be seen that although some of the problems faced by different types of carers differ, many of the issues are similar. Some of the coping strategies that have been developed to help carers will then be outlined. A particularly important issue that will be highlighted here is the lamentable absence of conceptual clarity of many of these interventions in reducing the cost of caring. Finally, some suggestions will be made for alternative ways of dealing with what is likely to be an increasing problem in the future.