Family caregiver after the institutionalization of the dependent elderly relative

Abstract

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The objective of this study was to assess the relationship between the institutionalization of a dependent elderly relative and the family caregiver's mental health, quality of life and caregiving satisfaction. We present data from 140 family caregivers caring for elderly family members, of whom 77 continued to live with family members and 63 had been institutionalized. We evaluated the factors influencing the decision to institutionalize the dependent relative, the effect of institutionalization on the caregiver's psychological well-being and quality of life and the impact of strategies to find meaning and cope with the relative's placement on the caregiver's emotional health and quality of life. Care does not end after institutionalization, but the stressors the caregiver faces change. Our results suggest that finding meaning increases satisfaction and reduces feelings of overload. They show that after institutionalization, stressors affecting caregivers are partly relieved, and that finding meaning increases the caregiver's satisfaction, while decreasing the degree of overload. Our data, further, indicate that a good relationship and cooperation between the staff of the institution and the family are important to improve the caregivers' emotional health and quality of life, and consequently, the quality of life of the dependent elderly relative.