Family caregivers

Family caregivers (also known as “carers”) are “relatives, friends, or neighbors who provide assistance related to an underlying physical or mental disability but who are unpaid for those services.”

A recent study says that 26.5% of all American adults today are family caregivers. A 2012 report by the Alzheimer’s Association states that 15 million of those family caregivers are caring for a person with Alzheimer’s or another dementia. The value of the voluntary, "unpaid" caregiving service provided by caregivers was estimated at $310 billion in 2006 — almost twice as much as was actually spent on home care and nursing services combined. By 2009, about 61.6 million caregivers were providing "unpaid" care at a value that had increased to an estimated $450 billion. It is projected that nearly one in five United States citizens will be 65 years of age or older by the year 2030. By 2050 this older population is expected to double in size.

A 2011 survey of family caregivers in the United States found that almost half (46%) take on tasks that are traditionally considered “nursing” or “medical,” such as injections, wound care, and operating medical equipment and monitors. While the family caregivers’ assumption of such responsibilities is not new, the frequency may have increased over time due to shorter hospital stays, adults living longer with significant ailments, and technological and health care improvements allowing more nursing or medical care to be provided at home. This trend has implications for families, patients, family caregivers’ workplaces, health care organizations, and insurers, including Medicare and Medicaid. A survey by AARP in 2010 states that "29% of the U.S. adult population, or 65.7 million people, are caregivers, including 31% of all households. These caregivers provide an average of 20 hours of care per week."

1.4 million children ages 8 to 18 provide care for an adult relative; 72% are caring for a parent or grandparent. Fortunately, most are not the sole caregiver. 30% of family caregivers caring for seniors are themselves aged 65 or over; another 15% are between the ages of 45 to 54.

As discussed above, there are benefits to the caregiving experience. New research even reports gains in cognitive function in older women who provide informal (unpaid) care on a continuing basis. This cross-sectional study tested over 900 participants at baseline and again after two years for memory and processing speed, functions which are necessary for many caregiving tasks. The participants were divided into three groups, those who were caregivers over the entire two-year period, those who were caregivers at the start of the study but not at the two-year follow-up, and those who were not caregivers at any time during the research period. At follow-up, those who were caregivers throughout the study had the highest scores for both cognitive functions but also the highest reported levels of stress, while those participants who were not caregivers at any time during the study had the lowest scores for both cognitive functions and the lowest reported levels of stress. These results are consistent with the healthy caregiver hypothesis which states that while those older adults who are more likely to be caregivers are healthier to start with, it is the work of caregiving that helps keep them healthier than older adults who are not caregivers. This model contrasts with the long-held idea that the stress of caregiving results in poorer functioning over time.

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Wikipedia