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Struggling to follow doctor's orders: Paid caregivers may lack the skills to take on health-related tasks in senior's homes

Date:
February 22, 2011
Source:
Northwestern University
Summary:
Paid caregivers make it possible for seniors to remain living in their homes, but a new study found that more than one-third of caregivers had difficulty reading and understanding health-related information and directions. Sixty percent made errors when sorting medications into pillboxes.

Paid caregivers make it possible for seniors to remain living in their homes. The problem, according to a new Northwestern Medicine study, is that more than one-third of caregivers had difficulty reading and understanding health-related information and directions. Sixty percent made errors when sorting medications into pillboxes.

The study will be published in the Journal of General Internal Medicine.

In a first-of-its-kind study, nearly 100 paid, non-family caregivers were recruited in the Chicago area and their health literacy levels and the health-related responsibilities were assessed, said Lee Lindquist, M.D., assistant professor of geriatrics at Northwestern University Feinberg School of Medicine and physician at Northwestern Memorial Hospital.

"We found that nearly 86 percent of the caregivers perform health-related tasks," said Lindquist, lead author of the study. "Most of the caregivers are women, about 50 years old. Many are foreign born or have a limited education. The jobs typically pay just under $9.00 per hour, but nearly one-third of the caregivers earn less than minimum wage."

Lindquist found that despite pay, country of birth or education level, 60 percent of all the caregivers made errors when doling medication into a pillbox. This is an alarming statistic, because patients who don't take certain medications as prescribed could end up in the hospital, Lindquist said.

"Many of these caregivers are good people who don't want to disappoint and don't want to lose their jobs," Lindquist said. "So they take on health-related responsibilities, such as giving out medications and accompanying clients to the doctor for appointments. Most physicians and family members do not realize that while the caregiver is nodding and saying 'yes', she might not really understand what is being said."

Right now there isn't a standard test family members or employment agencies can use to gauge a caregiver's ability to understand and follow health-related information, Lindquist said.

"Currently we are developing tests consumers can use to evaluate caregiver skills as well as studying the screening processes caregiver agencies use," Lindquist said. "But, if you really want to know if the caregiver is doing a good job and is taking care of the health needs of your senior, start by going into the home, observing them doing the tasks, and asking more questions."

The Barney Family Foundation funded this study.


Story Source:

The above story is based on materials provided by Northwestern University. The original article was written by Erin White. Note: Materials may be edited for content and length.


Journal Reference:

  1. Lee A. Lindquist, Nelia Jain, Karen Tam, Gary J. Martin, David W. Baker. Inadequate Health Literacy Among Paid Caregivers of Seniors. Journal of General Internal Medicine, 2010; DOI: 10.1007/s11606-010-1596-2

Cite This Page:

Northwestern University. "Struggling to follow doctor's orders: Paid caregivers may lack the skills to take on health-related tasks in senior's homes." ScienceDaily. ScienceDaily, 22 February 2011. <www.sciencedaily.com/releases/2011/02/110222171238.htm>.
Northwestern University. (2011, February 22). Struggling to follow doctor's orders: Paid caregivers may lack the skills to take on health-related tasks in senior's homes. ScienceDaily. Retrieved April 20, 2014 from www.sciencedaily.com/releases/2011/02/110222171238.htm
Northwestern University. "Struggling to follow doctor's orders: Paid caregivers may lack the skills to take on health-related tasks in senior's homes." ScienceDaily. www.sciencedaily.com/releases/2011/02/110222171238.htm (accessed April 20, 2014).

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