Spousal Care of Alzheimer's Disease Patients in Nursing Home versus In-Home Settings

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Abstract
Using a mailed survey, responses from 105 individuals caring for spouses afflicted with Alzheimer's Disease (AD) were analyzed with regard to the impact of caregiving on the caregiver. Spouses rendering care to an AD patient in an "in-home" setting were contrasted with those caring for an AD patient in a nursing home. Results indicate that spousal caregivers of institutionalized AD patients experienced negative impacts of caregiving that are at least on par with those encountered by in-home caregivers. Clinicians who work with spousal caregivers should make them aware that while placing an AD patient in a nursing home placement may alleviate some of the stress they experienced as in-home caregivers, nursing home placement does not necessarily eliminate this stress, especially in the case of spousal caregivers who maintain close contact with their impaired partner after placement.

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