00061 Caregiver role strain

00061 Caregiver role strain

Definition of the NANDA label

Difficulty in playing the role of family caregiver.

Difficulty in fulfilling care responsibilities, expectations and/or behaviors for family or significant others.

Defining characteristics

Caregiver activities

• Difficulty completing or carrying out required tasks.
• Preoccupation with usual care.
• Concern about the future regarding the health of the person cared for and the ability of the caregiver to care for it.
• Concern about the recipient of care if the caregiver becomes ill or dies.
• Dysfunctional change in caregiver activity.
• Concern about the possible institutionalization of the recipient of care.

Health status of the caregiver


• Gastrointestinal disorders (eg, mild pain, vomiting, diarrhea, recurrent peptic ulcer).
• Weight changes.
• Eruptions.
• Hypertension.
• Cardiovascular disease.
• Diabetes.
• Fatigue.
• Headaches.


• Impaired individual coping.
• Feelings of depression.
• Sleep disorders.
• Cholera.
• Stress.
• Somatization.
• Increasing nervousness.
• Increased emotional lability.
• Impatience.
• Lack of time for personal needs.
• Frustration.


• Non-participation in social life.
• Changes in free time activities.
• Low labor productivity.
• Rejection of professional promotions.

Caregiver-recipient of care relationships

• Grief or uncertainty about changing relationships with the recipient of care.
• Difficulty seeing how the disease affects the recipient of care.

Family processes

• Family conflict.
• Concern for family members.

Related factors

Health status of the care recipient

• Severity of the disease.
• Chronic disease.
• Increasing needs for care or dependency.
• Uncertainty about the course of the disease.
• Unstable health of the recipient of care.
• Problematic behaviors.
• Psychological or cognitive problems.
• Addiction or codependency.

Caregiver activities

• Number of activities.
• Complexity of activities.
• Responsibility for 24-hour care.
• Continuous change of activities.
• Home discharge of a family member with significant care needs.
• Provide care for years.
• Uncertainty about the care situation.

Health status of the caregiver

• Physical problems.
• Psychological or cognitive problems.
• Addiction or codependency.
• Marginal coping patterns.
• Unrealistic expectations about yourself.
• Inability to satisfy one’s own or other people’s expectations.


• Isolation from others.
• Performance of roles that enter into competition.
• Alienation from family, friends, and co-workers.
• Insufficient recreational activities.

Caregiver-recipient of care relationships

• History of bad relationships.
• Presence of abuse or violence.
• The recipient of care has unrealistic expectations of the caregiver.
• The mental state of the elderly person inhibits conversation.

Family processes

• History of marginal family coping.
• History of family dysfunction.


• Inappropriate physical environment for providing care (eg, home conditioning, temperature, security).
• Inadequate equipment for providing care.
• Inappropriate means of transport.
• Inadequate community resources (eg, respite care, recreational resources).
• Insufficient financial resources.
• Lack of support.
• The caregiver is not developmentally ready to take on this role.
• Inexperience in providing care.
• Lack of time.
• Lack of knowledge about community resources or difficulty in accessing them.
• Lack of privacy of the caregiver.
• Emotional tension.
• Physical energy.
• Assistance and support (formal and informal).

At risk population

• Care receiver’s condition inhibits conversation – Developmental delay of care receiver
• Developmental delay of caregiver
• Exposure to violence
• Female caregiver
• Financial crisis
• Partner as caregiver
• Prematurity

Associated condition

Care Receiver

• Alteration in cognitive functioning
• Chronic illness
• Congenital disorder
• Illness severity
• Psychiatric disorder
• Psychological disorder


• Alteration in cognitive functioning
• Health impairment
• Psychological disorder


• Well-being of the family caregiver.
• Alteration of the caregiver’s lifestyle.
• Execution of the role.


• Support to the family caregiver.
• Promotion of family involvement.
• Role empowerment.
• Family support.
• Advice
• Emotional Support
• Increase coping.
• Intermittent care.
• Individual education.
• Promotion of fatherhood.