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Pushing Through: How Older Adult Caregivers Manage Wound Care
Kristen L Swartzell1, Janet S Fulton2, Jane R von Gaudecker3
1Post-Doctoral Fellow, Indiana University School of Medicine, Indianapolis, IN, USA.
Western Journal of Nursing Research
|June 15, 2023
Summary
Older adults managing complex wound care at home face challenges. This study developed the "Pushing Through" framework to explain how they navigate daily caregiving tasks and build confidence.
Area of Science:
- Gerontology
- Nursing
- Qualitative Health Research
Background:
- Older adults increasingly provide complex care, including wound care, at home.
- Limited understanding exists regarding the daily management of wound care by older adult caregivers.
Purpose of the Study:
- To explore and describe the process older adult caregivers use to manage daily wound care.
- To develop a theoretical framework explaining the experiences of these caregivers.
Main Methods:
- Qualitative grounded theory analysis of interviews with 18 caregivers aged 65+.
- Focus on caregivers performing wound care in a home setting.
Main Results:
- A five-phase theoretical framework, "Pushing Through," was developed.
- Phases include: accepting the role, lacking confidence, creating a system, trusting in self, and owning the outcomes.
Conclusions:
- Understanding the older adult caregiver's journey is crucial.
- This framework can inform the development of targeted, evidence-based interventions for home-based wound care support.
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