To understand this it may be helpful to review Bower's five categories of caregiving.
Anticipatory caregiving,
often practiced at a distance by adult children not residing with parents,
is manifested by behaviors or decisions made on a basis of the "possible"
needs of a parent. The decision of where to live by an adult child exemplifies
this behavior which is intentionally not openly acknowledged or discussed.
Preventative caregiving
involves more conscious supervision and is intended to prevent illness,
injury, or deterioration. Preparing meals or modifying the environment
may illustrate this.
Supervisory caregiving
is most easily recognized as caregiving and is represented by the direct
involvement of offspring on the parent's behalf, such as arranging for
or checking up on the parent.
Instrumental caregiving,
such as assisting, providing or doing for represents hand-on care and is
the type of caregiving which has received the most research attention.
Instrumental caregiving is observed when a parent is ill or disabled and
its purpose is to maintain the physical integrity and health status of
the parent.
Protective caregiving
appears to be the most difficult and important type of care intended to
protect the parent from the consequences of such that could not be prevented.
This frequently focuses on parents' self-image rather than their physical
well-being with attempts to insulate the elder from the awareness of being
cared for and creates much stress. An example may include changing pharmacies
or banks for convenience to protect a person from awareness of the limitations
or meaning of a situation or an event.
Families and individuals who have made financial,
legal, and residential plans may feel more confident and less burdened in
their caregiving responsibilities than those who are faced with caregiving
out of crisis. Some of these
arrangements may include:
Durable Power
of Attorney
Disability insurance
Updated wills
Health decision surrogate appointment
Advanced Directives
Living wills
Trusts
Guardianships
Conservatorship
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