RNRCTJournal of psychosocial nursing and mental health services2022

Loss and Grief in the Context of Dementia Caregiving.

Olimpia Paun, Dimitra Loukissa, Marianne G Chirica and 1 others

PMID 36179053

WHAT IT FOUND

Family caregivers whose relatives with dementia lived in long-term care described worsened loss during pandemic restrictions.

They reported no control over visits or information, and acceptance ranging from refusal to spiritual comfort. This is preliminary transcript analysis, not proof an intervention works.

Key findings

01The transcript analysis produced three themes: losses over years of caregiving, separation related to placement, and emotional acceptance of loss and separation.

02During the pandemic, caregivers described worsened loss from access restrictions, including no control over what happened to the person with dementia and uncertainty about the person's condition.

03Emotional acceptance was reported as a continuum, from complete lack of acceptance to doing one's best, spirituality, or comfort in nature.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The analysis is preliminary and uses a small transcript sample from one session. The paper does not describe how caregivers were recruited, how the cohorts were formed, or how the transcripts were coded. It reviews earlier interventions but does not report a completed trial outcome or compare groups after the intervention. The pandemic findings reflect long-term care access restrictions at that time and may not generalize to other settings.

Declared interests

The authors disclosed no potential conflicts of interest, financial or otherwise.

The easy way to misread this

Do not conclude that the CGMI-V intervention reduces caregiver grief or that these themes apply to all dementia families. The findings come from a preliminary transcript analysis of 10 participants before and 19 during the pandemic, not a completed trial outcome.

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