The capacity of informal caregivers in the rehabilitation of older people after a stroke.
Mariane Lurdes Predebon, Fernanda Laís Fengler Dal Pizzol, Naiana Oliveira Dos Santos and 3 others
PMID 34214280WHAT IT FOUND
Most family caregivers of older adults after stroke reported performing feeding, medication, hygiene and dressing, but many struggled with safe transfer posture and stimulating the affected side.
Nurses should check these gaps before discharge.
Key findings
01More than 89% of caregivers performed the necessary oral feeding activities, and 96.2% administered medication.
0253.5% of the 157 caregivers who needed to transfer the older person reported doing it without attention to their own posture, and 43.3% of the 134 who needed to position them reported the same.
0336.9% of caregivers did not seek to stimulate the affected body member during meals.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Caregivers were recruited from two public hospitals and one home care service in southern Brazil, so results may not apply to other regions or health systems. Care activities were not observed; scores were based on caregiver report, which may overstate ability. The sample was non-probabilistic, so it does not represent all caregivers of older adults after stroke. The Modified Rankin Scale used to select participants was not validated for Brazil. The caregiver scale has no cut-off point, so scores describe performance but do not define a safe level. The scale was applied only in the outpatient context, although it was designed for outpatient and home settings.
Declared interests
Funding came from the Fundo de Incentivo à Pesquisa e Eventos do Hospital de Clínicas de Porto Alegre for photocopies, reviews and statistical consultancy. No competing-interest declaration is included in the supplied text.
The easy way to misread this
Do not read the high reported activity scores as evidence that caregivers were competent or that patients did well after discharge. The study describes what caregivers reported doing, not observed patient outcomes, and many caregivers still reported poor posture during transfers and positioning.