Chapter 78

Family and Caregiver Support

Karine E. Manera

Karine E. Manera

Sydney School of Public Health, University of Sydney, Sydney, Australia

Centre for Kidney Research, The Children's Hospital at Westmead, Sydney, Australia

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Talia Gutman

Talia Gutman

Sydney School of Public Health, University of Sydney, Sydney, Australia

Centre for Kidney Research, The Children's Hospital at Westmead, Sydney, Australia

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Fred Finkelstein

Fred Finkelstein

Department of Medicine, Yale University, New Haven, CT, USA

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Allison Tong

Allison Tong

Sydney School of Public Health, University of Sydney, Sydney, Australia

Centre for Kidney Research, The Children's Hospital at Westmead, Sydney, Australia

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First published: 18 November 2022

Summary

The aging population and increasing prevalence of chronic kidney disease (CKD) globally has resulted in an increased burden being placed on informal caregivers, namely family members or friends, to provide support and care. Family caregivers provide care to their patients even while hospitalized due to the shortage of nursing staff. The nature, severity, and intensity of the burden experienced by caregivers of patients with CKD may vary depending on the type of kidney replacement therapy. Caregivers of children with CKD experience considerable psychological, social, and financial stress. Interventions to support caregivers have the potential to improve outcomes for both the caregiver and the patient. Further research that elicits and evaluates caregiver needs and preferences is needed to validate the areas that have already been identified, such as depression, stress, fatigue, isolation, and ability to cope, and to identify outcomes of importance to caregivers.

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