AJN The American Journal of Nursing. 108(9):62-69, September 2008
The cumulative toll of caring for a family member can result in stress and burnout for the caregiver. In order to prevent this extreme, and more appropriately target interventions to help caregivers carry out their role, the Modified Caregiver Strain Index (CSI) can be used to identify specific areas where problems may exist. Among those areas are: finances, employment, socialization, health status and demands on personal time. Using this questionnaire with caregivers provides an opportunity for them to better identify their own situation, and for the health professional to guide the development of a plan that can prevent further stress and organize resources to unload the caregiver. The following video demonstrates an interview of a husband who has been caring for his wife with advancing dementia, among other issues, for many years, and who is increasingly saddened by the impact of the illness on her personality. Viewers will observe the development of a care plan for the caregiver developed by a nurse practitioner, students, and staff at the long term care facility where the wife is now a resident.