Informal Cares and Caregivers in Rural Elderly: Emotional Costs in Public Health Policies

Informal Cares and Caregivers in Rural Elderly: Emotional Costs in Public Health Policies

Nuria María García Perales, Borja Rivero Jiménez, David Conde Caballero, Beatriz Muñoz González, Lorenzo Mariano Juarez
DOI: 10.4018/978-1-6684-5295-0.ch014
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Abstract

The aging population means that health systems rely on informal carers to meet the physical, psychological, and emotional needs of older people. In this context, it is particularly important to know the perceived quality of life of informal carers. Health studies highlight the close relationship between care work and the carer's objective health. Through a qualitative ethnographic methodology, by means of open interviews with carers from rural areas of Extremadura (Spain), this study deepens the knowledge of the emotional costs to which the figure of the informal carer is subjected. The authors approach the social-emotional dimension in places where it is not always possible for public health policies to be fully developed. In this situation, moreover, some moral characteristics of these environments take on special importance.
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Background

The role of informal caregiver tends to be played by the closest family environment, with an eminently feminized profile1, and characterized by the fact that it involves not receiving any kind of economic remuneration for the help they offer, while they are almost always invisible to the eyes of society (Wright, 1983). The informal caregiver eventually converts her home into a scenario of continuous health care, acquiring a role that has even in many cases an important objective burden referring to the functions and / or problems to be assumed and resolved; but to which must add an unmeasurable or subjective burden that refers to the emotional and/or sentimental impact derived from the strong affective-emotional bond that habitually unites the person being cared for; and on the other hand from the consequences that derive in the personal, social or labour sphere as a result of their new role (Hervás, Cabasés, & Forcén, 2007). A scenario that in most cases ends up assuming, in the words of García-Calvete, Mateo and Maroto (2004), a high cost for their own quality of life, something that in some of its determinants is completely unknown, and all in spite of the fact that the issue has been sufficiently addressed by scientific literature since the classic work of Schulz and Beach (1999) alerted about the concern of the problem when relating informal care with an increase in the risk of mortality

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