• Are dementia caregivers planning for their own future?: a needs assessment and examination of barriers to services

      Suarez, Jeanette L. (2021-05)
      Due to the complex nature of the decline of persons with Alzheimer’s and other types of dementia, dementia caregivers are at greater risk of psychological morbidities, which often has an effect on caregivers’ own physical health. These caregivers, who are usually family members, experience first-hand the demands of caring for their loved ones. The present research examined how the demands of caregiving (caregiver burden) had impacted decisions regarding their own future care needs in the form of financial and advance care planning. Sixty-six caregivers from Meals On Wheels & Services of Rockland and the SUNY New Paltz community participated in this study. Although caregiver burden did not have an impact on caregivers’ view of the financial future, caregivers who scored high in the dimensions of Challenges to Self-fulfillment and Physical Health Challenges had completed more advance care planning steps than other caregivers. Caregivers with a clearer view of the financial future had also completed more financial planning steps than other caregivers. Caregivers over 40 years of age completed the most financial and advance care planning steps. Barriers to financial and advance care planning were also identified and explored.
    • The caregiver experience : the impact of environmental music therapy in the surgical intensive care unit

      Millstein, Allison (2016-12)
      This study examines the effects of an Environmental Music Therapy (EMT) protocol on the caregiver experience in the Surgical Intensive Care Unit (SICU). For the purpose of this study, EMT may be understood as a music therapy intervention designed to implement live music that attunes to the sonic environment of a medical unit while gradually shifting to address psychological, physical, and contextual needs of caregivers. In this study, caregivers are defined as family members and loved ones, ages 18 an older, involved in active care of related patients within the SICU at Mount Sinai Beth Israel. An experimental design was implemented via examining one group’s pre and post-intervention surveys. Results did not indicate statistically significant impact of an EMT protocol on caregiver experience in regards to interactions with staff, perceived pain of patients, or ability of music to mask/blend with noxious environmental sounds. However, without regard to statistical significance, results do indicate preliminary levels of impact of EMT on caregiver experience in the SICU. Small sample size may be accountable for lack of statistical significance given preliminary results. This research study, while unable to yield significant results, may point to a need for future research regarding the use of music therapy interventions within intensive care unit environments.