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Examining home-based care of chronically/terminally ill persons by family care givers and their interaction with professional health care providers

According to the Ministry of Health (1996:26), the most common
chronic/terminal illnesses were cardiovascular disorders, diabetes, cancer,
mental disorders, HIV/AIDS, tuberculosis and asthma. Long term treatment
and care and the growing incidence of these conditions necessitated the
introduction of home-based care (HBC). Consequently, family care givers play
a major role in the provision of care to chronically/terminally ill patients and
professional health care providers adopt a supervisory role.
This study examined the quality of home care services provided in Botswana.
The availability and accessibility of home-based care services and resources
have a direct bearing on the quality of home-based care delivery system. The
researcher used systems theory was used as the conceptual framework for this
study.
The study aimed to
• determine the accessibility and availability of home-based care services in
Molepolole East
• investigate what the perspectives and experiences of family care givers,
patients and professional health care providers of Botswana home-based
care are
• determine the roles of professionals health care providers, patients, and
family care givers and their relationships in the context of home- based
care • identify the needs of chronically/terminally ill patents and family care
givers
• determine the type of support given to family care givers and patients by
professional health care providers and make recommendations for the
improvement of home-based care
• develop a model to prepare family care givers
The research design combined quantitative and qualitative research methods.
A sample of convenience was used to obtain information from patients'
family care givers and professional health care providers. Interviews and
questionnaires were used.
A proposed care giving preparedness model is presented to meet needs of
the family care givers.
The study found that family care givers needs are neither known nor
catered for by the professional health care provider. The family care givers
were not adequately prepared before adopting the care-giving role.
It is recommended that
• The proposed preparedness care giving training model is considered for
training of patients and family care givers before discharge and during
HBC.
• Increase patients and family care givers decision-making / Health Studies / D.Litt. et Phil. (Health Studies)

Identiferoai:union.ndltd.org:netd.ac.za/oai:union.ndltd.org:unisa/oai:uir.unisa.ac.za:10500/10330
Date31 July 2013
CreatorsMooka, Dorethy
ContributorsDreyer, Marie, King, Letitia Jacoba, 1945-
Source SetsSouth African National ETD Portal
LanguageEnglish
Detected LanguageEnglish
TypeThesis
Format1 online resource (xiv, 162 leaves).: illustrations, graphs, application/pdf
RightsUniversity of South Africa

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