Esteem HealthCHW Certification Training
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Module 2: Core CHW CompetenciesLesson 2.6 · 6 sections · ~25 min

Caregivers

Learning Objectives
  • Define "caregiver" and list some of the roles caregivers play.
  • Describe the impact of caregiving on caregivers' own health.
  • Identify the resources and supports available to caregivers.

Think back

Think back to a time when you were a caregiver to a friend or loved one in need. What did it cost you — time, energy, maybe even money? When we look at a person's strengths, social needs, and resources, we should remember that one of the most powerful tools people have is the individuals who take care of them. But caregiving can take a toll, and without proper support, overworked caregivers may not provide the quality of care their recipients need.

This lesson covers caregivers and their needs, plus the roles they play in patient well-being. As a CHW, your responsibility doesn't end with the patient — identifying and addressing caregiver issues is also part of the job.

Note
As a CHW, your responsibility doesn't end with the patient. Caregivers are part of your work.

What is a caregiver?

The CDC defines caregivers as those who provide care to people needing ongoing support with everyday tasks. You've probably been a caregiver at some point — driving a parent to an appointment, taking care of a sick spouse, buying groceries for a friend with a broken leg.

The people who receive support are called care recipients — someone with a condition that makes it hard to take care of themselves.

Private vs. professional

  • Private — an unpaid family member or friend
  • Professional — a Home Health Nurse or Home Care Aide

This lesson focuses on the friend or family caregiver — often the primary caregiver, the person who attends to most of the care recipient's daily needs.

Caregiver responsibilities

On their own, these tasks seem manageable. Juggling them with the rest of life — that's where it gets tough.

Caregiver responsibilities

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Household Tasks
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Buy groceries, cook, clean house, do laundry.
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Who caregives, and what it costs them

Statistics drawn from a 2018 California Task Force report and a 2020 AARP study.
2018 California Task Force · 2020 AARP

Who are they?

61%
are female
49
average age of family caregivers

Who do they care for?

50%
care for a parent or parent-in-law
12%
care for a spouse
63%
of recipients have a long-term physical condition
32%
of recipients have a memory problem

Time and effort

24 hrs
average per week providing care
1 in 5
provide care 41+ hours per week
45 hrs
average per week for spouse caregivers
1 in 5
report high levels of physical strain

Caregiver health

17%
report own health as 'fair' or 'poor'
2 in 5
consider caregiving emotionally stressful
50%
report own health as 'excellent' or 'very good'

When caregivers do nursing work

Caregivers increasingly perform tasks usually done by nurses. Most caregivers (57%) do medical/nursing tasks — yet 42% of those have received no training. Untrained caregivers report worrying about making mistakes.

Medical & nursing tasks

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Injections
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Providing injections or finger pricks for testing.
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Warning
Most caregivers performing these tasks have not been trained. Identifying this gap is one of the highest-leverage things a CHW can do.
Knowledge Check

A patient's daughter cooks his meals, drives him to appointments, helps him bathe, and is the person who attends to most of his daily needs. What best describes her role?

ACare recipient
BProfessional caregiver
CPrimary caregiver
DHome Health Nurse
Knowledge Check

According to the data on caregivers who perform medical or nursing tasks, what gap should a CHW be especially alert to?

AMost caregivers refuse to do medical tasks at all.
BMany caregivers perform medical/nursing tasks but have received no training for them.
CCaregivers are legally barred from giving injections at home.
DProfessional nurses always handle all medical tasks in the home.

How CHWs support caregivers

There are nearly 47.9 million Americans who provide unpaid care to an adult. They partner with the formal healthcare and LTSS systems. CHWs must connect caregivers to support and resources.

How CHWs support caregivers

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Identify At-Risk Caregivers

Look out for caregivers having health or financial problems.

How California law supports caregivers

More than 40 states have passed new laws hospitals must follow. The California Hospital & Family Caregiver Law requires hospitals to:

  1. Take the name of the caregiver when a patient enters the hospital.
  2. Tell the caregiver when the patient leaves the hospital.
  3. Provide instructions about medical tasks the caregiver needs to do at home.
  4. Give those instructions in a language the caregiver understands.
  5. Allow caregivers to ask questions.
Tip
Knowing this law is one of the simplest forms of advocacy you can offer a caregiver — make sure they know they have the right to be included, informed, and prepared.

Resources for caregivers in California

When helping family caregivers, CHWs provide information and referrals to make caregiving easier — and to help caregivers take care of themselves and the person they're caring for.

Resources available

Note
California has 11 Caregiver Resource Centers (CRC), serving more than 14,000 families and caregivers of adults with chronic health conditions every year. Services are provided at low or no cost. Find one at caregivercalifornia.org.
Knowledge Check — Matching

Match each caregiver challenge with the appropriate support.

Terms
Caregiver struggles with financial difficulties
Caregiver feels overwhelmed and stressed
Caregiver doesn't feel confident doing medical tasks
Caregiver is experiencing burnout
Definitions
Offer emotional support and refer to counseling or support group
Provide information on financial assistance
Provide additional training
Refer to respite care
Lesson Takeaways

🌟 Lesson takeaways

This lesson focused on unpaid caregivers. You learned that caring for others can take a financial, physical, and emotional toll — and that caregivers are often performing medical work they were never trained for. You also learned that there are resources to support caregivers: California provides legal protections and 11 Caregiver Resource Centers. It's important to know your state's laws and resources so you can support caregivers and those they care for.

🎉Great work!
📅
Coming up

At the end of this module, you'll join a live discussion with your cohort and an instructor. We'll see you there.