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Fraught triads – treating older women in crisis living with a migrant live-in caregiver and frail husband

Bibliographic Data

ID21537541
AuthorsLiora Bar-Tur (0000-0003-2477-8311, Ruppin Academic Center, corresponding author)
Year2024
Volume50
Issue10
Pages944-954
Publication date2024-10-02
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueEducational Gerontology (JOURNAL)
Journal identifiersISSN: 0360-1277 • E-ISSN: 1521-0472
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/03601277.2024.2366078
OpenAlexW4399762868
LanguageEN
Citations received1
References cited26

Hiring migrant live-in caregivers to take care of older adults with dementia, chronic disease or frailty has become more common in Europe, North America, the Middle East, and Asia. When older couples hire a non-relative to provide live-in caregiver services for a family member, the attendant household transformation – from couple to triad – gives rise to social and psychological challenges. Although live-in caregivers can be indispensable, living together can be very stressful for older adults and live-in caregiver. This article describes the emotional distress of two older adult wives in their eighties, and the therapeutic methods used to reduce it, including empathic understanding, legitimation of emotions, promotion of open communication, and formulation of a household ‘management strategy,’ establishing specific expectations concerning the parties’ roles and a daily activity schedule. Involvement of older couples’ children was found helpful, and was aided through psychoeducation. Gerontologists, therapists, educators, and social workers who serve the needs of older adults can effectively assist this population in the evolution of their perceptions of their new situation, the regaining of a sense of equilibrium, mastery and control over their lives, and the development of greater tolerance and understanding of migrant live-in caregivers’ work burden, native culture, and individual practices. Professionals should actively screen for risks of burden, stress, depression, and anxiety in households in which live-in caregiver services may be considered. Psychoeducation and preparation of both the older adults and their live-in caregivers entering the new relationship may lessen the incidence of potential stressors

Caregiver burden · Dementia · Disease · Elder Abuse and Neglect · Grief, Bereavement, and Mental Health · Homelessness and Social Issues · Medicine · Psychology · Gerontology

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Unique citing works1
Citations per year1
Citation span2026 - 2026 (1)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 1

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