Caregivers lack skills for home care

Paid caregivers make it possible for seniors to remain living in their homes. The problem, according to a new Northwestern Medicine study, is that more than one-third of caregivers had difficulty reading and understanding health-related information and directions. Sixty percent made errors when sorting medications into pillboxes.

In a first-of-its-kind study, nearly 100 paid, non-family caregivers were recruited in the Chicago area and their health literacy levels and the health-related responsibilities were assessed, said Lee Lindquist, MD, assistant professor of geriatrics at Northwestern University Feinberg School of Medicine and physician at Northwestern Memorial Hospital, both in Chicago.

"We found that nearly 86% of the caregivers perform health-related tasks," said Lindquist, lead author of the study. "Most of the caregivers are women, about 50 years old. Many are foreign born or have a limited education. The jobs typically pay just under $9.00 per hour, but nearly one-third of the caregivers earn less than minimum wage."

Lindquist found that despite pay, country of birth or education level, 60% of all the caregivers made errors when doling medication into a pillbox. This statistic is alarming, because patients who don't take certain medications as prescribed could end up in the hospital, Lindquist said. "Many of these caregivers are good people who don't want to disappoint and don't want to lose their jobs," Lindquist said. "So they take on health-related responsibilities, such as giving out medications and accompanying clients to the doctor for appointments. Most physicians and family members do not realize that while the caregiver is nodding and saying 'yes,' she might not really understand what is being said."

The title of the study is "Inadequate Health Literacy Among Paid Caregivers of Seniors." The study will be published in the Journal of General Internal Medicine. It has been published online at http://www.springerlink.com/content/t3h82492566524p8.