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National Data on Caregivers

Who Becomes A Caregiver?

According to National Data on Caregivers, There are 53 Million Caregivers In the US !

Statistics related to the number and types of caregivers in the United States in 2020

 

 The National Alliance for Caregiving and AARP  published the results of a survey conducted in 2020 that tells the story of caregiving in the US today.  According to “National Data on Caregivers,” 53.0 million adults in the United States provide care to an adult or child with special needs during the previous twelve months before the survey in 2020. That number showed an increase of almost seventeen percent over the past five years. With that increase, one in five American adults now serves at least part-time as caregivers.

     What did the survey find out about who becomes a caregiver in the United States? Do middle-school kids pick caregiving as a career path? Are individuals promoted or advanced through experience in the roles? The report tells us a lot about who caregivers are and what they do.  It also confirms that most caregivers are family members who assume the duties associated with their role in the family. Each of the following panels tells us a little more about who becomes a caregiver and why.  As one caregiver “living the life” to another, it’s not surprising information. 

Caregiver starting IV on Mother at home

Who Are Caregivers?

  • Man = 39% Women = 61%
  • 61% White, 17% Hispanic, 14% Black, 5% Asian, 3% all other
  • 74% of caregiver age 75 or older take care of someone that age or older
  • 81% of caregivers age 18-49 take care of someone age 50 or older
  • 14% are under the age of 18 (there may be 3.4 million children caregivers in the US)

What Does This Tell Us?

     Looking at these statistics, it seems that the majority of caregivers are white females. This information also implies that spouses or older relatives tend to care for one another, and the grown children take care of older relatives or friends. It is also interesting to note how many children are caregivers for family members.  Based on this data, a child could become a caregiver and continue in the role for most of their life if they had a parent unable to care for themselves.

What They Do

  • 99% assist the person receiving care with instrumental activities of daily living
  • 60% help with activities of daily living
  • 26% have difficulty coordinating treatment and appointments
  • 58% help with medical/nursing tasks
  • 40% provide complex, high-intensity nursing care tasks

What Does This Say About Caregiving?

    The survey shows that care recipients need care that is more complex.  Often the type of care needed is similar to that received in a hospital setting but delegated to the caregiver. The caregiver is responsible not only for the complex nursing or medial task but also for the activities of daily living and instrumental activities. Therefore, the unpaid caregiver has a 24-hour shift where he or she is (1) helping a person do everything they need to do to care for their personal needs and entertainment for the day (2) conduct and coordinate all of this person’s personal affairs, (3) do the upkeep for their home and personal belongings, (4) keep up with their multiple medical appointments and treatments in addition to taking care of themselves, their own families, their own homes, maybe a job, and maybe their health concerns. 

   The unfortunate facts in many rural areas are that resources to support these individuals do not exist. In rural areas, the distance to travel prohibits access.  In municipalities, the systems are over-burdened. Too much need and not enough resources. 

Impact on Employment

  • 61% of caregivers work outside the home
  • 61% say they have experienced a work-related impact). Fifty-three percent report being late, leaving early or needing accommodations with time off to deal with family matters
  • 21% provide unpaid care (up from 18% in 2015)
  • 10% need to stop working outside the home entirely or retire early

What We Know

     Most caregivers must work to pay the bills to care for their families. While the Family Medical Leave Act (FMLA) exists to allow them time off to take family members to appointments, there is no pay.  Therefore, the loss in pay prevents them from having the option to follow through on medical appointments. While it is also illegal to threaten someone who uses their Family Medical Leave Act rights to take time off to care for their family, the supervisor not so subtly communicates that taking time off is not appreciated.  Once someone starts to use the benefit regularly, close attention to other aspects of their work begins, and problems develop at work.

     There are no discrimination protections for caregivers. Discrimination rights apply to the person with the disability. The only time discrimination rights apply to the caregiver is when they treat you as if you have a disability because of your association with someone who has one.  

Impact on Health

  • 23% report their health has declined in the past five years due to caregiving
  • 21% states their health has been negatively affected
  • 54% expect to be caring for someone in the next five years
  • 44% have made plans regarding health care decisions and living arrangements if something should happen to the person under their care. In contrast, likewise, 45% of the caregivers have done the same for themselves.

What Does This Tell Us About A Caregiver’s Health?

     The above tells me that caregivers don’t stop and take the time necessary to care for themselves. Their focus is on the care receiving care, and they selflessly put themselves out of the picture.  Now, I’m not saying they don’t complain about it, but they put the other person’s needs before their own. If the one needing their care gets sick, and the caregiver has an appointment, they cancel their doctor’s appointment and may never get around to rescheduling. 

     Due to caregiving burdens, many caregivers are isolated and don’t have an opportunity to nurture friendships or even family connections. Twenty-one percent report feeling alone. In 2015, 48% of caregivers reported their health as very good; only 41% do so now.  Instead, those reporting their health as fair to poor went up from seventeen percent to twenty-one percent.  Twenty-three percent say it’s difficult to care for their health, and as many (23%) report caregiving has made their health worse. Many reported that caregiving’s stress made their health conditions worse and increased the speed at which their health declined with age.

   As the health of the caregiver starts to decline, they, too, will need care. Who will take care of the caregiver or the former care recipient then?  The requirement for resources doubles with both needing care. Who will step in for the caregiver?

Impact on Health

  • 23% report their health has declined in the past five years due to caregiving
  • 21% states their health has been negatively affected
  • 54% expect to be caring for someone in the next five years
  • 44% have made plans regarding health care decisions and living arrangements if something should happen to the person under their care. In contrast, likewise, 45% of the caregivers have done the same for themselves.

What Does This Tell Us About A Caregiver’s Health?

     The above tells me that caregivers don’t stop and take the time necessary to care for themselves. Their focus is on the care receiving care, and they selflessly put themselves out of the picture.  Now, I’m not saying they don’t complain about it, but they put the other person’s needs before their own. If the one needing their care gets sick, and the caregiver has an appointment, they cancel their doctor’s appointment and may never get around to rescheduling. 

     Due to caregiving burdens, many caregivers are isolated and don’t have an opportunity to nurture friendships or even family connections. Twenty-one percent report feeling alone. In 2015, 48% of caregivers reported their health as very good; only 41% do so now.  Instead, those reporting their health as fair to poor went up from seventeen percent to twenty-one percent.  Twenty-three percent say it’s difficult to care for their health, and as many (23%) report caregiving has made their health worse. Many reported that caregiving’s stress made their health conditions worse and increased the speed at which their health declined with age.

   As the health of the caregiver starts to decline, they, too, will need care. Who will take care of the caregiver or the former care recipient then?  The requirement for resources doubles with both needing care. Who will step in for the caregiver?

Based on Information Gathered from the National Data on Caregivers, Why Are There So Many Caregivers?

Why So Many Caregivers?

     Fifty-three million adults are a lot of caregivers! So, what did the “National Data on Caregivers” show regarding why we have so many caregivers? Do we have a national crisis featuring a lack of resources available to care for people in hospitals? Our home health services that much better than hospital services?  Why the push for care at home?

Granddaughter caring for grandfather is very common caregiving arrangement.

    The baby boomer generation is getting older and developing medical conditions requiring access to services. They do not always need to be in the hospital. Often all they need is assistance from family members. However, many have no immediate family available to provide care, increasing the need for in-home companion assistance and long-distance caregiving skills. A baby boomer, who becomes a caregiver to a spouse or friend, is also likely to one day need care themselves.

     Many healthcare workers, including long-term healthcare workers, belong to the baby boomer generation and are retiring. The generations following them entered fields such as information technology rather than service industries leading to a deficit in the healthcare-related workforce pipeline. Therefore, as baby boomers retire, there are fewer trained replacements to assume their roles.  Knowing this staffing crisis was on the horizon, healthcare’s solution was to begin developing programs promoting early discharges and family care at home. The idea was that families would provide patients with the care they needed at home in an environment where the infection risk was less. The bonus was that it also freed up a room for the next patient.

     States have pushed the responsibility to provide services to low-income and special-needs families to the local governments. Funding did not accompany the additional responsibility resulting in a reduction in service availability. The result is a loss in available resources to many families unable to meet their share of cost or drive the distance required for access. Many companies continue to struggle with finding solutions to this issue.  Consumer-Directed Services are one way Medicaid helps those eligible access care options when services are not readily available. 

Familys can use Consumer Directed Services for care support.

   One explanation for the increase in the percentages reflected in the survey is that caregivers want others to know about their existence. They realized that unless others are aware of the need for resources, the change will not happen.  Therefore, they are participating more in surveys. 

Many doctor's now provide virtual office visits for home bound patients which help caregivers limit family member exposure to office germs.
Many doctor's now provide virtual office visits for home bound patients which help caregivers limit family member exposure to office germs.

Where do Caregivers get their Information according to National Data on Caregivers?

Do Caregivers Get Their Information From Their Doctors?
  • 55% rely on healthcare professionals as their source for information about providing care according to the “National Data on Caregiver,” however,
  • only 29% report having a conversation with them about care needs and
  • only 13% have talked to them about what to do about meeting their own needs as caregivers.
  • 32% go online to search for hands-on help such as aides and facilities.
What Does This Mean?

     What I get from the information above confirms what I’ve been saying throughout this website. Caregivers receive minimal information to help them learn what they need that they don’t get for themselves. The National Data on Caregivers survey says 55% of caregivers count on getting their information from a healthcare professional. However, only 29% ever talk about what they need with anyone. If that’s the case, then most caregivers are not receiving what they need. Rather than speak to someone about it, they’re going online to try to find the information themselves. 

Why is that? 

     If their lives are like mine,  it’s because they don’t have the time or the opportunity to leave home to go somewhere to meet with someone to get information.  If they have a break to get information, it will happen at 10:00 at night; not when the doctor’s office is open.

     The other issue is that doctors and nurses are too busy to sit down and spend a lot of time going over many caregiving details. They can hand us some books to read that they have never read, and they can give us a “high-altitude” briefing on a topic, but a detailed account is not likely to happen.  They schedule patients fifteen minutes apart in most physician offices, which does not allow for detailed impromptu training.

Home caregivers are increasingly becoming the norm.
Home caregivers are increasingly becoming the norm.