Table 3

Summary of nurse actions to address the top three family carers’ support needs

Knowing what to expect in the future when caring for your relative
 Illness and symptomsExplored carer’s understanding of the patient’s illness, current situation, symptom control.
Discussed, for example, diabetes, Parkinson’s disease, dementia, renal failure, palliative care.
Suggested attend doctors’ appointments with patient or, with patient’s consent, speak to doctor.
Advised on doctors’ referral options to specialists and allied health professionals.
Verified questions carers may like to ask the doctor and discussed new strategies.
Reinforced plan to organise and attend family meeting with the doctor.
 Home care and residential careDiscussed available services (eligibility criteria and assessment process).
Referred to hospital social worker as indicated.
Recommended useful aged care services to enable carers’ informed decisions about home care services, residential care questions and cost calculations.
Reinforced the family carer’s follow-up with previous or current aged care assessments.
Referred to assessment services to arrange domestic support.
Navigated family carers through the options and listened to their concerns.
 Legal aspectsDiscussed legal considerations if mental or physical health of relative declines.
Recommended to contact appropriate services for more information and forms.
Knowing who to contact if you are concerned about your relative
 Discussed or confirmed appropriate actions with family carer in a medical emergency—focus on after-hours services.
 Used case scenarios to demonstrate various situations and responses.
 Suggested implementing a contact list of useful services.
 Discussed strategies to stay calm in a stressful situation.
 Reinforced the need to seek help early before a situation escalates.
 Explained emergency respite, personal alarms, other equipment resources and continence services.
 Discussed the family carer’s awareness of legal decisions made by the patient for the future.
Practical help in the home
 Discussed domestic help options and initiated referrals to appropriate agencies.
 Explored existing support (family members, other support services).