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The hardest thing we have ever done - Palliative Care Australia

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Table of Contents<br />

Acknowledgments 2<br />

Foreword 3<br />

Recommendations 7<br />

Executive Summary 8<br />

LITERATURE REVIEW 10<br />

Background 10<br />

Study objectives and methods 10<br />

Contribution of carers to the economy 11<br />

<strong>Care</strong>rs in palliative care 12<br />

Definition and characteristics of carers 12<br />

Tasks performed by carers 14<br />

Characteristics of recipients of care 15<br />

Impact of caring on carers: physical, social & psychological 16<br />

Impact on physical, mental and social <strong>we</strong>llbeing 17<br />

Impact on economic <strong>we</strong>llbeing 20<br />

Positive aspects of caring 21<br />

Coping with caregiving 22<br />

Issues of special groups of carers 23<br />

Women carers 23<br />

<strong>Care</strong>rs in rural and remote areas 23<br />

<strong>Care</strong>rs from culturally and linguistically diverse backgrounds (CALD) 24<br />

Indigenous carers 25<br />

<strong>Care</strong>rs of children and children as carers 26<br />

Older carers 26<br />

<strong>Care</strong>rs of people with neurodegenerative conditions 27<br />

Needs and barriers 28<br />

Information and support needs 28<br />

Barriers to seeking support 29<br />

Financial needs 30<br />

Gaps in service provision and support 31<br />

Gaps in research enhancing knowledge and support for carers 32<br />

Impact of policy on carers’ <strong>we</strong>llbeing 34<br />

Conclusion 37<br />

4 THE HARDEST THING WE HAVE EVER DONE: <strong>The</strong> Social Impact of Caring for Terminally Ill People in <strong>Australia</strong>, 2004

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