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The Montgomery Borgatta Caregiver Burden Scale
The Montgomery Borgatta Caregiver Burden Scale
Montgomery
Borgatta
Caregiver Burden
Scale
CAREGIVING. . . . .
"There are only four kinds of people
in the world - those who have been
caregivers,
those who currently are caregivers,
those who will be caregivers,
and those who will need caregivers."
Former First Lady Rosalyn Carter
Burnout . . the complete
drain of our physical,
spiritual, and emotional
reserves, occurs when a
caregiver slips beyond
exhaustion or depression.
Source: The Comfort of Home, Maria M. Meyer with
Paula Derr, RN.
Family caregivers are more
frequently depressed (30%-90%),
anxious and more likely to use
psychotropic medications than the
rest of the population. General
practitioners, however, fail to
diagnose 30% - 50% of depression
cases, and even when they do
properly diagnose depression, they
often under treat it.
I have met or spoken to the Caregiver and they know the packet is in the mail.
[ ] Yes [ ] No
… time to yourself?
… stress in your relationship with your
relative?
… personal privacy?
… attempts by your relative to manipulate
y you?
… time to spend in recreational activities?
… unreasonable requests made of you by your
relative?
… tension in your life?
… vacation activities and trips?
… nervousness and depression concerning your
relationship with your relative?
… feelings that you are being taken advantage
o of by your relative?
… time to do your own work and daily chores?
… demands made by your relative that are
over and above what s/he needs?
… anxiety about things?
… time for friends and other relatives?
Caregiver: __________________________________________________
Objective Burden: Is defined as how a caregiver feels that providing help and
assistance disrupts the caregiver’s own life. The caregiver is likely to benefit from
services that will lessen tasks or care responsibilities, such as in-home services or
adult day programs.
Scores range from 6 to 30. Scores above 23 could be viewed as quite high.
Score:___________
Score:___________
Subjective Demand Burden: Is defined as the extent to which the caregiver feels
care responsibilities are overly demanding. The caregiver who is most stressed
because he or she believes the demands made by the care recipient are
inappropriate or excessive, may best be helped by an opportunity to learn more
about the disease process, a care recipients true level of dependency and how much
help should be provided. Written information about the disease, including how
others cope, or talking with a professional - such as a counselor - can be good
sources of help.
Scores can range from 4 to 20. Scores above 15 could be viewed as quite high.
Score:____________
Objective
Burden…
disruption of the caregiver’s life
Measures:
• home care
• adult day care
• friendly visiting
• home delivered meals
• assistive equipment
• PERS
SUBJECTIVE
STRESS
BURDEN…
the emotional impact of caregiving
Measures:
• stress in the relationship with the
c care recipient
• tension in the caregiver’s life
• nervousness and depression
rrelated to the relationship with the
ccare recipient
• anxiety
Research conducted at New York
University Medical School showed
that a program that combines
counseling and social support can
reduce the stress felt by
caregivers of Alzheimer patients
in response to their loved ones
behavior problems, even when such
behaviors increase in frequency
and severity.
Source: Tufts University Health & Nutrition Letter
March 2004
What might help?
• support groups
• professional counseling
SUBJECTIVE
DEMAND
BURDEN…
how the caregiver perceives care
responsibilities to be overly demanding
Measures:
• attempts by the care recipient to
manipulate the caregiver
• unreasonable requests of the
caregiver
• feelings by the caregiver of being
taken advantage of by the care
recipient
• demands made by the care recipient
that are over and above what is
needed
What might help?
Created by:
Miriam R. Callahan
&
Lisa M. Rood
March 2004