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Custodial Grandparents

Katrina Delavega

Incarceration

Illness of the Parent

Reasons

Drug Abuse

Reasons

Child Abuse

Why grandparents become primary caregivers

Loss of Job or Homelessness

Home with Domestic Abuse

Military Deployment

Death of the Parents

Teen Pregnancy

Obstacles Elderly Caregives Must Overcome

Death of Spouse

Vision Imparement

Caring for spouse with special needs such as Parkinsons or dementia

Limited Mobility

Hearing Impairment

Obstacles Elderly Caregivers Must Manage

Personal Health Problems

Legal

Legal Hardship

Difficulty enrolling the child in school

Custody battles with the child’s other grandparents

Difficulty obtaining medical records

Obtaining guardianship

Life Adjustments

Rejoin the workforce in order to provide for the child

Changing their lifestyle to accomodate the new family member

Changing future goals such as retirement location

Changing living situation to provide adequate living arrangements for the child

(Saxena,2013).

Financial strain

Personal medical bills

Spouse’s medical bills

Child’s medical bills

Financial strain

Increase food expense

Expense for child such as clothing and school supplies

Expenses associated with renovating the home or providing personal space for the child such as providing a bed and furniture.

Emotional Stress

Guilt about their child’s failure as a parent

Grandparents doubting their own parenting abilities

Fear that the child will make the same mistakes as their parent

May feel resentment towards their child for not fufilling parental duty

Emotional Stress

Feelings of anger towards their child for :

not caring for the grandchild

not protecting the grandchild from seeing drug

or alcohol abuse

Breaking promises such as visiting the grandchild

If the grandparent becomes the primary caregiver as a result of their child dying they must balance their grief as well as the grandchild's child’s feelings of abandonment and help the child adjust to the changes they are experiencing.

How can nurses help?

Offering information about:

Community resources

Support groups

Education programs

Respite care

Family therapy

National Family Caregiver Support Program

Teach stress reducing techniques

Offer routine screenings for caregiver strain and psychological distress

Reference

References

Adcox, S. (2017, February). Parents in Prison: What Grandparents Can Do. Retrieved January 26, 2018,from https://www.thespruce.com/grandparenting-role-when-parent-is-incarcerated-1695503

Dolbin-MacNab, M. L., & Traylor, R. M. (n.d.). Grandparents Raising Grandchildren. Retrieved January 30, 2018, from https://www.aamft.org/iMIS15/AAMFT/Content/consumer_updates/Grandparents_Raising_Grandchildren.asp

Saxena, D., & Brotherson, S. (2013, April). When Grandparents Become Parents to Their Grandchildren. Retrieved January 26, 2018, from https://www.ag.ndsu.edu/publications/home-farm/when-grandparents-become-parents-to-their-grandchildren

Touhy, T. A., & Jett, K. F. (2016). Ebersole & Hess toward healthy aging: human needs & nursing response (9th ed.). St. Louis, MO: Elsevier.

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