These patients typically have a poor prognosis and the highest rate of hospitalization of all patient groups. It is also difficult for many of them to change risky behaviors, which underscores the importance of home follow-up. Research is also directed at family caregivers, who are helping undergird the healthcare system. The demand for these caregivers is increasing. A survey by the Center for Advancement of Health found that one in four U.S. households provides some type of care for people with chronic conditions.
Most caregivers are women and many are elderly.
An intervention is being tested to improve caregivers' ability to cope with daily stress and to manage the behavioral problems of the Alzheimer's patients. Even though such factors as psychological distress, physical health, and cultural and socioeconomic conditions may differ, the investigators' strategies are designed to be responsive to the common needs of both populations. Let me conclude by addressing the end of the life span. NINR is the coordinator at the NIH for end of life and palliative care research, a relatively new scientific area. NINR is currently funding 22 studies and 7 training and career development awards.