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Core Adjustment Model

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Core adjustment process of caregivers The adjustment process to illness situation is usually a process of coping (Lazarus & Folkman, 1984). That process comprises a sequence of different stages. People suffering from neurological disorders, such as dementia, often commence their adjustment process with an awareness of their illness and loss of function in their usual lives (Ownsworth & Gracey, 2010), followed by the stage of appraisal of what happens to them (Dröes et al., 2010; Finnema et al., 2000; Ownsworth & Gracey, 2010). The coping and adaptation stage is usually the next stage in the adjustment process of patients (Dröes et al., 2010; Finnema et al., 2000; Ownsworth & Gracey, 2010). There are different ways to conceptualize the stages …show more content…
Each theory approaches the influential factors with a specific lens. Discussing the influential factors on the core adjustment process, there are more collapses among those theories rather than the differences. However, rarely have these factors integrated in a single framework. Hence, it is reasonable to combine those theories in order to generate systems of influential factors comprehensively. Overall, the influential factors from those theories are embedded in two systematic levels, namely the personal level and the structural …show more content…
The first factor is caregivers’ characteristics, such as their socioeconomic status, personalities, assigned role in their care for elders with dementia, health condition, spiritual beliefs, etc. The second factor is older patients’ illness situations, for example, the course and severity of dementia that the elders are suffering. These two factors of elders with dementia and their family caregivers relate to each other. For instance, the course and severity of an elder’s dementia may affect his/her caregiver’s health as well as financial resource (Truong, 2015). These factors are crucial for an understanding of caregivers’ adjustment process in the Vietnamese context when Vietnamese elders with dementia and their caregivers hold unique characteristics, such as socioeconomic status and spiritual beliefs, compared to subjects in different contexts (Truong,

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