The framework is drawn from various social psychological theories, such as: Reactance Theory; Equity Theory and the Threat to Self-Esteem model, which identifies the psychological and environmental processes involved when people consider giving or seeking help for the care of elderly relatives. However, from a broader perspective, there are a variety of factors that could influence the kinship care system or reciprocal kinship care, for example aging and poor health of some kinship carers, financial well-being and social needs. , accessibility and environmental factors such as housing, transportation and cultural antagonism. However, the provision of services; Health and social care, in particular, is intertwined with education, knowledge and awareness of holistic assessment and management of care.
In practice, older people appreciate the value for money. This has been supported by both observations of practice and research findings, which reveal that interdependence between family members in their own home would improve caregiving. Therefore, a better understanding of the impact of prolonged and complex care by strangers is required. Given this, older people see respect and dignity as issues of great concern when receiving personal care from caregivers. In practice, older people are not comfortable with strangers helping them with personal care, but would accommodate their own relatives because they understand their wishes and the level of care they are used to. This point of view is based on the “Modernization of social care”, which calls for proactive action to achieve better governance that is more responsive to the plight of older people. This means raising all services for the elderly to the standards of the best and recharging social services with new vigor, incentives and new ideas.
Seniors deserve this right just like any other citizen of the state and should receive quality care in their own home without prejudice (regardless of gender, skin color, and disabilities). However, in practice there have been wide variations in quality and in some areas inefficiencies and waste of resources. Therefore, the participation of the family in the assessment of care and attention needs would help to develop a consistent care approach that is based on family values, norms and principles, which could be transmitted in a cascade from one generation to another. . Therefore, this practice is expected to potentially alleviate the shortage of formal caregivers; reduce waste and duplication in the social marketplace. The family will be the champion of care and support systems for older relatives. This model of care would support personal social services in broader welfare systems, promoting whole systems frameworks. Involving family members would reinvigorate care in the wider community, as well as the creation of family networks that are geared towards supporting older relatives. The service framework would offer the opportunity to develop innovative and integrated services that provide more choice and control of services for the growing population of older people.
Involving family members during long-term care would promote the empowerment of users, allowing them to participate in their own care. Reflecting on the practice experience, the presence of family members in care is more important for older people, since it allows them to regain health and confidence compared to when they receive professional help. Availability of family support is found to be an important factor in determining whether a service user can be discharged from hospital to home, rather than entering institutional care. I believe that family support places a high value on kinship, kindness, caring attitude, reliability, unhurried care, consistency and continuity of care. This advocate-of-care model has co-ownership of care management between the family and service users, who are supposed to be the overall controllers of their care. In most cases, aging and cognitive decline have limited the ability of many service users to understand and manage their care packages, without working together with their families.
On the contrary, family care systems could propagate some type of abusive situations during care. However, the principles of care needs assessment and care management dictate that the presence of an advocate would determine any act of serious abuse such as: financial; physical; sexual; emotional and abandonment to frail and vulnerable older people and this collaborates with the “Department of Health (2000) (No Secret)”. To reduce this incidence, it would be reasonable to have a family caregiver and not necessarily a qualified social worker, someone really involved, who also has a basic understanding and knowledge of the needs of their older relatives. Families play a crucial role in the lives of older relatives; Family involvement is more often interpreted as an indicator of social support than as an influence on decision-making and protection of the vulnerable older person.
In retrospect, the dominant sociological view, for several years, has been that; Older people first turn to their families for help, then to neighbors and finally to the state, because they expect their families to help in case of need. In some cultures, not only does most of the caregiving come from the family, but most people think that’s where the responsibility should lie. This vision is central to the philosophy of community care and, most prominently, end-of-life care services for older people in society at large. In retrospect, there is a need to reinvent family care as a norm to improve the well-being of older people and psychosocial well-being during the longevity of care in the community.
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