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The Impact of Caregiver Burden on Rehospitalization Rates

Julie Crenshaw, PT, DPT, GCS

March 15, 2025

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Question

How does caregiver burden influence rehospitalization rates, and what role do healthcare providers play?

Answer

Caregiver burden has been identified as a significant predictor of patient rehospitalization. Research indicates that when caregivers report high levels of perceived burden at the time of a patient's hospital admission, the patient is significantly more likely to be readmitted within three months. This connection highlights the critical role caregivers play in maintaining continuity of care after discharge.

Several factors contribute to this dynamic. Overwhelmed caregivers often struggle with the logistical challenges of follow-up care, such as scheduling and attending post-hospital appointments or implementing prescribed home safety measures. Additionally, they may mismanage or discontinue medications due to confusion or a lack of education, leading to complications that necessitate a return to the hospital.

Healthcare providers can play a pivotal role in breaking this cycle. By assessing caregiver burden during hospitalization, they can identify families at risk and proactively offer support. Interventions such as caregiver education programs, community resource referrals, and follow-up visits through home health services help empower caregivers. These efforts are particularly vital in reducing rehospitalization rates and associated costs, while also improving outcomes for both patients and their caregivers.

This Ask the Expert is an edited excerpt from the course, "How to Identify and Support Overwhelmed Caregivers for Improved Patient Outcomes and Rehospitalization Rates," presented by Julie Crenshaw, PT, DPT, GCS.


julie crenshaw

Julie Crenshaw, PT, DPT, GCS

Julie Crenshaw, PT, DPT. ABPTS Board Certified in Geriatric Physical Therapy. Author of the book, "Bringing a Loved One Home From the Hospital." Founder of Help the Caregiver, an organization committed to providing education, support, and community to caregivers of aging loved ones, and to raise awareness in the medical community about the needs of caregivers and how to better support them. "For better outcomes for all." More information and free resources can be found on her website www.helpthecaregiver.com. Dr. Crenshaw has worked in home health since 2017 and obtained her board certification in 2020. Contact her at julie@helpthecaregiver.com.

 

 


Related Courses

How to Identify and Support Overwhelmed Caregivers For Improved Patient Outcomes and Rehospitalization Rates
Presented by Julie Crenshaw, PT, DPT, GCS
Recorded Webinar

Presenter

Julie Crenshaw, PT, DPT, GCS
Course: #5017Level: Introductory2 Hours
  'Applicable to my patient population'   Read Reviews
Review of the impact of the caregiver role on quality of life measures for both the caregiver and patient. Examine the impact of improved caregiver support and education on patient care and outcomes, including rehospitalization rates and wider monetary implications for healthcare organizations. Discover resources that can help to identify caregivers who may have an increased need for education or support. Discuss several ways therapists can incorporate caregiver support in a comprehensive model of care, and we will wrap the session with an open discussion of practical and ethical considerations for physical therapists.

Pharmacology for Heart Failure and COPD: Implications for Physical Therapy
Presented by Melissa Bednarek, PT, DPT, PhD, CCS
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Course: #5175Level: Intermediate2 Hours
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Heart failure (HF) and chronic obstructive pulmonary disease (COPD) are two chronic conditions for which medications and physical therapy are important parts of treatment. Thus, therapists across the healthcare continuum need to appreciate the indications, mechanism of action, side effects, and implications for physical therapy for the various medication classes for HF and COPD.

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A patient who spends a lot of time in their bed can now be challenged with bed-based exercises and activities that are as challenging as in the gym. PT and OT providers will learn 20+ novel ways to use the bed as a progressive resistive exercise tool.

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Presented by Sally Stillings, MA, PT, MPT, CHT
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This course gives us an overview of diabetes in adults, discusses current perspectives and guidelines, and addresses its significance in PT practice. It also looks at some of the current literature that addresses the evidence for risk factors and interventions and to see how they may apply to our practices. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT/PTA.

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