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Caregiver Status: A Potential Risk Factor for Extreme Self-Neglect

Received December 5, 2007; accepted December 12, 2007. From the Dept. of Psychiatry and Behavioral Sciences, TUH–Episcopal Campus, Temple Univ. School of Medicine, Philadelphia, PA, Drexel Univ. College of Medicine (SJ), and CrozerChester Medical Center (AK). Send correspondence and reprint requests to Ruth Lamdan, M.D., Dept. of Psychiatry and Behavioral Sciences, TUH–Episcopal Campus, Temple Univ. School of Medicine, 100 E. Lehigh Ave., Philadelphia, PA 19125. e-mail: rlamdan{at}temple.edu
© 2009 The Academy of Psychosomatic Medicine

BACKGROUND: Family caregivers are known to be at risk for physical illness and emotional distress caused by the extreme demands of the caregiving task. OBJECTIVE: The authors present the case of a middle-aged, well-educated woman with advanced endometrial cancer, the symptoms of which she had ignored over an extended period of time because of her family obligations. METHOD: The patient was treated with systemic chemotherapy and was evaluated for depression and subsequent delirium. RESULTS: The patient was informed about her poor prognosis and was transferred to a skilled nursing facility. DISCUSSION: The authors conclude that the caretaking responsibility, along with a low-grade depression, contributed to her delayed presentation and treatment.

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