title: [The life as a caregiver of a person affected by Chorea Huntington: multiple case study].
abstract: Chorea Huntington is an autosomal dominantly inherited, neurodegenerative brain disorder that leads to involuntary hyperkinesia, psychotic symptoms and dementia. The illness not only changes the life of the person itself but also the world of the caregivers. The challenges in the care of a person which is affected by Chorea Huntington have an effect on the daily living as an assemblage of natural and social conditions.
  
  
  METHODS
  a multiple case study was conducted. It included semi-structured interviews with three caregivers of people with Chorea Huntington in South Tyrol. The qualitative data was analyzed using the qualitative structured analysis of Mayring (2007).
  
  
  OBJECTIVE
  The objective of this study was to describe the phenomenon of change of life from family members that care people affected by Chorea Huntington in a specific cultural setting (South Tyrol, Italy).
  
  
  RESULTS
  The caregivers reported that the diagnosis of Chorea Huntington leads to negative changes in "relationship and family". Particularly, frustration, aggression, impatience and apathy were perceived as stressful. At the same time they highlight the positive changes through home care. They report that the relationship became more intimate and integral and it was characterized by more cohesion. Family caregivers get valuable support from the home care service, however, they complain that there is no facility in South Tyrol, which is specialized to care people with Chorea Huntington. Therefore, the caregivers have to "give up a lot" and don't have any personal desires, dreams and expectations for the future.
  
  
  CONCLUSIONS
  The caregivers have learned independently to deal with their changed life step by step, and to see also the positive effects of the caring role. The life of family caregivers of a person which is affected by Chorea Huntington is characterized by abandonment. A continuous and professional care would be important for the affected and his caregiver. A continuous and professional care is important for both, addressing the care needs of the persons affected by Chorea Huntington and preparing their caregivers for the changing life.
authors.affiliation: Universitätskliniken LKH Innsbruck (AT). evi.winkler@dnet.it
authors.forename: Evi
authors.initials: E
authors.lastname: Winkler
authors.forename: Dietmar
authors.initials: D
authors.lastname: Ausserhofer
authors.forename: Franco
authors.initials: F
authors.lastname: Mantovan
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D001317:Austria; D017028:Caregivers / Q000523:psychology*; D017281:Cost of Illness; D005195:Family Relations; D005260:Female; D006297:Health Services Accessibility; D006699:Home Care Services; D006801:Humans; D006816:Huntington Disease / Q000451:nursing* / Q000523:psychology*; D007406:Interview, Psychological; D008297:Male; D008875:Middle Aged; D011788:Quality of Life / Q000523:psychology; D013315:Stress, Psychological / Q000150:complications / Q000523:psychology; D055815:Young Adult