Reality is stubborn, and if we wish to maintain informal care systems against dependency and chronicity, we must understand the reality of the caregivers and although it is true that many caregivers show weariness without possibilities of taking breaks, as seen in numerous published qualitative studies that help us to develop intervention strategy elements supported on the therapeutic closeness offered by the nurse upon being able to listen and understand the different realities, as well as being capable of negotiating individualized care plans, adapted to each reality to achieve the elements of self-management in patients and their caregivers, which will lead to an effective self-care strategy, one of the purposes of governmental strategies to address chronicity.
La realidad es terca, y si queremos mantener los sistemas informales de cuidado ante la dependencia y la cronicidad, se debe comprender la realidad de los cuidadores. Es cierto que muchos muestran cansancio sin posibilidades de generarse respiros, como se ve en los inumerables estudios publicados y realizados con la investigación cualitativa.