Home care nursing challenges in caregiver burden in Alzheimer’s patients home care settings.

Abstract

The Alzheimer disease is a global health crisis depriving over 55 million people, and the figure will be acutely increasing. With the movement to home environments, care is becoming a heavy burden on both professional and professional provision care providers. They are usually untrained, emotionally drained, and working on vague roles. Families are also isolated by stigma and shame in most cultures and slow to support. The complex behavioral, safety, and communicative demands of the disease increase these challenges. This paper sought to conduct a methodological review of literature available on the experiences of nurses and unpaid caregivers in Alzheimer home care. Two databases, CINAHL and PubMed, with the studies published from 2011 to 2025, were used to collect data. There were 250 screened articles, and seven peer-reviewed articles that fit in with the inclusion criteria. Analysis of the chosen studies was done through traditional content analysis. Three distinct areas were the emotional weight of caregiving, logistic problems with home caregiving, and structural issues related to quality of care In Conclusion, emotional burdens (stress, guilt, and isolation due to unending care) practical issues (lack of personnel, unsafe conditions, and poorly defined protocols) and systemic barriers (fragmented healthcare, stigma, and financial restraints) were the three major areas of challenges found. The solutions to these will demand nurse-specific training in dementia, more institutional support, and culturally appropriate family education, and additional research will be needed in scalable solutions in low-resource environments.