Category Archives: Support for Caregivers

Posts mention resources and suggestions that can help caregivers stay healthy.

Care for the Overwhelmed

Last week I couldn’t write because I was on call for Mom’s six-month appointment with her Philadelphia dementia specialist. While on cross-county chauffeur duty, I received the message below from a distraught caregiver signed OMG 5230. Readers: if you have suggestions, please chime in:

IMG_0298

I am not fascile with blogging. I have never done it and I’m not even sure who sees this. Anyway, I am dealing very poorly with my husband’s Alzheimer’s. This has been going on for 4-5 years. He is on the regular meds, has had every other thing I have ever heard of which could help, which I might add, DID NOT. I am so filled with anger, sadness, frustration, resentment, etc. Now all that said, we still do enjoy lots of activities, though someone is with him 5 mornings a week, so I can get some free time. He is 100% physically healthy and still enjoys walks, tennis, swimming, all kinds of physical activities, which is a blessing. While he still remains adept at these activities, he is losing language and this is what I have noticed more than anything else in recent months. At times he doesn’t know what the word “television” is. I will tell him “in the television room” and he doesn’t know what I’m talking about. He looks amazing. Looks 15-20 years younger than his actual age of 75. His family is riddled with this heinous disease. I have literally no family support as his family is scattered. His children, one who lives far and the other who lives close, thinks seeing him 1x/week is sufficient. For me, it doesn’t matter, but I care for my hubby because he still gets great pleasure from his kids. I am so over trying engage them. I have decided they will do what they do and I am not going after them. I have explained that it is not for me, but for them, so when things get so bad he doesn’t recognize them, they won’t feel guilty because they will have given him their all when things were still OK. My friends would do anything for me and they have been wonderful. I make sure, while my guy can still enjoy going out for dinner, concerts, etc., that we do it almost nightly. I know this won’t last forever, but for as long as it does, we will keep going. I signed up for individual therapy because I believe my hubby’s doc thought I was chasing rainbows trying to find something which might help. Truth is, I will probably continue to do so, now using coconut oil, until there is nothing or he is clearly out of it. I can’t say I’m in denial because I know all the horrors. I don’t read a lot about the disease because it makes me sick and I already know plenty about the future, since he had siblings who died of this disease. Just being in the day is enough to absorb without also reading about how terrible our future will be. He is not ready for a day program. He would bolt, without question, which would then lead to the program dismissing him. He is not “good enough” for a senior center because he cannot follow commands or simple directions, at times. So at this time, it is me keeping him occupied with myself or the fella he spends time with and whatever social activities we have. I know this all must be old hat to many of you on the site, but I just don’t know how to “GROW PATIENCE” and not HATE this illness. I have talked with others who said they are just happy to see their parent be happy and laugh and smile. I guess I’m more difficult to please or because he still does smile and laugh plenty, that is not what I yearn for. I’m not a religious person, so my faith is not helpful here. I miss my buddy, my lover (which by the way, he is still interested in, but I’m not). It is increasingly difficult for me to be intimate with someone I take care of (in many ways like a child). He just isn’t my partner any longer in an = way, which of course you all understand. I feel badly when I am not interested because he does feel rejected but I just can’t do it. Wow that’s enough for now. I’m tired just writing all this. I don’t even know how people respond to me, if they respond. I guess I just go back on the site and see if there are replies. I really don’t know. Here’s hoping. Thanks for reading. OMG

 

My comments: “Dealing very poorly” — Since you exercise, get morning care breaks, and try to enjoy the skills he still has, I think you are actually dealing better than you realize. Sounds like what hurts most is the emotional loss of quality companionship from someone you love dearly. A caregiver support group might help you with this. In many ways, the sadness during this stage was the worst I experienced. Part of your original pal is still there, making you long for the old times. Getting accustomed to a new normal is very hard. Writing helped me process some of these emotions. Grief is at the core of it all. Dealing with it directly (even on paper) might help. Grow Patience” – I was never a very patient person. I’m always trying to do more things than are humanly possible. When my mom’s skills got really bad, I would just go nuts waiting for her to sloooowly get her socks on, slooowly eat her dinner. Then I realized that she was actually teaching me something. Somewhere in that process, I became more compassionate. Not sure why or how, it just happened. I could see that I needed to shift my perception of what was going on and accept the fact that it was out of my control. You say you are not practicing a particular faith. I would recommend learning to meditate. It is not a religious practice and the medical establishment is now documenting the benefits of meditation for patients as well as caregivers. More than any other thing, this has helped me to stay in the moment with my mom and appreciate the small victories. If you want to get the most out of the time you have left, little pleasures must become your best friends. Know all the horrors — Yes, we know them. I absolutely forbid myself to dwell on them. Sounds like you still have a lot of quality moments with your sweetheart.  You must focus on that.    I wish I had more to offer, but I’m hoping readers will make good suggestions that didn’t occur to me. And I send you a sincere, virtual hug.

The Caregiving Family

Family is on my mind. We’ve been working together to clear out my mom’s former home so we can rent it to help pay her medical costs.  For two weeks, my sister and I spent many hours sorting and cleaning. A cousin graciously persuaded her husband and son to move some heavy furniture. When you’re doing something so sad and hard, support from others seems like manna.

My sister and I didn’t always have this kind of calm, rational relationship. At the beginning of my mom’s illness, we disagreed about many things. During the first few years, we battled our way through a few angry scenes. Over time, it became clear that the stress surrounding Mom’s dementia clouded our efforts to talk to each other. Certain kinds of decisions — about medical options, about living situations — throw you back to a childhood pattern. Instead of working things out, your emotional gears shift suddenly and without your permission.

It becomes clear after a while, that if you allow yourself to have conversations about highly charged matters while you are wound up, the discussions are more likely to escalate into arguments. This is especially true if you are the primary caregiver and you haven’t had a break before discussing a sensitive issue. Take a breather before you take on a conflict!

Thoughts about family also came up during one of the sessions I did for the 21 Day Meditation challenge. One notion of the meditation was that “ideally family members are committed to each other.” But we all know that many caregivers have been pushed into taxing, solitary labor when their siblings or children fail to provide help.  A helpful note in the Chopra meditation was that “if we are not born into a nurturing family we can create one from our circle of friends.” Reaching out to get support from faith communities, friends, or neighbors may be the best way to grow your “family” resources if biological kin won’t help.

The family meditation also recommended treating those in your family — whether its a group linked by DNA or shared concern — as  ”precious, valued, essential parts of life.” For that reason, I want to express my deep gratitude for the kindness and generosity of cousins, neighbors, friends, and compassionate strangers who have helped my mother and our family during mom’s battle with dementia. My sister, of course, deserves a million thanks for working with me to forge a relationship governed by respect and shared concern for our mom.      ♥♥♥!

Fathers, Sons, and Dementia

It’s easy to forget how many fathers and sons are immersed in the dementia epidemic. The longer female lifespan gives women more time to develop dementia and, around the world, most caregivers are also female. But the Alzheimer’s Association estimates that the proportion of men serving as caregivers for spouses and other family members has doubled — from 19% to 40% –in the past 15 years.

Men in the caregiver role share many of the same burdens as their female counterparts, but their lives are complicated in different ways. For example, more male caregivers are working outside the home. A report from the National Caregivers Alliance suggests that though men and women devote about the same amount of time to caregiving, 82 percent of male caregivers hold full-time jobs, compared to 70 percent of female caregivers. Since most male caregivers are fully engaged in the paid workforce, more than two thirds of them have to request changes to their work schedule such as going in late, leaving early, or taking time off.

Their wholehearted embrace of technology gives men a small advantage: they’re more likely to use the Internet as a caregiving resource. But since they spend about 19 hours a week on caregiving activities outside of their jobs, these guys are shouldering a lot of weight.

When writing about men who give this kind of support to a wife or mother, a few stellar fellows come to mind. Their contributions as fathers, sons and caregivers add infinite value to their families. They are caring people, to be sure. But they’re also tenacious and when needed will use their horns to protect the people they love. I sincerely hope that someone made them breakfast today and provided at least one hug. Caregivers shouldn’t have to forage for food or appreciation. To the men among us: Happy Father’s Day!