Showing posts with label support. Show all posts
Showing posts with label support. Show all posts

Thursday, August 11, 2016

Let’s Be Kind to Our Fellow Caregivers (and Ourselves)

Online support groups can be a life-saver for caregivers. It is important for us to know others are going through similar situations so we don’t feel alone or so we can learn something new about caring for our loved one that others have tried and that works. (I learned quite a bit about incontinence care and the importance of maintaining a person’s dignity from my soul sister, Kathy Lowrey, who cared for her husband when he had Lewy Body Dementia.)
Trish, Robert and Richard (2014)

I am involved in several online caregiver support groups. Sometimes I actively participate and sometimes I look at the comments and information posted but scroll past without commenting. Most of the time I am heartened by the love and care people show one another. 

Occasionally, though, I cringe when scrolling through comments made to people reaching out for help. The majority of the time people are kind but sometimes people are judgmental and harsh and impatient toward other caregivers. People in similar situations!

Every caregiving situation is different with different people doing their best caring for loved ones in a variety of situations. Caregivers can be in different stages of caregiving, can have other life situations that make their situation difficult and can have different emotional strength and attitudes at this particular time in their lives.

It is important to remember that each of us is only who we are at this moment in time in this set of circumstances based on our past experiences and our hopes for the future. Everyone is different and it does not help to make someone feel guilty because they are not handling a situation as well as we think they should.

Caregivers can help themselves and others keeping these reminders in mind.
  • Listen instead of comparing yourself to other caregivers. Please. I have never met a caregiver who thinks their situation is the worst. Caregivers may think they have it difficult but most think someone has it worse than them – no matter the situation. It is not helpful to minimize our caregiving situation (or someone else's) because another caregiver’s situation seems worse (or better) than our own. It doesn’t matter. Each caregiving situation is different yet we all go through the same emotions, struggles and heart-wrenching decisions at some point.
  • Be supportive instead of judging other caregivers. Robert goes to a Day Program and he sleeps a lot. My husband is my co-caregiver and gives me a tremendous amount of help with Robert. He has lived on his own, in a Skilled Nursing Facility, in an Assisted Living Facility, was living in a Residential Home for the Disabled. Each of these situations is difficult in its own way. I know other caregivers who made the decision to permanently place their loved one in a facility and they are either relieved, devastated or a little of both. There are caregivers who work full-time and have to leave their loved one at home with the knowledge they could have a devastating seizure or fall at any minute. These caregivers are worried sick enough and need support, not judgment or a declaration that they are not “real” caregivers because their loved one lives elsewhere or is not cared for by them 24/7.
  • Educate instead of thinking less of other caregivers. Here’s my confession: I was unsure how to put a brief on my 220 lb incontinent, adult brother. I know how to put a diaper on a baby but a standing, wobbly adult?  I struggled. At first I needed an extra hand or two to get it on snuggly and, I actually wasn’t even sure at first if the tabs should go in the front or back! (The tabs go in the back and then tape to the front of the brief.) Help new caregivers learn the basics without making them regret asking the questions.
  • Recognize when we want to vent instead of problem solving. Sometimes we are losing our minds when caregiving and have no one to talk to. Let us rant and rave and tell you how tired and awful (and then guilty) we feel without telling us it is time to put our loved one in a home or that we need a vacation (especially since respite is so difficult to get sometimes).
  • Let’s laugh together and not always be so serious. Caregiving is full of serious health issues, impossible medical decisions and extreme concentration so mistakes are not made. But we can’t be serious all the time! Caregivers know (but may not admit) that there can be some very funny caregiving situations. We have to laugh! Whether we laugh together or alone let’s at least recognize the absurdity of some of our caregiving situations! Some of the best friends I made while caregiving are ones I could laugh with about our crazy situations.  
Everyone knows caregivers need more support from non-caregivers, from the government, from our employers and from our families but we also need support, love and kindness from each other.

We can all use more kindness in our world so let’s keep this in mind when dealing with each other. Let’s also remind ourselves to be kind not only to one another but to ourselves.

We can do that for each other. 


Wednesday, May 25, 2016

Atlas of Caregiving

Last fall, I wrote about Richard, Robert and I participating in a caregiving study about our caregiving day.

Robert's View: Part of his grooming routine
It was conducted by Rajiv Mehta, Board member of Family Caregiver Alliance and Principal Investigator for Atlas of Caregiving and Dawn Nafus, his partner for the study.

Robert has volunteered for studies his entire life – for medication, the Vagus Nerve Stimulator, the Deep Brain Stimulator – anything that might help him and others with uncontrolled epilepsy.  Robert was more than willing to participate in this study about caregivers and we were excited as well.

Rajiv and Dawn made it very easy and even though it sounds like it would be intrusive (cameras, home monitoring devices, keeping a log of activities), it really wasn’t.  We quickly forgot about the cameras and went about our caregiving day. 

Robert's View: Watching Trish organize his weekly meds
As I wrote in September, the dozens of interruptions throughout our caregiving day is mind-boggling! Caregivers know this but until I saw it on paper I did not really realize the extent of how much we juggle between (and in spite of) the interruptions. 

Fourteen families participated in this study and each one is a fascinating and eye-opening read. The results of this pilot program are out and can be read here.  (Our story is here.) 

Robert's View: Richard waiting for Robert
If you are not a caregiver, I encourage you to read each and every one of these stories to get a sense of the vast amount of caregiving being done. If you are a caregiver, you will definitely relate to these stories!

On a personal note, I would like to thank Rajiv, Dawn and Celine Takatsuno (who we have worked with throughout the publishing process).  They are doing great things for caregivers and truly care about our day and what would help make our day a little easier.

We all need that extra help and support in our busy, crazy caregiving days.






Trish's View: Helping Robert






Friday, September 21, 2012

The Faces of Caregiving: Denise, Caregiving.com

As the finale in this series about Family Caregivers and their advocacy work, I’d like you to meet a woman who has been advocating on behalf of family caregivers since 1996. 

Denise M. Brown of Caregiving.com has been mentioned here before and was recently in Sacramento to lead a Family Caregiver Seminar.  Usually, Denise does the interviewing on her internet radio program, Your Caregiving Journey, but Robert’s Sister turned the tables and asked Denise a few questions!

Robert’s Sister:  Tell us a little bit about your advocacy work for caregivers.

Denise:  I advocate for family caregivers in several ways. I provide them an opportunity to share their collective wisdom and stories on Caregiving.com and on Your Caregiving Journey, my Internet talk show. I also create events, such as our Second Annual Caregiving Art Show, to remind them that they remain a creative being, even during a time that seems to sap the life out of them. I encourage family caregivers to see the impact they make in their families and in their communities; they truly disrupt to create change for their family members who need their care as well as for other family caregivers. I also advocate by sharing solutions through the seminars and webinars for family caregivers I lead. Finally, I educate health care professionals and our communities about the needs of family caregivers through speaking engagements and outreach activities.

Robert’s Sister:  What motivated you to create Caregiving.com?

Denise:  Caregiving can be a really lonely experience. I wanted to lessen that loneliness and isolation so I launched Caregiving.com in 1996 and online support groups soon after. In 2008, I added technology which allows family caregivers to blog about their days on the site. I really want the site to be about family caregivers connecting and relating with each other.

Robert’s Sister:  What is the biggest obstacle you've had to face in helping caregivers?

Denise:  Time – having enough time in my day to make the impact I want and family caregivers having enough time in their days to make use of the support available to them.

Robert’s Sister:  How did you overcome that obstacle?

Denise:  I have volunteers who help me; they welcome new members who join Caregiving.com. I want every new member to feel noticed and welcomed. And, I try to make it easy for family caregivers to get what they need from the site, whether they have only five minutes or an hour.

Robert’s Sister:  What changes do you see ahead for caregivers?

Denise:  I think family caregivers will care for several family members at the same time – perhaps parents and in-laws or parents and aunts and uncles. I also think care provided at home will become more intense and sophisticated. And, family caregivers will use technology to monitor care. In essence, the caregiving experience will become more demanding.

Robert’s Sister: What is your biggest wish related to your website and helping caregivers?

Denise: I just wish we could help as many family caregivers as possible. I also am working to create volunteer teams (I'm calling it a Care Squad) which connect with and help family caregivers in their communities.
 
Robert’s Sister:  Is there anything else you want people to know?
 
Denise: I'd like family caregivers to know that, while difficult and terrifying, it's good to reach out for help. I also want them to know that they have a very important story to tell. When you're ready to reach out and ready to share your story, we'll be ready to help and listen at Caregiving.com.
 
Robert’s Sister: How can people contact you if they want to get resources and support when caregiving?
 
Denise:  Feel free to connect with me at Caregiving.com, on Facebook (www.facebook.com/CaregivingSupport) and Twitter (@caregiving).
 
Robert’s Sister:  Many thanks to Denise for her time and her work on behalf of all of us family caregivers.  The beauty of the online work Denise does means it is possible to feel connected with others even if that person is across the country (or even in a different country altogether!).   
 
Please be sure to join me and Denise during our monthly chat about working caregivers.  We talk on the second Saturday of every month on the internet radio show, Your Caregiving Journey: Table Talk. 

Wednesday, August 15, 2012

You Said What to a Caregiver?

Sometimes I am amazed by the things people say.

I have to believe they mean well.  I want to believe what they were thinking was much nicer than what came out of their mouths.

Or maybe they just didn’t realize they said these things out loud.

In case you need some help in knowing what not to say to a caregiver, here are a few things to avoid and a suggestion about what to say instead.  It might be hard to believe but all of these were said at one time or another to me, my husband or friends who are caregivers.

What People Say:   “Your marriage will never survive.” 

Ouch.  (This, by the way, appears to be one of the most common things said to a caregiver.)

A friend and his wife recently made the decision to modify their home so the wife’s ill father could live with them.  Upon hearing this, several of their well-meaning friends (?) immediately predicted the demise of their marriage.   

Gee, thanks.  This young couple agreed early on (between themselves, thank you very much) they would take care of their parents when the time came so I think they’re pretty solid.

What to Say Instead:  Instead of thinking their relationship is so fragile it couldn’t possibly survive caregiving, how about saying, “When is a good time for me to bring my tools and come help build the new room?”

What People Say:  “Do you know how much stress this is going to put on you?” 

What??  Caregiving is stressful?  Who knew?

My husband has heard this one from family members concerned about him caring for his mom and Robert. 

Yes, thank you, we do have an idea about how stressful caregiving will be.  I also know it will be exceptionally rewarding and, after much thought and consideration, know this is the right decision for us. 

What to Say Instead:  “This sounds like a stressful undertaking but have faith you’re up for the job.  Can I come over for a few hours to give you a little break?“

What People Say:  “I don’t see anything wrong with your caree.” 

Deep breath.

A friend who cares for her husband who was diagnosed with Mild Cognitive Impairment at the young age of 55 years old has heard this more times than she can count.

Apparently because her husband doesn’t have any visible signs of disability, people think it is okay to be dismissive of his diagnosis.   As if this caring wife and mother of a teenager doesn’t have enough to deal with in managing her husband’s medications, adjusting to his having to retire early, his depression from the diagnosis and his impaired memory, she has to justify the “unseen” diagnosis to these misguided people.

What to Say Instead:  “It must have been difficult to hear that diagnosis.  Do you want to get coffee and talk about it?”

What People Say:  “When your daughter is 18 you’ll have to make her do everything herself.” 

A friend of mine has a daughter who lived with a heart defect which went undiagnosed until she developed a related, life-threatening illness at 16 years old.

First, several doctors have already failed this young girl due to either their haste or their incompetence.  She will always need her mom’s assistance managing her numerous medications, doctor visits and therapy appointments.  Telling someone how to manage their loved ones care (in a judgmental way, no less) is probably the least helpful thing a person can do.  This illness has been devastating to this family and they are managing the best anyone can expect.  They need loving, gentle support – not meddlesome edicts.  Doctors have failed them; they don’t need their friends and family to fail them too. 

What to Say Instead:  “You’re doing such a good job with your daughter under such trying circumstances.  Approaching adulthood is difficult for any parent and teen.  Can I help with any paperwork in order to make the transition a little easier for the two of you? Or maybe we could go see a movie for some fun?” 

For the most part, people are supportive and want to help.  Sometimes, their mouths just start working before their brain kicks in. 

Are you a caregiver?  What has been said to you that made you shake your head and what would like to hear instead?