Posts Tagged ‘family’

Are you Burned Out?

If you can no longer remember what compelled you to become a caregiver, you just might have caregiver burnout! Remember, you cannot care for anyone if you do not first care for yourself. There is nothing wrong with asking for help from family, friends or agencies that can provide respite care. Be strong enough to take care of the caregiver.

If you answer yes to these questions, it may be time for you to take a break or re-evaluate your situation. Don’t smolder and burn until you explode.

  • Has it been more than two months since you’ve had a weekend to yourself to do whatever you wanted, even if that was to do nothing?
  • Have you cried for what seems to be “no reason at all” in the past week?
  • Have you neglected your own medical needs since you started caregiving?
  • Has it been more than a year since you visited your dentist or found a new one if you moved to start providing care?
  • Do you feel tired and listless most of the time?
  • Have you abandoned beloved hobbies due to lack of time or interest?
  • Are you more easily angered or upset than you used to be?
  • Is your fuse shorter than before you were a caregiver?
  • Has your patience decreased?
  • Do you think you will never have fun again?
  • Have you considered self-medication for depression or anxiety without consulting a physician?

Before any more time passes, seek help.

  • Ask a family member to visit more often and when they visit, if you can’t leave for long, take a walk outdoors. Enjoy the fresh air by yourself a few moments.
  • Invite one of your friends and one of your loved one’s friends over for lunch or dinner. Socialization is important for both of you.
  • If you have no local friends or family, check into agencies that provide respite care so you can take care of your own medical and dental needs.
  • Get a massage, pedicure, facial or manicure. If you can’t afford these, find a friend who will listen and give you a simple backrub.
  • Visit a nursing home, alone or with the one in your care, to gain perspective.
  • Practice gratitude. Think of one thing about your situation for which you are grateful. Every day, add to your list.

Who can be a Caregiver?

Caregivers come from all walks of life. They may be married or single, have a large family or no children at all. They may work full time, part time or be retired. Caregivers own homes and rent. Caregivers might provide care for parents, children, spouses, siblings and friends. Some are licensed by state agencies or other entities and for some, the only license needed is love.
Acute Care: Care that is generally provided for a short period of time to treat a certain illness or condition. This type of care can include short-term hospital stays, doctor’s visits, and surgery.
 Question of the Month:
How do I deal with the lack of feelings towards me from the one I provide care for every day? I sometimes think Dad would be better off in a home, without me.
First, realize that you are not alone. Secondly educate yourself about the particular condition that has caused the apathy. Does he have Alzheimer’s or other dementia? Has he been through a stroke or is he suffering from Parkinson’s Disease or something else? There is strength in knowledge. Reach out to other caregivers, online or in your community. Be honest with yourself. If you feel angry or frustrated, don’t take it out on your father, but express your emotions to others.
 This month’s Hot Topic – Advance Directives

old desk

Before the coulda, woulda, shoulda sets in, families need to have honest discussions about Advance Directives, those documents necessary to be sure life is lived according to individual wishes. Before it’s too late, talk about what you want to happen in case of an emergency.
Emergencies can happen at any age and to anyone. If you don’t have a family to support you through the end of life, you can appoint someone as your guardian, or the court might.
If you do not want to be revived after a heart attack, a tragic accident or other debilitation, you will want to be sure you have a Do Not Resuscitate order in place.
A Living Will spells out exactly what you do and do not want toward the end of your life. Ice cream for breakfast every day? Make it so! Feeding tube to prolong life? Make it happen. Love to eat and think a feeding tube is unnatural? Spell it out in your Living Will.
If you designate a Healthcare Proxy now, that person will make medical decisions for you – based on your conversations – in the event that you cannot speak for yourself.
A Durable Power of Attorney allows your designated person to make both financial and healthcare decisions on your behalf.
Talking about these issues will not create a need, but it will create peace of mind. Be sure everyone who may need to know your wishes, does know. Do not assume everyone will tell the others in your circle of family and friends.
Keep a copy of your Advance Directives in a folder, near you or in a designated location for first responders and other medical personnel.

 

Making it Easy for Others

House

When you make the life-altering decision to be a HANC, know your choice will affect others. Once you move into another person’s home, especially with your spouse, your life ceases to be exclusively your own. If that home belongs to a parent, your status as a competent adult will be challenged.

old woman

Regardless of frailties or medical conditions, your parent will always be your parent. You will hear things to make you wonder how your transition from child to adult had been overlooked. When siblings come to visit, they are not visiting you in your home. They are returning to their childhood home or coming home to Mom and Dad’s house. They will expect to find things as they had been for years and some will not be happy to see changes.

I need space

Make it easy on others by keeping things as close to how they were when you moved in. Change things slowly, subtly. It’s imperative to remember that your caregiving is a long-term commitment, if you are fortunate. It does not necessarily obligate you to live in another person’s home forever. At some point, your parents’ home may become your home, or you may return to a home of your own. Then, you can turn your energy toward redecorating or claiming your own space.

OLYMPUS DIGITAL CAMERA

Until then, remember to do what you can to make things easier for others, so they will want to make things easy for you. They may not ease your stress, but they might lighten your workload. Even if they don’t, maintain your sense of humor. Stay flexible. Remember why you made the decision to become a caregiver and know that this is temporary.

sign

I’d heard, “I don’t know where anything is anymore,” from my mother and, “You’ve moved everything,” from my sisters so often, I’d begun to believe the myth that I’d moved things in my attempt to organize.

grits note

So I did something I thought might help on the occasional days my husband and I left the house, something I never would have considered under other circumstances. I labeled the kitchen cabinets. I thought it would help when we took our first full weekend off, but my sister still couldn’t find the grits.

grits shelf

Just smile and remember the real reason you made the choices you did.

Know your Signs

Everyone has some stress and each person deals with it differently.

Excited

As a caregiver, it is essential that you recognize the signs indicating a need to address your stress. The sooner you recognize and accept the signs of your own stress, the sooner you can do something to resolve the issue. If you are over-stressed, your ability to provide quality care is compromised.

Cautionshallow water

Do you experience headaches after a long, frustrating day? Perhaps your tension manifests through hives or hair loss. How has your blood pressure been since you started providing care for your loved one? Are you more easily irritated than you were before? How do you sleep at night? Have you become more restless or are you dealing with disturbing dreams?

Painful

Maybe you are a pacer or the kind of person who must have a spotless house when your anxiety takes over. Has your appetite changed or are you turning to alcohol more often? Don’t mistake a lower libido or lack of energy as a need to adjust to the demands of caregiving. It’s probably stress.

strange hair

When my mother struggled to raise her children with an alcoholic spouse, she coped with her stress by charging out of the house to stand on the grass, fists raised to the sky, and she screamed. We lived in a rural area with the closest neighbors more than a half mile away and she didn’t care if they heard her. Her stress didn’t have time to make a physical manifestation. The moment she felt overwhelmed, angry or afraid, her vocalized angst with no words alerted us to tread lightly.

Privacy

I’m not as clever as my mother. I tend to stuff my worries and concerns deep inside until, like a burst water balloon, they splash all over when I keep adding more. I suffered with migraines for years until traditional Chinese medicine helped me bring my body and mind into balance. Their frequency and intensity diminished until I became my mother’s housekeeper, activities director, nutritionist and companion. illness

More pervasive, however, was how my fingers dried out. They sometimes cracked and bled, but most often, they peeled off layer after layer until my fingers were raw and felt burned.

ouch

I sought the help of many medical experts and numerous home remedies – nothing helped until I took an extended break and visited my doctor who ordered me to relax. relax in hammock

“Stop doing. Just enjoy your life. Let your husband cook and clean and let your sisters care for your mother for a while. Take some time off to do only those things that bring you pleasure.”

Oh, to be carefree again! Don’t we all wish we could just flip a switch to take us back to our childhood, where the biggest worries we had were usually brothers and mosquito bites?

Flipped SwitchBouncing

“If you don’t, this level of stress will kill you,” he said.

What? Did my doctor just tell me that my stress will kill me? How could I provide care for my mother if I am not alive? I knew the importance of caring for the care giver. I’ve written about it, but I ignored my own advice. Not this time. It can happen to me. It did happen to me!

Get Serious

When I called my sisters to tell them I needed to extend my therapy break to two weeks, I discovered my mother, who had been ambulatory the day I left, was now bed ridden in excruciating pain. Three days later, she had been taken to hospice with stage four bone cancer that had not been evident at her last imaging three weeks earlier.

Go Left

After my mother’s memorial, I returned to my doctor who expressed amazement that my hands had healed so well despite the new emotions associated with grief.  I had been so committed to providing her with the best care and an improved quality of life, I ignored the signs of stress as they appeared on my fingers.

Be CarefulNo fishingLimited

One of the primary rules of caregivers is to care for the one providing care. Don’t wait to establish a healthy routine for yourself. Set up a regular schedule for relief. Your loved one will not suffer from a few hours a week, even a few days a month, without you. Most people work five days each week and take two days off so they can revive and recuperate. They typically take a week or two off each year for vacations. Whether or not travel is included, time away from work is essential.

Caregivers deserve no less – in fact, you deserve much more for the sacrifices you are making for your family.

Take a momentLimit

It’s time to take action. Call on brothers, sisters, nieces, nephews, cousins and family friends. Before you have reached a critical stage of tension that may result in injury or illness, set up a schedule for your weekends and vacations, even if they are in the middle of the week and happen one day at a time over the course of the year. Just as important as the family finances, living will, power of attorney and medical needs for your loved one are, it is vital to be sure the caregiver takes time and makes time for breaks that take you away from the caregiving setting.

Past Calendar

Know and heed your signs. Take a few minutes to look at what has changed in your body since you started providing care and take steps to find your balance. Don’t let stress rob you of your own health and sanity.

Be kind enough to love yourself, too.

Ends

Do Over

There are many things I wish I could go back and do a different way, where providing care for my mother is concerned.

I can’t do over anything, but if I could, I would:

  • Move in sooner so I had more time with my mother.

  • Be sure I knew where all her documents were before moving in and avoid the needle-in-the-haystack searches.

  • Write a sort of contract with my whole family’s input so everyone knew our roles clearly. Know beforehand, who already had roles to play and what they were.

  • Include in that contract what I was able and willing to contribute and what I expected in return.

  • Set up a backup to the verbal respite plan. As good as it sounds when someone says, “Just call me if you need help,” and “I’m here for you,” I’d remember that words carry little weight at 4 in the morning or when busy schedules interfere with my need for time off.

  • Set up a backup to the backup so my breaks and respite care are ensured. Have an emergency backup in place before I need it.

  • Before moving in, take extra time to discover the family’s understanding of the situation. I’d include them more and make sure they included me, too.

  • Insist that all my siblings and their children take time to do a Four Generation photo sooner, rather than wishing we had.

  • Listen more.

  • Play more.

  • Dance more.

  • Sing more (even if it is off key).

  • Go more with the flow and less against the stream.

  • Clean less.

  • Communicate better.

  • Prepare for the finality of the situation. In other words, I would have a plan in place for when my job as HANC ends, rather than wondering what I should do.

I may have other areas I’d like to do over, but first, I’d like to hear from you. What would you like to do over in your life? Not just as a caregiver, but in your life in general or in your “other career,” what would you like to do differently, if given the chance?

Write me at marybrotherton@gmail.com

and let’s start a dialogue about change!

 

 

 

A Corner Office for a HANC

I’ve been promoted!

The new position didn’t come with a pay increase, but it did come with a corner office.

Office in the corner

Each morning, if I get to work early enough, I can sit at my desk and watch the sunrise. Since it’s on the ground floor, I’m able to observe birds in nearby trees, which can be a momentary respite for my eyes.

Small bird

            My new office also comes with surround sound, a fully stocked refrigerator and a snack drawer with all my favorite munchie-crunchies. Finally, I have a personal assistant who reminds me when it is time to eat or take stretch breaks. Perhaps one of the best perks of the job is how much freedom I have to be with family and the out-of-office scenic tours I’m expected to conduct.

bridge over untroubled water

            The truth is, nothing has changed but my perspective. I’ve been using my mother’s fifty-year-old kitchen table as a desk since I moved in with her. It’s still a kitchen table.

table

When I’m not at my computer or cooking or cleaning, I am with Momma, who may not appreciate being called my personal assistant.

Appointment checks

I realized I needed to adjust my point of view.

Sidewalk view

Rather than seeing her as a frail, elder demanding attention through pleas for constant snacks or drives to nowhere, I now see her as my private helper and partner in our grand adventure.

Road in Santee

            Whether I am blogging, editing, posting photos, writing or just goofing around with social media, it’s easy to lose track of time on the computer if someone does not distract me. When I go for walks, especially if I take my camera, I become lost in my own world. I tune everything else out.

Holding a camera

No boundaries and no timers or schedules are good for my art, but bad for the rest of my life.

Calendar

            My new outlook keeps me attuned to the truly important things – my relationships and my Self. My physical, emotional and spiritual self, with a capital S, deserves my focus. Rather than seeing my life through the dutiful eyes of a daughter who has given up much to provide support for a loved one, I now see myself as an executive HANC, with a side job that occasionally takes me away from fun excursions with Momma.

Female executive

            As her health and stamina slowly return to her, we’ve all noticed her personality is also making a comeback. Her wit and humor, long subdued by malnourishment, pain and dulled by medications, entertain anyone willing to spend enough time interacting with her.

Relationships

            Although it might be nice to have the hefty salary expected with a large, naturally lighted office, who needs that kind of stress?

Office building

Reverse Kidnap

Caregiving

Some days, being a HANC is so damned difficult I don’t know what to do. Other days I think my duties are ridiculously commonplace. I have been a housekeeper and activities director since my first son was born. I’m aware of nutritional needs and don’t mind being my mother’s companion. Still, when we abandoned our former lives to care for my mother, I faced other difficult choices.

fire! Fire!

The possibility of a serious burnout scares the hell out of me. I resent being the only one who empties my mother’s potty. Yet I’m infuriated when I recall the foul odor that prompted us to put our careers and lifestyle on hold.

Time

I want to be inspiring and motivational, but when I’m frazzled and weary, it’s difficult to remain upbeat. At night, I often collapse into bed, exhausted physically, still reviewing things undone. After an hour or so, disturbing dreams or body aches begin, or I am awakened to attend to her needs.

Wine

Taking adequate restorative breaks requires advance planning and coordination. Gone are my days of spontaneity. I no longer come home from a hard day at work and announce, “Dinner’s on your own,” as I trudge toward a hot bath with a glass of wine and a book. Because of my mother’s condition, structure and routine are essential for a peaceful life.

Pituful man

Recently, I held my first serious pity party. After all, who knows how long this could go on? My siblings are confounded I have taken on this role, and trust me, today I was doubting my own good sense. When I felt my pending calamity, I called on five members of my large support system. My husband, two of four brothers, one of three sisters and a nephew listened and gave me their sense of understanding. One had an undertone of, glad I’m not in your shoes, and one promised to give me some relief – tomorrow.

What's in his hand?

When I mentioned my rising frustration to my nephew, I didn’t think he paid particular attention, but later, his dad approached me as I pruned a blueberry bush. He said he wanted to trade what was in my hand for what was in his, and he held out the keys to his car and a little cash.

He said, “I have half a tank of gas. Take it as far as you can and get a drink on me.”

Hand off

I accepted his gesture and his keys. No planning. No discussion. No procrastination and no collapse!

Walk through sanctuary

I told my husband we’d been reverse-kidnapped and we took my camera for a sunset walk through a nearby wildlife sanctuary, though the wildest thing we saw were some human snowbirds. As the moon rose, we ate burgers at a local favorite and then went for those drinks.

rose

Since then, I have renewed my promise to walk more, garden more and make more time for myself. The roses don’t have a chance. I plan to smell each one of them this year!

Mommasez

One of the best things about caregiving, or being a HANC—in addition to knowing you are providing much-needed Housekeeping skills, directing some new Activities, providing healthy Nutritional options and being a Companion—is having the honor of hearing stories and historical remembrances.

Even more so, are short stand-alone sentences, or what I call Mommasez.

Traveling with mom

Because I now live with my mother and spend time with her, going to doctors’ appointments, to have her hair styled, to visit family and out for meals, we talk on our way to these places. Naturally, we also talk at home.

large man in small chairMommasez things that make me shake my head in disbelief.

“When I am on my deathbed and they hook me up to whatever it is they hook people up to before they die, make sure to pour one last cup of coffee in a bag. I want to die with coffee in my veins.”

laughing woman

Mommasez things that make me laugh.

“People say ‘I’m pretty sure.’ Have you ever heard anybody say they were ugly sure?”

bowls of grapes

Often, current events spark memories from her childhood. One such memory came after I brought her a large bowl of grapes harvested from the scuppernong vine in her back yard.

“When I was a child, every fall, there was a man who would stop our bus driver and tell him, ‘Bring the children back tomorrow for grapes.’ The next day, our mothers would give us paper bags, because we didn’t have plastic in those days. Sometimes, the paper bags would have a wax lining, but not usually. So, after school, the bus would stop at his house and all the children got off and picked all the grapes we could take home. Our mothers made jelly and it didn’t cost anything. Well, they had to buy sugar and jars, but that’s how we did it in those days. We all helped one another.”

Momma says things

Mommasez things that make me wonder.

“No, I do not want to visit my cousin in the hospital. They might lock the door and never let me out.”

Mommasez things that would have shocked me years ago, but I have learned she often wants to see if I will have a witty remark.

shower

“Ooh, this shower is better than sex,” makes me reply, “Obviously you truly have lost all your memories, or you always slept with the wrong men.”

She and I both know she has had sex with a total of two men, each her husband; the second following a forty-year marriage to my father, more than twenty-five years after his death.

laughter

My goal is one belly laugh each day. Now that we’ve settled into our own rhythm, we sometimes achieve more than one good guffaw.

save the world

I have started to enjoy her simple needs without imposing my desires upon her. Relaxed in my instinct to take-over-the-reins-and-aright-the-world, I take pleasure in her happiness. I certainly share her frustrations.

parking permit

My mother is fiercely independent, even in a state of disability. Less than a decade ago, she maintained her own home and worked outside the home. Family members assisted with yard work under her supervision.

Sandberg's canes

She cooked, cleaned, handled her finances and was one of the healthiest people in the family. She recovered from her first serious fall well and managed with a cane.

Mommasez things that are profoundly sad, at times.

large family

“I can die now. I know I will never be this happy again,” she told me the night of her eightieth birthday, six years ago.

That was the first time in twelve years all eight of her children were together, most with our children and her great-grandchildren attending.

Walker

She fell again and broke much more than one bone, as in her first tumble. Still, her independent streak fights her limits. She uses a walker for every step she takes, yet there are times, she attempts chores by leaning on other things, some that are not sturdy or steady. When I offer to take over a task that seems too much for her, she scolds me.

“Let me do what I can, while I still can. Soon enough, you will have to do it all for me and you’ll wish I could do it, even if me have to fweep it twice.”

sweeper

“Fweep it twice,” is a reference to my youngest sister who longed to do anything she could to feel more grown up. When she was four years old, she started sweeping the kitchen and someone took the broom from her and told her she was too small to do a good job, as she had left some crumbs. My sister reclaimed the broom with the statement, “Me fweep it twice!”

Time is precious

Youngsters and oldsters need to feel useful and important. It’s the responsibility of those of us in the middle to help them in their quests. We, who are more experienced or healthier, may indeed do the job faster or better – but we can always sweep it twice. We must remember the important things are not the tasks we do for our loved ones, but the time we spend with them.

kitchen

Momma says she wants to be more helpful in the kitchen and I don’t mind. It’s my job to set her up for success and to enjoy the time we have together. If I’m lucky, I might even hear few more things Mommasez.

Follow Us