Alpha Centauri 2

Community => Recreation Commons => Topic started by: Buster's Uncle on September 02, 2013, 03:34:49 AM

Title: Caregiving and family
Post by: Buster's Uncle on September 02, 2013, 03:34:49 AM
I mentioned being a caregiver to another member the other day - and it turns out he's involved with looking after his grandma.

I already posted what I said to E_T on hearing of his sister's terminal brain cancer, but even though it was about bereavement, that post is full of talk about caregiving and what it means and why it's important - even though there's nothing in there about my maternal grandparents except Gramma dying, and they are a big part of my personal caregiver narrative.

Quote
E_T, I'm thinking about my dad, who got two months notice of his terminal cancer. We thought we had longer, (to my brother's infinite regret, since he didn't make time soon enough) and there was a similarly suspicious circumstance that they should have caught it sooner. My father is dead, and I think they killed him with neglect/negligence - that's hard to live with, but you do because you have to.

 Hospice is a laudable organization - they were a great help.

 Love her while you have her, sir. My eyes are tearing up. Life is transitory - and painful - and wonderful and precious. It behooves us all to reach out and take the hands of our loved ones and LOVE them. Love them while we can, because it's all temporary. -I need to go down the hall and see some loved ones for a minute...

 Okay, back now. It was appreciated.

 I'm thinking about MY sister, who sustained brain injury when she was hit by a truck on her bicycle a few years ago - her life is in no danger and the damage is (relatively) minor; she's still able to work, though a shadow of the professor she used to be - but her emotions are all different and volatile, and some mental abilities that used to be easy are hard now, and she needs someone there for her, mostly just for reassurance. She's smart for a living, and something happening to her brain is an assault on her very identity. Fortunately, she has a brother with no life. I'm glad to feel needed, and my only downside is not being able to care for my 73 year-old mother in a different state. She's managing, but it makes me crazy that I can't be in both places at once.

 Zik is right about the cheering up. I say the most terrible things to my sister about her affliction; I call her seizures "faking". I give her pep-talks when she's dreading an onerous task that begin "Kelly, it's gonna suck". ("But you can tough it out, and then it'll be over.") The right take depends highly on the senses of humor involved, and my sister expects social retardation from me. I also take her ice water and analgesics a lot, and rub her feet, or her head, when she wants. I provide a sounding board for what's eating at her, and a warm shoulder. We talk about Star Trek constantly and watch old Flash Gordon and new Dr. Who together. We collaborate on artistic projects. That little shouldn't be worth the expense of feeding a giant hippy, but she thinks it is. [shrugs]

 Love her while you have her, is all.

 Daddy was going senile for years before he died. He was possibly the smartest man in the world, and his going stupid was one of the saddest things I've ever seen in my entire sad life. But there was some real compensation, as I was deeply involved in his care during those years, and they were the best years ever in my relationship with a very complex and difficult impossible man. He had good days and bad days, mentally. I spent a lot of time telling him who Momma was, providing dates of marriage, when the house was built, when my siblings and I were born - he liked hard data, and the fact that he still knew some of that stuff lent my account, which turned into a regular half-memorized spiel I told him several times a week as needed, credibility. For a while, he would feel oriented; he suffered from physical pain in his joints, but was not all that unhappy in his last years, because we made him feel safe and taken care of.

I wouldn't take a lifetime pass to Angelina Jolie in trade for that time with my father. That's a joke, but the kind of joke that's also 100% true.

 We planted Daddy two months -so yes, his bad news came at an especially tough time- after my last grandparent, which was two months after Uncle Chick. We went from too many lames to care for in too many houses, to zero lames in four months. On the way out, I shook the funeral director's hand and told him I hoped we didn't meet again for a long time. These things hurt, my God in Heaven do they hurt for a long time, but you do get better, because you have to. There is still joy to be had in our brief moment in the sun. I loved them while I had them, you see, and knowing that comforts me.

I bet a bunch of you have stories about taking care of loved ones and/or being taken care of.  Care to share?
Title: Re: Caregiving and family
Post by: JarlWolf on September 02, 2013, 07:26:58 AM
Too many to count, but too little I want to share unfortunately... at least for now. I will tell you that my first wife succumbed to cancer, and as for the details surrounding it and other portions of my life where I've been put in a similar situation, you will understandably know I don't want to talk about it.

Sorry if I seem like a brood, just letting you know my status/standing on a subject like this...
Title: Re: Caregiving and family
Post by: Green1 on September 02, 2013, 07:56:36 AM
I suppose I should speak up.

I was an agency Certified Nursing Assistant in the states of Mississippi and Louisiana from 2005 to 2012. Not home health or sitting, mind you, but facility staffing where I would go to various facilities across two states wherever they were short. Before agency became so slow as to not be viable and still live inside and pay rent due to the end of the medical shortage, I worked everything from Alzheimer units, suicide watches, rehabs, hospitals, and yes... the dreaded nursing home. I was also one of only a small handful of men in this field.

The nursing homes are what iIwould like to talk about. It is also the reason I REFUSE to do CNA work/caregiver work for a large for profit institution ever again,

Family taking care of family is actually a rarity nowadays. While we do have laws in the US like the FMLA,  it is almost viewed as something you just do not do. Instead, many people are thrown into nursing homes. Now, I worked at a few decent nursing homes on contract. But, the large majority were hell holes. Imagine you are going downhill. Maybe you can not remember things. maybe just getting up and going to the restroom is a broken hip waiting to happen. You have lived on your own all your life. So, they get an ambulance and take you to one of these "rehabs". Yes, they try not to call nursing homes that anymore. they call them rehabs. But, there is no rehabilitation.

You given a CNA who does not even have to have a high school diploma. She would rathered be any place but there. While you loved one is in pain or wallowing in 4 hours of urine and feces, she is on the phone with her boyfriend that just got out of jail. You ask where is the actual nurse? Well, she does nothing but pass out meds. Touching patients is actually beneath her as she went to school so she would not have to. Even if she wanted to, she has meds to get ready for 40 residents. Some of the residents literally have 10 pages of different meds and if she gets one wrong and the patient ends up messed up from it, the director will can her with no hesitation and may even call the Board if they want to be assholes.

If they find your loved one has ANY money, they try to take it all. After all that is depleted, they take all of social security and disability except for around 30 USD a month. The only exception is if you are aq veteran in a federal VA facility. At least the actual US government lets you keep all your checks. All the while, you have to share a room with one to up to 6 others. They do feed you, but in many places the food is literally cheap tasteless slop.

The "rehab" is only if you qualify for certain parts of medicaid. They will only see you for about an hour a week. Even then, there is no walking again or anything like that. They are just there to make suggestions so the resident just happens not to break a hip and have an irate family member calling state.

The absolute worst places are also places of violence. Those places do not separate the psych from regular residents, creating dangerous situtions. the very last facility I worked, one resident lit another on fire in the smoking area, killing him. Yeah. You can not make this stuff up, kids. I have also come into ants crawling in bed with residents, residents getting drunk and getting into fist fights, and sexual favors being bought between residents.

I could go on. But I think taking care of family needs to be more common . It is much more humane than packing them like sardines in these facilities that siphon money and oftentimes are inhumane. I also think maybe medicaid should give you an option to name and pay a companion so that companion does not have to sacrifice income. It would be cheaper than paying the nursing homes big bucks for questionable care. But the Nursing Home Associations have the big bucks and lobbyists.


Title: Re: Caregiving and family
Post by: gwillybj on September 02, 2013, 09:16:22 AM
Every man should take excellent care of his wife.

My fiance has many difficulties; dealing with depression/anxiety, schizophrenia, diabetes, and epilepsy. I have my my own psychological, mental, and physical maladies. The majority of days are pretty decent and we look and act as normal as most people, but there are other days when things are far from normal as she has hallucinations and/or seizures, and sometimes my afflictions act up. There are times we both have trouble, and I have to rely on what strength I have mentally to keep things going.

I'm not complaining whatsoever. I knew beforehand her situation, and she mine, and we gladly took on the task. We are very happy together. As soon as circumstances permit, there will be a wedding. It will be a grand occassion, as our families are excited at the prospect and will celebrate the day with no misgivings.

It's good for the soul to have someone who loves you, but uplifting to the spirit to have someone to love.

Be kind to one another and the world will be a good place to live.
Title: Re: Caregiving and family
Post by: Buster's Uncle on September 02, 2013, 01:27:00 PM
That's it exactly. ;b;
Title: Re: Caregiving and family
Post by: Green1 on September 02, 2013, 06:47:44 PM
Whatever you do guys taking care of folks, promise me this.

I mentioned earlier that if you are in the VA system, they let you keep your checks. Some veterans, particularly officers may receive not only social security and disability but a pension that is up to half thier salary when they were in the military. for officers, this can run into the thousands. But sometimes, it does not have to be money but a selfish need to keep someone regardless of pain.

I have seen cruel things like tube feedings in alzhiemers patients keeping them alive 6-7 years past normal when there is little there of that person than a husk. I have seen folks that have had 5 strokes and huge rotting holes in thier backside from not moving in bed kept alive in pain for years all because a family member di not want to say good bye. By all means, do listen to the doctor if there is hope of getting better. But do not torture or unnaturally extend the life of someone in suffering just for money or selfishness.

That kind of stuff really chaps my butt in the caregiver field.
Title: Re: Caregiving and family
Post by: Buster's Uncle on September 02, 2013, 06:51:39 PM
I have actually promised my mother that I will take care of her if she goes stupid.  You know what I mean.  We have talked it over at length, and she will not be made to suffer, is all.
Title: Re: Caregiving and family
Post by: Geo on September 03, 2013, 05:48:30 PM
It's relatively easy here to 'prematurely' end your life: apply for euthanasie.
At least, it's pretty easy for people with a certain age, disabilities, or illness.
Title: Re: Caregiving and family
Post by: Rusty Edge on September 06, 2013, 03:15:39 AM
My Dad was one of ten kids. When he went into the hospital... well you know the nature of cancer... he was in and out and even when he was out he had to go an hour and a half each way for radiation or chemo treatments and seeing the specialists and surgeons. I had a relay of aunts come to stay with me and my brother and sister while my Mom was with my Dad. As the oldest I was along often enough, or perhaps too often , on the trips to the hospitals.

Only recently have I begun to think of a hospital as a place of healing, rather than  a place haunted with horrible memories.

Anyway... My Dad died, my Mom eventually married one of my Dad's younger brothers, had a daughter. Then over the years more of the siblings got cancer. The first aunt survived. The second didn't. The third survived. An Uncle didn't. After the first uncle began his ordeal, My stepfather/uncle got a record breaking  skull tumor, or so the surgeon said, and he was good enough at the time to be Reagan's backup brain surgeon....

Let take a break and get back to you another time. It's enough for now.
Title: Re: Caregiving and family
Post by: Dio on September 06, 2013, 03:49:12 AM
It's relatively easy here to 'prematurely' end your life: apply for euthanasie.
At least, it's pretty easy for people with a certain age, disabilities, or illness.

As far as I know, where I live, it is illegal for a doctor or anybody to perform assisted death with any patient that is not on life support. Even then, it can be difficult to pull the plug on a patient due to the fact that individual members of a family sometimes have different opinions on what to do if the patient does not leave any legally binding statements regarding treatment should they become permanently incapacitated.
Title: Re: Caregiving and family
Post by: Buster's Uncle on September 06, 2013, 04:58:36 AM
When Uncle Chick was in a coma dying in ICU, my cousin Penny, his great niece, who had the power of attorney for that was crying and crying, not wanting to unplug him.  I said "I hope someone loves me enough to pull the plug someday when I'm not there anymore and never going to get better."  She did the right thing.

Chick went deaf as a child from rubella, and never married.  He lost a half his right pointer finger long before I was born - industrial accident, IIRC.  The kids couldn't talk with him - he was of the generation of the deaf that was taught to read lips and speak aloud, but I could never understand him much.  But he would cock that half-finger at you like a snub-nosed revolver, and all the kids LOVED him.  He died two months before Gramma, his sister, next to last of his generation to go - but I saw the faces of the 30 or so people hanging around the ICU the day he went in, much of his entire family; he didn't die alone and he didn't die unloved.

I'm crying again.
Title: Re: Caregiving and family
Post by: Dio on September 26, 2013, 03:07:12 AM
Tengo dos hermanos y dos hermanas. ¿Cuántos hermanos o hermanas tiene usted?
Title: Re: Caregiving and family
Post by: Dio on September 26, 2013, 03:15:15 AM
Tengo dos hermanos y dos hermanas. ¿Cuántos hermanos o hermanas tiene usted?
¿Por qué nadie respondió a mi mensaje?
Title: Re: Caregiving and family
Post by: Buster's Uncle on September 26, 2013, 03:15:26 AM
Uno de cada uno.


-Porque está en español? Tenemos un foro para que los ...
Title: Re: Caregiving and family
Post by: Dio on September 26, 2013, 03:27:29 AM
Uno de cada uno.


-Porque está en español? Tenemos un foro para que los ...
¡Veo!
Title: Re: Caregiving and family
Post by: Buster's Uncle on September 26, 2013, 03:33:54 AM
Usted puede tratar de practicar su español en el foro español y ver que usted puede conseguir algunos hablantes nativos como t_ras hablar contigo.
Title: Re: Caregiving and family
Post by: Dio on October 06, 2013, 05:23:33 AM
Deleted
Title: Re: Caregiving and family
Post by: JarlWolf on October 06, 2013, 05:56:06 AM
Touching concern Dio. Though I don't drink copious amounts, im a social drinker primarily. I actually don't drink booze unless there is a special occasion, with the exception of my mornings: I always have a shot of hard liquor to wake myself up.

My liver isn't the thing that'll do me in, it'll be my kidneys/poison, or I'll die violently. I'm not looking to die, but I wouldn't be all too flustered if I did. I lived a fair number of years now and with that, a fair amount of pain and guilt on my shoulders.

Don't worry about old Jarl though. I wouldn't be surprised if I go cyborg and outlast everyone. And I've made a decree to myself that once I get to the point where I can't wipe my own bottom by myself or some similar disability, I am putting myself out of my own misery while I would still be able. There is no honour from going to a military man to a slowly retarding cripple, and I'd rather have some dignity and shoot myself before then.

Of course, that won't be for some time, hopefully.
Overall, don't worry. I'll die from my own stubbornness before anything else.

Edit: And if you knew a bit more of my past Dio, you'd be shocked at how I survived at this point at all. I was a very stupid and brash individual at times, and at other times I've been in some pretty harsh, unforgiving situations. But I don't have pain from that, least not the pain that matters. It's not what happens to you necessarily that hurts you the most in life, sometimes its things that happen to those closest to you. And that's a subject I give a wide berth and don't discuss due to the pain the subject matter brings up.
Title: Re: Caregiving and family
Post by: ariete on October 06, 2013, 02:01:22 PM
in cold places drink is the cheaper way to warm.
even to warm hearts frozen by facts or disgraces.

everyone have own history and this is determined by the place where we've grew up, the people we've met and the external events that have happened. and as jarl reports ''it's not what happens to you necessarily that hurts you the most in life, sometimes its things that happen to those closest to you''. my life is a trouble but nothing when i lost my mom when i was 17 years old, i don't think i'm fully recovered yet, even though 15 years have passed.

for jarl :
all people with awareness living with a certain amount of pain and guilt on own shoulders, depending on his history (determinated by the place the peoples and the experiences), not everyone, like you, have seen the war, so maybe you've more bad stories in mind (and i don't understand but i hope you've not serious physical consequences).

for everyone:
past and lived shape our own conscience now, and even if we wouldn't have lived our past it's been crucial to what we now are, thinkin and how we relate with others. i'd not want give advice to peolples who is more than 20 years old than me, but i just can say as can be difficult any times found always a reason to smile and love, let's take always your best, you never allow past to take the present too.
Title: Re: Caregiving and family
Post by: Buster's Uncle on April 20, 2016, 07:02:08 PM
Quote
The 7 Deadly Emotions of Caregiving
How to cope with the difficult feelings that come with caring for another
Caring.com
By Paula Spencer Scott  March 29, 2016


(http://www.nextavenue.org/wp-content/uploads/2016/03/The-7-Deadly-Emotions-of-Caregiving-143176352-300x194.jpg)
Credit: Getty Images



Nobody would ever choose a smiley face as the perfect symbolic emoticon for a caregiver. Caregiving for an ailing loved one is just too stressful — often triggering damaging emotions that can not only undermine your good work but harm your health, as well. Here are ways to cope with the stress of caregiving:


Caregiver Emotion Trap No. 1: Guilt

Guilt is virtually unavoidable as you try to “do it all.”

What causes guilt: Guilt stems from doing or saying what you believe is the wrong thing, not doing what you perceive to be enough, or otherwise not behaving in the “right” way, whether or not your perceptions are accurate. Caregivers often burden themselves with a long list of self-imposed “oughts,” “shoulds” and “musts.” A few examples: I must avoid putting Mom in a nursing home. I ought to visit every day. I shouldn’t lose my temper with someone who has dementia.

Risks of guilt: Caregiver guilt is an especially corrosive emotion because you’re beating yourself up over faults that are imagined, unavoidable — or simply human. That’s counterproductive at a time when you need to be your own best advocate.

What you can do: Lower your standards from ideal to real; aim for a B+ in the many aspects of your life rather than an across-the-board A+. When guilt nags, ask yourself what’s triggering it: A rigid “ought”? An unrealistic belief about your abilities? Above all, recognize that guilt is virtually unavoidable. Because your intentions are good, but your time, resources and skills are limited, you’re just plain going to feel guilty sometimes — so try to get comfortable with that gap between perfection and reality instead of beating yourself up over it.


Caregiver Emotion Trap No. 2: Resentment

This emotion is still so taboo that many caregivers are loathe to admit it.

Pasting on a happy face belies the truth and can be frustrating to the person who knows he or she is ill or dying.

What causes resentment: Caregivers often feel put-upon and upset because of imagined slights by others, including siblings and adult children who don’t do enough to help. Caregiver resentment is especially felt toward the person being cared for, when the caregiver’s life feels hijacked by responsibility and out of his or her own control.

Risks of resentment: Without enough support or non-caregiving outlets, feelings of being ignored, abandoned, or criticized can fester into anger and depression.

What you can do: Simply naming this tricky emotion to a trusted confidante can bring some release. Try venting to a journal or anonymous blog. Know that resentment is a very natural and common response to long-term caregiving, especially if your work life, marriage, health or outside activities are compromised as a result. Know, too, that you can feel this complicated emotion yet still be a good person and a good caregiver.


Caregiver Emotion Trap No. 3: Anger

Some people outwardly show their anger more than others, but almost no one is never angry.

What causes anger: We get mad for reasons both direct (a balky loved one, an unfair criticism, one too many mishaps in a day) and indirect (lack of sleep, frustration over lack of control, pent-up disappointment).

Risks of anger: Chronic anger and hostility have been linked to high blood pressure, heart attack and heart disease, digestive-tract disorders and headaches. Anger that builds up unexpressed can lead to depression or anxiety, while anger that explodes outward can jeopardize relationships and even harm others. Managing caregiver anger not only helps your well-being but makes you less likely to take out your fury on your loved one.

What you can do: Rather than trying to avoid anger, learn to express it in healthy ways. Simple deep-breathing exercises can channel mounting anger into a calmer state, for example. Talk yourself down with soothing chants: It’s OK. Let it go. Ask yourself if there’s a constructive solution to situations that make you angry: Is a compromise possible? Would being more assertive (which is different from anger) help you feel a sense of control? Laughing at absurdities and idiotic behavior can provide a healthier biological release than snapping.


Caregiver Emotion Trap No. 4: Worry

A little goes a long way, but sometimes we can’t turn off the fretting.

What causes worry: Good intentions, love and wanting the best for your loved ones are the wellsprings of worry. Focusing intensely on the what-ifs provides a perverse kind of comfort to the brain: If we’re worrying, we’re engaged. Of course, that ultimately triggers more worry and upset because it’s engagement without accomplishing anything.

Risks of worry: Being concerned is harmless. Overworry and obsessing, however, can disrupt sleep, cause headaches and stomach aches, and lead to mindless eating or undereating.

What you can do: If you notice worrying thoughts interfering with getting through the day or sleeping at night, force a break to the cycle. Try setting a timer and resolving to focus on something else when the five minutes is up. Then flip negative thoughts to their productive side: How can you help? Whom can you call? Are there possible solutions? And don’t be shy about seeking out a trained counselor to help you express and redirect obsessive ruminations more constructively.


Caregiver Emotion Trap No. 5: Loneliness

Your world can shrink almost before you realize what’s happened.

What causes loneliness: Friends may back away out of uncertainty or a belief they aren’t wanted. Intense time demands lead you to drop out of outside activities. If you’re dealing with dementia, the loss of your loved one’s former level of companionship is another keenly felt social loss adding to isolation.

Risks of loneliness: Your very brain is altered: People with large, rich social networks have different brain structures, new research finds. Loneliness seems to curb willpower and the ability to persevere, and it can lead to overeating, smoking and overuse of alcohol. Lonely people also have more cortisol, the stress hormone. And social isolation is a risk factor for dementia.

What you can do: Expand your social circles, real and virtual. Arrange respite help, so you can add at least one outside activity, such as one you’ve dropped. Take the initiative to reach out to old friends and invite them over if you can’t get out easily. Consider joining a support group related to caregiving or your loved one’s illness. In online support groups, you can find kinship with those who know just what you’re going through.


Caregiver Emotion Trap No. 6: Grief

Don’t think this one applies yet? Think again.

What causes grief: Although most people link grief with death, anticipatory grief is a similar emotion felt by caregivers who are coping with a loved one’s long-term chronic illness, especially when there are clear losses of ability (as in dementia) or when the diagnosis is almost certainly terminal.

Risks of grief: “Long goodbyes” can trigger guilt as well as sadness if one mistakenly believes that it’s inappropriate to grieve someone still alive. Mourning the loss of a beloved companion is also a risk factor for depression.

What you can do: Know that your feelings are normal and as painful as “real” (postmortem) grief. Allow yourself to feel sadness and express it to your loved one as well as to supportive others; pasting on a happy face belies the truth and can be frustrating to the person who knows he or she is ill or dying. Make time for yourself so that you’re living a life outside of caregiving that will support you both now and later.


Caregiver Emotion Trap No. 7: Defensiveness

Protecting yourself is good — to a point.

What causes defensiveness: When you’re doing so much, it’s only natural to bristle at suggestions that there might be different or better approaches. Especially if you’re feeling stressed, insecure, or unsure, hearing comments or criticisms by others, or reading information that’s contrary to your views, can inspire a knee-jerk response of self-protection: “I’m right; that’s wrong!”

Risks of defensiveness: While nobody knows your loved one and your situation as well as you do, being overly defensive can make you closed-minded. You risk losing out on real help. You may be so close to the situation that you can’t see the forest for the trees, for example; a social worker or friend may have a perspective that points to what really might be a better way.

What you can do: Try not to take everything you hear personally. Instead of immediately getting cross or discarding others’ input, vow to pause long enough to consider it. Remember the big picture. Is there merit in a new idea, or not? What you’re hearing as a criticism of you might be a well-intentioned attempt to help your loved one. You may decide things are fine as is, and that’s great. But if you start from a point of calm and confidence, the focus becomes (as it should be) your loved one, not you.


Copyright Caring.com, 2013.
Templates: 1: Printpage (default).
Sub templates: 4: init, print_above, main, print_below.
Language files: 4: index+Modifications.english (default), TopicRating/.english (default), PortaMx/PortaMx.english (default), OharaYTEmbed.english (default).
Style sheets: 0: .
Files included: 31 - 840KB. (show)
Queries used: 15.

[Show Queries]