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Archive for the ‘community care’ Category

April 8th and 9th, I’m speaking at the Owensboro Community and Technical College in Owensboro Kentucky, and at every caregiving workshop and talk I give, I meet young men and women who are caring for an elderly grandparent. Many of them have moved in with their grandmother or grandfather and while they’re going to college or working a job, they come home each evening to spend time with the “older generation.” They do home chores, coordinate doctor visits–and what’s amazing is–no one is making them do this. They’re caregiving their grandparents because they want to.

Here’s Why Grandchildren Care for Their Grandparents: (In their own words)

“My parents divorced when I was young and my grandmother was the one person who was really there when I was a child.”

“I’ve always felt close to my grandparents–why wouldn’t I pitch in?”

“Living with my grandmother is a lot easier than living with my mother. Our living arrangement has worked out well. She needs a little help and I need a place to stay. Besides, she’s a lot of fun.”

“Our family is small. I don’t want to miss the time we have left. My grandparents give me a sense of family legacy I wouldn’t have without them.”

“If  my Mom and I didn’t help out with our granddad, he’d have to go to a care home–he’s not very social and I don’t think he’d be happy there. We take him to the store and to the library. Mom and I take turns driving him to doctor appointments–and what’s nice is that my children get to know their granddad.

Caring for a grandparent carries a unique reward. Many of us are close to our grandparents because they doted on us as children. Grandparents are oftentimes their grandchildren’s babysitters or their grandparent even had custody of them. So in many cases, the grandchild has spent more time with their grandparent than with their parent.

It also speaks to the power of family. Many young adults want to keep those connections alive. They don’t feel they have a lot of family history–especially if they’ve experienced divorce, death, or an illness in the family–it’s even more important.

What are the challenges a grandchild faces while caregiving a grandparent?

  • Dealing with elder-care illness and doctor appointments.
  • Feeling “old” or weighed down at a young age.
  • Juggling their own school, work, or children’s schedules along with their caregiving responsibilities.
  • Conflicts with siblings or other family members who won’t help out.
  • Shouldering some of the finanical costs that come with elder-care.

Amy, a friend of mine is 32. She lived with her grandparents for 5 years–during and after college. “I wouldn’t trade that time for anything in the world. Sure, it was hard, but I loved them so much. My Gramps died the second year–and my Grams died last year–I had to place her in a home because her dementia got so bad I couldn’t care for her and continue to work–and I had to work. Still, I know I did the best I could for both of them,” Amy says.

“As a young caregiver, there may be plenty of challenges, so be sure to ask for lots of help–but as I said–I’d do it all over again,” Amy continued.

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If you haven’t seen Pixar’s UP, get in the car and head to the movies. I’m not kidding. That’s an order:) And if you are a part of or direct a care home, an adult day care or a senior community center, load them all in the van and take them to see UP. You won’t regret it.

If you’ve been reading my blog, you know I don’t use it as a way to endorse or promote anything I don’t passionately believe in–so I hope you’ll trust me on this.

And it’s absolutely perfect for Fathers Day! 
If you’re a caregiver, what a perfect outing and take your loved one. Sandwich Generation? Take everybody to the movies!

Oh, and take a box of tissues–and be ready to laugh, cry, smile, and leave feeling completely rejuvenated.

Yes, it’s a cartoon, but I’m not sure Pixar’s great films (Monster’s Inc. Toy Story, Finding Nemo, Wall E) can be placed in the category with Sponge Bob (sorry, Bob).

What’s UP about? I’m not telling. I will let you know what you could pick up from the commercials–it’s about a seemingly grumpy old man who has longed for adventure all his life–and about a young boy who so needs a friend. It’s much much more than that and old and young alike will identify with both these characters, their wants, needs and fears. It’s about dreams and adventures and how we find–and lose–and find our way through life.

Oh, and if you’re a dog lover, Doug the dog is adorable! He’s my dog, Rupert on the big screen–lovable, daffy, and most of all, loyal.

It’s about time that our elders were given their on-screen debut and delivered as the complex, meaty, powerful protagonists they are. Yes, it’s super-hero status in the best sense of the word–not because he can fly or walk through walls–but because he still has something amazing to offer the world–his time, love, and experience. It’s about time that the media portrays our elders with the respect they so deserve.

No, Pixar’s not paying (but feel free). I don’t know anyone who hasn’t been deeply touched. Take your dads. Take your moms. Take your aunts, uncles, kids, grandkids, and neighbors. UP will warm your heart, unhinge your tear ducts, and boost your heart.

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New Year’s is a time of hope. Wipe the slate clean. Begin again.

I was on a walk the other day, thinking about resolutions. Thinking about the word, resolve.

To re-solve. To solve something again–that it was once solved. So a resolution is a re-solution.

That means that once upon a time it wasn’t a problem.

That’s true.

We weren’t always overweight. We didn’t always drink too much, smoke, spend to much, or see our loved one’s too little. 

So, a resolution is just getting back to that former state.

Think back, when was it that you weren’t overweight?

Perhaps your teens? Before kids? For some of us, we have to think back even younger.

But there was probably a time. You didn’t think about food all the time. You rode your bike. Played little league.

Your body remembers this. In sports, they call this muscle memory. If your body (or mind) has ever done it once, it remembers–and can do it again.

This works for more than just weight.

So I thought about it–I used to spend copious hours on my bike as a kid. I can bike now. I used  to sing for the heck of it. I can sing in my car. I used to draw. I think I’ll go outside and draw that live oak tree in my back yard.

Sometimes we make things so big and so hard. Simple pleasures are deeply satisfying.

We buy too much, eat too much, smoke and gossip because we’re trying to fill a hole.

 We have to (at least I know I have to, I have no right to speak for anyone else) learn how to be with ourselves–and be content. 

To be content is to have content. (Sorry, I’m a word-nerd)

To have content is to have substance–something meaningful that fills up space.
I love the word contentment. To be deep in joy–to belong–to not want to be anywhere else or with anyone else.

 

According to GoalGuy.com, here are the top ten resolutions: (every site I researched had a similar list, so it’s pretty much a given)

 

Top Ten New Year Resolutions

 

                1. Lose Weight and Get in Better Physical Shape

2. Stick to a Budget

3. Debt Reduction

4. Enjoy More Quality Time with Family & Friends

5. Find My Soul Mate

6. Quit Smoking

7. Find a Better Job

8. Learn Something New

9. Volunteer and Help Others

10. Get Organized

This list tells me we’re all pretty much alike. There’s things we need to stop doing–other things we need to start. Push and Pull.

 

So, just for fun, I propose a Top Ten Caregiver’s Resolution List:

1. Sleep. Sleep more. Sleep any where, any time, any how. Dream of uninterrupted sleep.

2. Not totally blow my top at any one–a nurse, my loved one, the pharmacist…this could be tough (especially when you’re dealing with Alzheimer’s)  

3. Not eat my way into oblivion–food is not my best friend (repeat 10 times a day)

4. Remember where I’m driving–zoning out is dangerous–I may need a loud buzzer horn or taser. Stess causes zoning out, I’m sure.

5. Walk every day. Even if it’s just to the mailbox. Walking is good. Sun is good. I need this.

6. Get out and meet people. Normal people not in the health care/elder care profession. There’s a great big world out there and I need to see it once in a while.

7. To actually want sex and intimacy and do something about it. Sex drive? Is that like, four wheel drive? Yes, i remember….vaguely.

8. To get dressed in something other than a jogging suit–something NOT with an elastic waistband. This relates to not eating a whole frozen pizza and walking to the mailbox, doesn’t it?

9. Do something for me, just me. People do that? Lunch with a friend, getting my nails done, putzing through an antique shop–caring for me is actually part of caregiving…who knew?

10. Ask for help. Pray, cry, meditate, journal, scream, go to a support group, go to church, ask for respite care, pay for care for an afternoon off, try adult day care for my loved one. Ask, ask, ask–caregiving is not a lone sport. It takes a village.

Bonus–

11. Not be afraid–of caregiving, cancer, Alzheimer’s, ALS, or death.

Fear is a big woolly monster trying to gobble up your precious days. Turn around and face  it–yell big and loud–”I’m not afriad. I can do this.”

12. Attitude of gratitude. Each night before I go to sleep, I ask myself, “what was the  best part of  the day? Usually, it’s a dragonfly who stopped right in front of me–or a neighbor who gives me a big smile when she sees me. It’s the small moments that stick. Being grateful in a time in your life when so much is beyond your control is a way of turning the tables in your favor. The more you’re grateful, the more you have to be grateful for–it’s like a fan that keeps expanding.

Just like the other list–things to stop doing, other things to start. Push. Pull.

New Years is a magical time. Resolutions represent hope. Hope for change. You already know how to do this. After all, it’s just a re-solution.

 

~Carol O’Dell

Author, Mothering Mother–available on Amazon

 

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You want to know what time of year is the busiest for neurologist’s who specialize in Alzheimer’s, dementia, Lewy Body, and other memory disorder conditions?

January.

Why?

Because families tend to gather during the holidays.

Maybe it’s been a few months (or even since last Christmas) since you’ve seen mom or dad.

Or, maybe your spouse says something odd at the family get together.

Maybe he asks if Aunt Tilly is coming even though she’s been dead since 1992.

That’s how it happens: We notice the difference in our loved ones if we haven’t seen them in a while–when their normal routine is disrupted and it triggers a different response.

You fly back home, but now, you’re concerned.

Last Christmas you just attributed it to aging. Everyone forgets now and then, right?

But Alzheimer’s and other neurological/memory loss issues go beyond losing your car keys.

Visit the Alzheimer’s Association site (click here) for the ten most common warning signs of Alzheimer’s.

What’s the next step?

If you live far away from your parents, you may want to start visiting more often–or you may want to check into geriatric care managing companies who can help keep an eye on your loved one’s situation.

Does Mom (or Dad) have Alzheimer’s? What do I do?

  • First, check out the ten warning signs
  • Start calling and visiting more often–no one wants someone to butt into their life if there’s not a real relationship to back the sudden concern
  • Talk to your other parent (if they’re still alive) ask them what they think
  • Talk more than once–they may be resistant at first–ask their opinion and reassure them you’re going to be involved and will help find solutions
  • Get your parent (or other loved one) into see a neurologist that specializes in Alzheimer’s/geriatric patients
  • Get an official diagnosis
  • Create a folder/organizational system to keep all the paperwork associated with the care of your loved one–you’ll need it
  • Consider medications
  • Begin short term and long term plans
  • Much of life can continue on as it is now–make any necessary changes gradually. It’s important that your mom or dad doesn’t feel like this is a death sentence. You can still have a rich and meaningful life–encourage your parents/spouse to continue on with church, activities, vacations, and every day activities for as long as they can.
  • What insurance do they have? Do they have long term care coverage?
  • Contact your local/regional/state department of elder affiairs or council on aging–these are government organizations that have a bounty of information
  • Go online and begin to help research community care resources such as adult day care centers, respite care, caregiver’s support groups. There are great websites such as Caring.com and Health Central to help educate and support both the person facing the disease and the caregivers and other family members.
  • Encourage your loved one or spouse to attend an Alzheimer’s (or other memory disorder they may have) workshop/talk at their local hospital, or other care facility
  • Look online for your local chapter of Alzheimer’s Association, Parkinson’s Foundation, etc. They’ll have a list of resources in your area.
  • Consider home health care–many private company’s such as Comfort Keeper’s offer at home care and assistance on a daily or weekly rate
  • Talk to other family members, especially siblings and brainstorm about ways to help–calling, home care, repairs, time off for the other spouse
  • Talk to everyone about a long term plan. If your mom/dad/spouse ever needs to go into a memory disorder care home in the future, what are your options?

This is just a basic list, but it’ll get you started.

I had ignored the warning signs that my mom had Alzheimer’s/dementia for a couple of years.

She wanted to continue living independently, and I wanted her to as well–for her sake, and so I could go on my life.

I was in my late thirties, I had three teens to raise, a husband, a career–I really didn’t want to face the fact that my mother had Alzheimer’s.

I didn’t do any of this deliberately. I didn’t even know I was doing it. That’s why they call it denial.

By the time I figured it out, (my mother hid it, made excuses) she was almost past the point of medication helping. Don’t wait that long.

Emotionally, you and your family have some issues to deal with as well.

I’ll address that in another post, but know that it’s normal to feel kicked in the gut, angry, shocked, scared about the future–and concerned that if your parent has it, you could get Alzheimer’s as well.

You’re not alone. Sadly, millions face the diagnosis of Alzheimer’s every day.

The good news is, there is help.

There are more resources, medications, and support out there now than there ever was.

You’ll figure out how to do this–how to handle the changes. Life can still be good–for everyone.

Carol D. O’Dell

Author of Mothering Mother, available in hardback or on Kindle

www.caroldodell.com

Family advisor at Caring.com

 

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Halloween is just for kids? Who says?

Our elders really get a kick out of Halloween. They love to see the kids dress up and enjoy handing out candy, or at least watching the parade of adorable angels, fairies, pirates, and ghosts walk by.

Easy Ways to Enjoy the Fall and Halloween Season:

  • Pick up a pumpkin at the grocery store. Even if you don’t cut it, it’s still pretty sitting on the front porch.
  • Decorate your house with a few spooky bats. Use some black construction paper or even use some purple, red, or green wrapping paper–who says bats have to be black?
  • Hang a ghost from a tree–all you need is a sheet and two black eyes and some string.
  • Buy a witch’s hat at a discount store and walk around with a broom and cackle. Your mom or dad will perk up, I promise, if you greet them with their afternoon meds as a witch!
  • Splurge on a little Halloween candy. Get something your mom or dad can eat. A couple of marshmallow pumpkins won’t hurt anything. We all have a sweet tooth–at any age. My mom had a thing for Little Debbie snacks–and I couldn’t help but let her enjoy herself with a couple of swiss cake rolls every once in a while.
  • Plan ahead, bundle up your senior, and either sit outside or near the front door and pass out candy.
  • Light some candles or even string a few Christmas lights around your door–you can leave them up for the next two months and they give off a nice glow.
  • Make it a point to meet a few of your neighbors. If you don’t know your neighbors, you need to–and what better way to strike up a conversation than over a cup of hot cider or commenting on how cute their kids are.
  • Do you know that young couples miss their grandparents and would love a surrogate grandpa or grandmother for their kids to look up to?
  • Let your mom or dad be the candy passer-outer. That will allow them to see the children’s costumes and they’ll enjoy the festivities.
  • Consider renting a oldie–but goodie. How about the Bride of Frankenstein–or the old Dracula? If you mom or dad don’t seem to be up for being frightened, then try a little Planet Earth–the one about all the bats in the caves of Mexico scared me more than any scary movie ever could! For a G-rated film, try Charlie Brown’s Halloween Special.
  • Make a pot of veggie soup–or chili. Mix up some cornbread and enjoy the fall chill in the air.
  • If you’re near your grandkids, then consider going to their house and enjoying the fun. This is how you make family memories–and it’s worth the trouble.

I read this great short story once about a daughter who took her mom, who had Alzheimer’s, to a Halloween party. Her mom loved it–and totally got into the masks and charades and felt free–not to have to be one person or another–to be concerned with knowing someone, recognizing someone. For Halloween night, she could be anybody she wanted.

I have a favorite Halloween memory of my mom and me. It’s a bit unusual since I grew up in a strict religious household–my mom was a minister–so you don’t exactly think they’d buy into the whole Halloween thing, but she did. I’m glad she didn’t take it too serious because to this day, and I still love to dress up.

I hope you enjoy this excerpt from my forthcoming memoir, SAID CHILD, which is the prequel to Mothering Mother. (SAID CHILD is about being adopted at age four, and my search for my birth family–and how I learned to love both my adoptive and birth family). 

 

               Daddy had been in the hospital for back surgery on Halloween when I was about eight or nine years old. It was an especially cold Georgia Halloween night and I fidgeted beside his hospital bed, tired of coloring and wanting to go home and get on my fairy costume and go trick-or-treating. By the time Mama and I kissed Daddy goodbye and we made it out of the hospital and hit the cold night air of the parking lot, I realized it was long since dark. The cold bit into my chest.

“Don’t worry, I have an idea,” she said as she walked a little faster.

We hurried home and I moped around, standing on the heater grate, curling my sock feet over the metal edges for warmth. Mama burst out of her bedroom,

“Count to one hundred, and then come knock on my bedroom door.”

What was she up to? I did as I was told.

“Ninety-eight, ninety-nine, one hundred.” Knock, knock.

Mama cracked open the bedroom door. She peeked out with a sheet over her head,

“Ohhh!” She moaned like a ghost. I squealed and giggled.

“I am a Halloween ghost!” she said in a low voice spooky voice. “Would you like some candy, little girl?”

I ran and got my orange plastic pumpkin bucket and thrust it toward the door. Mama dumped in a handful of Bit-O-Honey candies. She leaned down and whispered for me to count to one hundred again with my eyes closed, and then go to the bathroom door and knock. She motioned for me to turn away as she ran to the next room.

Mama opened the bathroom door wearing Daddy’s trench coat and hat and a mustache she must have drawn on with her eyebrow pencil. I laughed until I fell down and then held out my plastic pumpkin as she emptied Bazooka bubble gum into it.

We ran from room to room and each time Mama appeared as a new character—a maid with apron and spoon in the kitchen, a lady in a evening gown and fancy hat in the closet, a little girl with curlers in her hair and a teddy bear when she emerged from my room.

 

Mama wasn’t so boring after all. As regular as a clock, she kept my childhood in order. She made sure I scrubbed under my fingernails and practiced my times tables. But she was also a mother capable of a surprise or two–especially on Halloween. 

***

Have a Happy, Safe, and Fun Halloween!

~Carol O’Dell

Author of Mothering Mother

Family Advisor at Caring.com  

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Most people, in fact 85% don’t want to go into a nursing home–that’s what they used to call them.

Many of our seniors cringe at the word and imagine long, dark halls, people screaming, sitting in soiled diapers, horrible food, and being abused. Thank goodness, this is not the norm–and there’s more vigilance to report elder abuse and substandard care today.

According to surveys done by AARP, most of us would prefer to Age in Place–meaning, stay in our homes  and augment care as needed–a mix of family caregiving, professional caregiving services, adult day cares, and other elder-care community based resources.

I highly recommend staying at home, including various elements of family caregiving, paid care, and community care–but I do know that there are times and circumstances when this just isn’t enough.

What Are the Different Kinds of Care Facilities–and Which One Is Right For my Loved One?

Contining Care or Graduated Care is when you buy into a community in which you can choose your living condition (small home or condo at first), and then “trade” it in when/if your care needs increase. Within one “complex” you might see homes or duplexes, condos or apartments, a building (care facility) that houses many units of care, and all these may be near a hospital or hospice facility. These are usually a large development and can offer meals, hired care workers, transportation, activities, and other amenities.

Assisted Living is similar and can be a part of graduated care. Assisted living can be houses/duplex, condos/care facility where the person has their own apartment but has access to additional help. There may be a place for meals, a van for transportation, and non-skilled care workers can be hired to do various needs and levels of care. Some assited living and care facilities are individually owned while others are a part of a larger corporation.

Care Facility or Skilled Nursing Care is considered a full-care facility and is what people think of when they say, “nursing home.” They can be a part of other facilities, such as the continuing care, or assisted living home, but they have the added component of a skilled nursing staff (RN’s–registered nurses) as well as non-skilled care, usually called CNA’s (Clinical Nurse’s Assistant). Care facilities are for people who have medical needs, have severe mobility issues (can’t walk, falls), and need supervision as well as medical care. They often have a staff of doctors and other care workers who will come to visit them, prescribe medications, and offer in-house treatments such as physical therapy.

Memory Disorder Facility or Center can be a part of an assisted living or care facility and focuses on the needs and care of people with neurological disorders such as brain injuries, advanced Parkinson’s or Lewy Body, Alzheimer’s and dementia.This facility has the feature of secured doors and exits so that people who tend to wander can’t leave. They specialize in dealing with the behavoiral, psychological and physical issues that come with neurological disorders. Since this is an area that overlaps, many of their clients need medical care/skilled nursing care/visiting doctors, etc.

Rehabilitation Facility is usually a short term facility that focuses on people recovering from surgeries, accidents, and for those who need various care treatments such as physical or occupational rehabilitation therapies. They are a “half way” facility people go to when they’re not quite ready to go home, or need more care than a graduated or assisted living facility offers. Most rehabilitation facilities are corporate owned and work closely with hospitals and doctors. 

How Do I Assess If My Loved One Should Go Into a Care Facility?

  1. They choose a graduated/continual care or assisted living on their own.
  2. They have no family nearby and no one can or will coordinate their care (don’t forget how helpful geriatric care managers can be in figuring out various stage of care and evaluating care facilities)
  3. They need full-time care, perhaps with needs of skilled nursing care as well–and this has become too much to manage for a loved one to deal with.
  4. Their dementia/Alzheimer’s has increased to a level to where they’re not manageable at home–violent, escapes, can’t be managed by one care helper–needs more supervision, medication, and physical control than the family/and caregivers can provide.
  5. Are at the late stages of various diseases/aren’t mobile/and the family can’t manage their care–perhaps hospice is involved and there are end of life and palliative care needs (pain management).
  6. You, the family caregiver simply can’t do it anymore–your own health or finances are falling apart and you’ve done all you can.

There are valid reasons for your loved one to enter a care facility.

You have not failed as a caregiver–nor are you “done” when your loved one enters a care center/facility.

Your loved one needs you more than ever to oversee their care and make sure they are safe, respected, and receiving all the care they need and deserve.

Also know that the first care facility may not be your last one–it may not be a good fit, you may have to change and try a different one. Also, as time goes on and their care increases, you may have to move them again.

Don’t forget that hospice and palliative care is still needed (and must be asked for) to supplement their care at the end of life.

You may also consider letting them come “home” to die.

You  have many options.

Helpful Links:

Great article:

newoldage.blogs.nytimes.com/2008/07/14/faced-with-caregiving-even-experts-struggle/  

~Carol O’Dell, Author of Mothering Mother–an Amazon Bestseller in Alzeimer’s and Aging Parents.

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Today, I switch roles from the caregiver blogging perspective to that of the care receiver–

specifically, the aging parent.

If you’re a caregiver/son, daughter, please read this post.

You need to put yourself in their shoes.

But I don’t want to live with my adult children!

I don’t blame you. Me neither.

(And I wrote the book, Mothering Mother–and my mom lived with me the last (almost) three years of her life!) But that’s my point–my mother lived on her own–with Parkinson’s and early dementia until she was 89 years old!

We’ll all be in this predicament one day–if we live that long–so we need to be empathetic.

My kids are grown, responsible, and we all love each other–and I still don’t relish the thought of permanently living with them! I am a big proponent of family caregiving–but do it when the time is right.

No one wants to give up their independence.

We like things our way, our household “rules,” TV shows, and favorite laundry detergent. Things seemingly insignificant choices give us a sense of autonomy and joy to every day life.

I don’t want to be a burden. 

I hear this a lot. I feel it on a personal level, but know that when it’s necessary–cancer, end of life, when it’s really needed, then it’s not a burden. It’s a privilege–

Ad you still have much to give.

Encourgement, humor, appreciation, family togetherness is a rare and precious gift and should not be under-appreciated.

I feel privileged to have children. And I know if/when I have to, we would all do our best to make it work. I’m grateful I have the option if I needed it.

There are many people who do not have children. Or their children are not able or willing to help.

No time for a pity party. Get busy! Use this as a catalyst to get busy doing just that–planning your life–for quality and purpose.

If you don’t want to live in a care facility (prematurely, and hopefully never) or with someone else–family member or not, then I (and you) better have a plan.

Note: Decide today to be okay how your life turns out–either way. Who knows what wil happen? 

Have you heard of the aging in place movement?

This July AARP released a new report citing that 87% of people with disabilities age 50 and older want to receive long-term care (LTC) services in their own homes.

The National Aging in Place Organization is about collaboration and education to live at home as long as possible.

Aging in Place includes building/altering your home so that you can stay there safely as long as possible.

It might also include a ramp, ample doorways and bathrooms for wheelchair accommodation, safe flooring, and even a space for live-in care. It’s up to each individual to make these arrangements to suit (by anticipating) their needs. This term is also loosely used to help individuals begin to plan for their future in terms of how and where they want to live as life progresses.

Aging in place might even include moving so that you are living in an area where retirement and aging is not only enjoyable, but that you also have ample resources within your community for the care you might need.

Or…it might include living close enough to your adult children so that they can easily check on you and manage your care without having to live with you. ( I know of three families in our neighborhood whose mothers/parents also live in another house in the neighborhood).

Recently, after Tropical Storm Faye, I saw one of the son-in-laws picking up debris out of his mother-in-law’s yard. At least he didn’t have to drive an hour or two to do this little chore–or worry about someone charging her an exorbitant price for a job that took less than an hour.

How to Arrange Your Life So That You Can Live at Home Longer:

(consider one or more of the following suggestions)

  • Move your bedroom on the first/main floor
  • Do a computer search or call your council on aging and get a list of all your community’s resources now. Don’t wait until you need help to start this process.
  • Consider redoing your main bath to accommodate a wheelchair/walker–and make your shower easy to get in and out of
  • If your spouse has passed away, consider a roommate. Finish a garage or basement if you’d like it to be more private and separate. This $10-20,000 investment (if it’s done well) could give you added years at home–you could even trade rent for care.
  • Be sure that if you choose to do this that you both sign a contract for renting, you get driver’s license info, run a background check and never ever give them access or personal/financial information.
  • Even though there are risks involved, having someone live with you or on your property can provide a certain sense of security, companionship, and allow you to stay home much longer than living alone.
  • Consider an alarm system if you feel you live in an area where you’re vulnerable to break-ins. Check with your local police to see if this is a common occurrence. Elders can be targets for easy crimes.
  • Don’t blab to every cable and lawn guy that you live alone. Always act like your son/nephew is in the house, coming home, on the phone. Even if you don’t have one–never let others think you’re always alone. Don’t be an easy target!
  • Consider “the button,” a monitoring device you wear in case you fall. There are systems that will call and check on you morning and night (of course, you pay extra for this), but it might give you and those who love you a peace of mind to know that you can call for help at any time.
  • Wear the thing! My mom was terrible about leaving it on a piece of clothing she wasn’t wearing, forgetting where it was–and caregivers, family members–if your loved one has memory loss, this may not help them. They won’t necessarily remember they have “the button” on, or even what it’s for!
  • Get rid of clutter now! Clutter can cause you to fall and gets to be a real hassle for those caring for you. Don’t leave this to your family to do later–give those sentimental items to your family members now so that you can see the joy on their face when they use their grandmother’s dishes or wear a family heirloom piece of jewelry
  • Gather all your important documents–insurance info, cards, prescriptions, life insurance, house insurance and living will. Place these items in a portable box and let your loved ones know where it is–for easy access. 
  • Do that living will now–don’t make your loved ones have to guess or fight over whether you’d want to be put on a ventilator or not. Be clear. Make several copies and give them to all the important peopel–one for you, your main doctor, the hospital you’re likely to go to, and one or two loved ones/guardians who would get to you quickly in times of emergency.
  • Get a recliner chair that can lift you out easily (consider this your next purchase when the current chair needs to be replaced)
  • Eventually consider a bed that is motorized–this added expense really helps if you have back problems and can sometimes be covered on insurance
  • Place tread on any slick floors inside or outside your house to avoid slipping
  • Remove any throw rugs that might trip you–(you may need to do this later or if you tend to shuffle)
  • Begin to think about your options if/when you can no longer drive–is there a senior van in your area? Friends/neighbors who you can ride with or will pick up a few items for you? Even consider a taxi–most areas have taxis (even if you’ve never used one in your area before, they’re probably there). Don’t sit at home and waste away–even if your eyes or your coordination begin to wane, you can still get out and enjoy life.
  • Continue to be a part of your local church/temple. Make friends–you need them, and they need you! Churches and community organizations are there to help. Let them. Helping others make us feel good–don’t be so stubborn and independent that you don’t allow someone else to give and feel good. If someone is willing to pick you up to take you to Sunday School or choir practice–let them~ You still get to go to an activity (which is good for you), and they feel like they’ve helped someone. Win-win.
  • Get to know your neighbors. You can all keep an eye on each other. Be nice to the kids in your neighborhood–they can rake your leaves or bring you the mail. Most children and even teens long for a grandparent and don’t get to see theirs enough. Wave! Smile, get to know their moms and dads so they trust you. Bake a cake and take it to them. Cultivate relationships. Old-fashioned neighborliness and friendship never grows old and is never out of style.
  • Choose where you want to pass away. Hospice offers you the choice to spend your last few months/weeks/days at home and can offer palliative care (pain management). Most people choose to be in their own home and to surrounded by those they love. Let people know now–most areas of the country have access to hospice. The diagnosis is that you have a life-limiting condition with a diagnosis or a year or less to live.
  • Don’t wait until the last minute–ask for hospice. Anyone can refer you to hospice (including yourself or your physician). Also know that many cities have more than one hospice with varying levels of care and options. Check them out to see what’s available to you.

Bottom line:

Plan now. If you’re over 50, then you better start planning. Having a 401K isn’t enough. It doesn’t take care of the details and quality of life–and money won’t fix everything.

Adapt your house to suit your aging needs.

If it’s not too late, and you need to, move closer to family so that it’s not hard for them to drop by and check on you.

And…or…live in a community that is “elder friendly,” with lots of resources.

Stay involved with people. Accept their help. Give back any way you can. A smile, a hug, homemade cookies will get you lots of friends. Neighbors are important. Do more than wave. You might need them one day.

Stay/get involved in church and other community activities. The more plugged in you are, the more people you have in your life, the more your mind/body stays active. Staying active will keep you at home.

No longer driving is not the end of the world. Figure out how to make it work–taxi, community van, church members/neighbors.

Consider a roommate or a family member living arrangement. Just be safe, sign a contract, and do a background check. ( I know of several nieces/nephews who are young and starting out in life by sharing a house with an aunt or grandmother).

Get help when you need it–hiring day-time care is cheaper than a care facility. There are many great companies such as Comfort Keepers who are licensed, bonded, flexible and reasonable–usually less than $20.00 an hour.

Wherever you are and whatever life throws at you–continue to smile, see the good, and find ways to give and receive love.

Carol D. O’Dell, and I hope you’ll check out my book, Mothering Mother: A Daughter’s Humorous and Heartbreaking Memoir, available on Amazon, other online stores and in bookstores. Kunati Publishing

I’m a family advisor on Caring.com, and my syndicated blog appears on www.opentohope.com.

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Mr. Spock said it r first. We all hope to live long and prosper.

But living long is an art–if you’re going to do it with finesse.

And prospering isn’t all about money–it’s about the wealth we acquire when we live good lives and take care of ourselves.

Great docs such as Dr. Oz and Dr. Roizen of the book, Real Age have compiled all the latest health data that if followed, can literally add years to your life. I took this info, along with several known preventative methods to deter Alzheimer’s and compiled it into a list. I love Dr. Oz’s You on a Diet, and You the Owner’s Manual–just enough medicine talk to teach me a few things in a great format I don’t mind picking up again and again.

You might want to post this on your frig.

Don’t feel pressure to do it all–just pick 2-3 things that you can incorporate into your daily/weekly life. That’s enough for now. Later, you can add 2 more.

The Health List: (Ranked in importance to some degree)

  • Embrace a positive attitude. This is number one. Squash those negative thoughts. Redirect them. How? Catch yourself in the act. Turn the negative thought into a positive one and say it out loud. Flood your car and other places where you mind wanders with music, informational CDs, or healthy conversation–continually correct those down/derogatory thoughts until they’re crowded out by good ones.
  • When you can’t, laugh it off. Sometimes life just gets chaotic and absurd. When the crap just seems to pile up, then laugh about it. Ask yourself if this will matter one year, five years from now. Most of the time, it won’t. If it will, then take action and do what you can to fix it–if not–let go of life’s steering wheel and enjoy the ride.
  • Let go of hurts and resentments–most people don’t mean to hurt you, and for those who do, why give them power by dwelling on it?
  • Breathe! When stressed, stop, place your hand on the place on your body where you’re feeling the most tension–head, stomach, and take five slow deep breaths. Count if you need to, if your mind needs something to focus on–30 counts in, 30 counts out–breath in through your nose and really fill up those lungs, and breath out through your mouth and empty everything out in that breath. Do this at least three times a day–stress or not–it’ll change your life. It’s great for stress and anxiety.
  • While we’re on breath, you gotta give up smoking. If you haven’t so far, make an appointment and get into a doctor quick–there’s so many ways they can help you–meds, hypnotism–you’ve simply got to quit. Know that each time you try, you get closer. So don’t give up. I have lots of relatives who tried for years, and you know what? None of them smoke now. Many smoked for 20, 30 years–and now they’re clean. So it can be done!
  • Get enough sleep. I’m talking 8-10 hours. Sleep deprivation will take years off your life,damage your body, and make life miserable. Create a sanctuary in your bedroom–declutter, paint it in a soothing color, get great sheets–look forward to going to bed. Not sleeping enough is responsible for more car accidents than drunk driving and is directly linked to obesity.
  • When you can, nap for 20 minutes. It’s restorative and will aid in your mental sharpness and creativity.
  • Surround yourself with people you love–a spouse, friends, build relationships and community in which to be a part of.
  • Walk 30 minutes a day. Don’t stop. Keep a steady pace. Music helps. It aids in weight loss, stress, diabetes and heart disease prevention.
  • Music is a great mood enhancer. When you’re down, reach for the ipod instead of the pills/booze. It’s known to be effective in dealing with anxiety, depression, and lowers blood pressure.
  • Make love! With yourself and others–being sexual is good for you. (If it’s in a monogamous committed relationship). Create an environment where sex, cuddling and fooling around is easy and relaxing. If not, explore why you’ve shut down in this area–stress? Lack of sleep? Unresolved issues? Take a look.
  • Do some weight bearing exercise 2-3 times a week. Lift weights, work in the yard–move your muscles and stretch those ligaments. It’s even more important as we age.
  • Play! While exercise is important, face it, it’s boring. What sport or activity did you love as a child? I was a bicycler. Now, I bike almost every day. Swim, kayak, install a basketball goal in your driveway–even if you don’t have kids around any more.
  • Stretch–everyone can stretch–any age. 5-10 minutes a day–along with your breath work is something caregivers and their loved ones can do together. Yoga’sgreat too, and there are lots of DVDs and online classes if you can’t get out.
  • If you want to obsess about a body part, then concentrate on your waist size. Waist size reflects mid-section fat–the dangerous kind that’s close to your heart. Men should have a waist of no larger than 36 inches and women, 32 inches. So get out the tape measure and take deep breath…
  • Incorporate being active into your relationships. Meet with a friend for lunch–and then go for thirty minute walk. Sign you and your spouse up for tennis lessons or dance lessons. Shake things up. It’s easy to get sedentary in our relationships and build upon eachother’s bad habits.
  • Get out in nature. Nature’s benefits are endless. We are a part of this planet, and no matter where you live, there’s a dragonfly or cardinal waiting for you. Nature teaches us and heals us in ways we’ve yet to explore or understand. Do you know what prisoners miss the most? The sun–and being outside. Most of us can get up and go outside our front door. Do more than walk to your car.
  • Get your Vitamin D.How? By getting outside–remember I mentioned walking for 30 minutes? Do you know that your eyes and skin absorb just the right amount of Vitamin D in about 10-20 minutes and then it shuts off so you can’t overload? Vitamin D is crucial to your bones and is a real problem for the very young and the elderly–so even if you’re a caregiver–wheel your loved one outside and enjoy the flowers, dragonflies, and walk around the block.
  • Before you head out the door, slather on some sunscreen. No need to inflict damage to your skin, which isn’t pretty in the long run, or put yourself at risk for skin cancer. It’s way too easy to buy a moisturizer that has full spectrum sunblock and slather it on each day.
  • Speak up. When something is bothering you, begin to speak up. Say how you’re feeling. You can do this without blame, but stuffing your feelings is damaging and is known to cause lots of health problems. Speaking up is about taking care of yourself. It’s not always about fixing a problem, but voicing your hurts and concerns is beneficial for everyone. Risk the confrontation. Most people take it better than you think and it can be a great bridge to better communication.
  • Embrace faith. Whatever you believe, to whatever degree–embrace the sense of hope that faith embodies. It’s okay if it’s not the faith of your family or culture, it’s okay if it is–people who have some sense of life beyond, of purpose past self feel more at peace and more connected.
  • Look at your stress. Caregivers and those who are actively caring for others all hours of the day and night can really feel overwhelmed, but what is it that really gets to you? Everyone is different. Stress usually stems from a lack of control. For some, it’s the feeling of being trapped, of feeling like your life is put on hold, or maybe it’s the helplessness of seeing a loved one in pain. Is there one small thing about the stress that you could change? Ask for different pain meds? Try acupuncture? Take an online college class so that you feel like you’re doing something for you? Change doctors if yours won’t listen or communicate. One positive act can have a huge effect. You can’t fix it all, but knowing that you can do one thing can really help combat stress.
  • Learn something new. Learn a language, take a class at the rec center, learn to knit, take a computer course, do a tutorial of photo shop, learn how to make a great tiramasu–use that brain of yours!
  • Play games–in your downtime, reach for the crossword puzzle, chess set, or brain games. It beats re-runs of old tv shows and fires those neurons in your brain.
  • When is the last time you laughed? This is where friends come in handy. If you’re going to watch tv, then opt for funny because it does great things for your body and spirit. Make sure you have at least one “fun” friend who makes you laugh, and brings joy and play into your life.
  • Touch. Be affectionate. Hug, kiss, pet your dog. Touch is deeply important. It’s healing. Get a massage. Hold hands.
  • Practice smiling. If you haven’t smiled in a while, or you can’t remember if you have or haven’t, then start practicing. Smile in the car. Smile on the way to work. Smile in the shower. Smiling goes much deeper than just affecting the muscles in your face. Smiling and touching a part of your body is known as Qi Gong in Chinese medicine. It may sound silly, but you”ll feel better and sometimes we just get out of the practice.
  • Avoid the doctor! Whenever possible (not when you’re really/very sick) don’t reach for the anti-biotics. A cold will run its course. Getting in a medical mindset is unhealthy. Drug companies have corrupted American health care–and a pill isn’t always the answer. For simple things, go to the Internet, a health book and try the natural alternative. Now I’m not talking about cancer, heart attacks, etc.

THE FOOD LIST:

  • Eat well. Food is a celebration of life and culture. Eat what you love. You may think you love Fritos and Ding Dongs, but I bet you love other things too. Make your plate a work of art. Eat on a real plate, sitting down at a nice table. Eat with those you love. Surround yourself with beauty as you eat–a candle or a flower. Think about the food you’re eating. Turn off the tv and enjoy what’s going in your body.
  • Have an eating plan. If you know you’re going to be extremely busy, then take a sec and plan what you’re going to eat. There are almost always decent alternatives. You can eat decently from a quick stop, so no excuses. Stress eating leads to junk food eating. Create a fall-back plan for when life is crazy and incorporate at least a few healthy alternatives. Love salty? Go for salted nuts as opposed to chips. Love sweets? Go for Twizzlers or other candies with no fat–or a bag of grapes. Mindlessly eating? Grab a bag of carrots. Some gum, or popcorn. Know what it is you want–to chew, something creamy and homey–have those comfort foods on hand. They now make a Mac and Cheese with only 2% fat–and it doesn’t taste half bad. 
  • Know your weak spots. I know when I’m overworked and exhausted that I eat crappy. I’m working on a plan–foods that aren’t terrible for me, but I still find comforting in times of stress. I also know that during those mindless eating stress times I need to take a bath and put myself to bed. I’m not craving food as much as I am self-care and rest.
  • Cut way, way back on fried foods. Now I know you love them, but save them for truly special occasions–birthdays, anniversaries. If you need a fix, then consider oven frying your food at home–country fried steak, and fried chicken still taste good from the oven and it really cuts down on the fat.
  • Eat at home. It’s the only way to control your portions and calories–and quality. There are so many hidden variables in eating out it’s hard to know where to start. Make your home a place of serenity and beauty and take pride in the food you fix. It’s a much more satisfying experience. Learn to make one or two new dishes a month–and enjoy the experience.
  • Embrace fruits and veggies. You know you should–start with those you already like. If you grew up on green beans and corn, then start there and always have those on hand. Try a few more–see what you like. There’s a million ways to make a salad so get creative. The darker green the veggie, the better–the brighter the fruit, the better. Color rules!
  • Go green and buy those fruits and veggies from a local stand–you’ll not only help out your community, but you’ll get fresher produce.
  • Look at your palm. That’s the size and thickness a piece of meat needs to be. You only need one of two of these palms a day. Not enough food? Then pile on the veggies! Have a piece of fruit before your meal–or after.
  • Avoid white–white bread, white rice, have small portions of corn and potatoes. Choose grains instead–brown rice, wild rice, all different kinds of bread–seek out a local bakery. Potatoes and corn are good, but know that you don’t need a huge plateful.
  • Avoid the other white stuff–mayo, full calorie dressings, gravies–all should be used sparingly and the low-fat version is a better choice since we tend to over do it in these areas.
  • Dairy is okay for most people–especially women. Americans could eat more yogurt–the yogurt cultures contain acidophilus and is great for balancing our digestive tract.
  • Curb your appetite with a palmful of nuts. Keep lots of nuts on hand (raw is best, but just get used to eating them regularly at first). The best nuts for your brain are walnuts, almonds, and pecans. They’re great in salads too. It’s a good idea to eat a small handful before a meal–they curb your appetite, have a healthy amount of oils, and you’ll be less ravenous at your meal.
  • Know your super foods–not all food is created equal–here’s a list of the best of the best:
    • Beans
    • Blueberries
    • Broccoli
    • Oats
    • Oranges
    • Pumpkin
    • Salmon
    • Soy
    • Spinach
    • Tea (green or black)
    • Tomatoes
    • Turkey
    • Walnuts
    • Yogurt
  • Nix the plastic bottles of water and install a water filtration system on your faucet. Plastic isn’t good for you–fumes and all–and most city’s tap water is just as clean, if not cleaner than the stuff you’re paying for.
  • If you want notch it up, go for organic meats and eggs that haven’t been injected with hormones. It’s more expensive, but realize you need to eat less amounts of meat any way. We don’t need all those hormones and antibiotics.
  • Take a multi-vitamin–while research goes back and forth about supplements, if you’re eating well, you don’t need too much else. If you’;re dealing with a certain condition–UTIs, heart disease, Alzheimer’s, then this is the time to incorate a few more supplements. Some research indicates that Vitamin C and E helps stave off Alzheimer’s. A great source to know what to take for what disease/condition is at Dr. Weil’s site.                                       .
  • Enjoy a glass of wine! Ladies, on a day is enough. Red is better (although I’m a Riesling fan). Beer’s okay too.
  • Give up the Cokes/carbonated drinks. Nothing good is in any of them. Treat yourself to one occasionally–if you really like the way it tastes, but don’t keep them in your house. They actually suck oxygen out of your bones, has been linked to Parkinson’s, and new research says it might actually damage your cells. And have you seen what it does to your car battery? 
  • Have a cuppa coffee! This one made me particularly happy. Studies show that coffee’s good for your heart–and for Alzheimer’s. It opens up the blood vessels.
  • Give up the artificial sweeteners. They’re all scary. Go with steevia. I know, it’s hard for me too.
  • Go with real butter as opposed to the fake stuff–but a little dab’ll do ya.
  • Go with olive oil whenever you can. Other than desserts, you can cook with olive oil–and we already said that cakes and cookies are a splurge item.
  • Fish rules. Try to incorporate 2-3 fish dishes into your weekly diet. Salmon is great choice. So are all the white fishes–this is when white is good. Go local when you can. Broil or pan cooked fish only takes minutes to fix.
  • Desserts such as cakes should go with life’s celebrations. Enjoy them on birthdays,  anniversaries and holidays–as well as break ups and other life tragedies that only a cake can help. Other than that, have your glass of wine, dark chocolate and some cherries–not a bad way to end a day. If you love your icecream, then go with a low-fat frozen yogurt. Experiment and find your favorite kind.
  • One great dessert you can have it dark chocolate. I keep it at all times. Seriously. I have a small bar each day. I like Dove dark chocolates. I need it be a little creamy. Some of the European high cacoa varieties are too bitter to my liking. Four of their little squares makes me very, very happy. I also like Ritter–and they have one with hazelnuts that’s to die for. Dark chocolate has anti-oxidants which lowers blood pressure.
  • Incorporate flax seed or flax seed oil into your diet–a spoon of the oil can be added to soup, rice, or other dishes and isn’t even noticed. This gives the body Omega 3′s which is great for your heart and is also high in fiber.
  • Women and seniors probably need to take a calcium supplement. We just don’t get enough, and we don’t lift enough weights to offset gravity’s pull on the bones and spine.
  • Best spices are cinnamon (regulates blood levels and is good for diabetes), curry and cumin (heart and metabolic effects) and garlic (heart again). In fact, spices are great all the way around.

A Few Last Words:

Trust your body. If you’re craving lemons, then eat lots of lemons. If you’re sleeping ten hours a night, then tuck yourself in early.

Our bodies are incredibly intuitive. It knows what it needs. Also know that it’s about 3-6 months behind, so the stress you’re experiencing now (say, a bum knee or a heal spur) might be because of the stress and strain that was put on it months before–also know that your spirit works the same way.

If you’ve experienced a huge life change, then realize that your body and mind may be reacting to it months later. If you’re weepy, angry, mopey, it may be that your body needs to play catch up. Let it feel what it needs to feel and trust that it won’t last forever.

Get rid of negatives. Negative people and work situations can be difficult, if not downright impossible to overcome. If you’ve tried to remedy the situation–you’ve spoken up, offered solutions, tried to be amenable and it’s still not working–then consider a change. Money isn’t everything, and if your relationship is unhealthy, then choose to be alone and trust that if you ask the universe for something better–and then wait–it will come.

If you’re in a stressful situation–caregiving, the end of life, a messy divorce, recovering from a car accident, then be gentle on yourself. Life ebbs and flows and know that this difficult time will pass.

Sounds like a lot, huh?

Focus on one thing. If you try to be uber-good, it’ll back-fire and you’ll wind up overdosing on Ho-Ho’s in your car. One change is a good change.

If I’ve forgotten something important, then email me and I’ll add it to the list!

According to the death clock, I’m living to 100. Now, I’ve seen what 90-100 looks like for most folks, and I’m on a mission to improve my last decade. I plan on dancing at my great, great granddaughter’s wedding!

Live long–and prosper!

 Carol D. O’Dell

Family Advisor at www.Caring.com 

 

 

 

 

 

Syndicated Blog at www.OpentoHope.com

Kunati Publishers, www.kunati.com/mothering-mother-memoir-by-car/ – 95k

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Those last few hours, days, weeks, or months are a mix or panic, sorrow, numbness, and tenderness.

It usually comes after an accident, diagnosis, or surgery–or sometimes, for our elderly, it follows a slow, painful descent.

However you got here, my heart goes out to you.

“I Don’t Know What I Should be Doing Right Now.”

This is normal. You feel lost, kicked in the gut–you have little or no experience at this.

I know your world feels as if it’s falling apart. You might feel the need to control everything, or you may feel that nothing is important. You may be going a mile a minute, making phone calls, demanding to see doctors, exploring treatment options–or you may be paralyzed and all you can do is sit next to your loved one and try not to cry.

Either way is fine. Your’re on auto-pilot. This is fight or flight. You wish you could just go back to life as before, but you can’t. You wish you could be a caregiver–as hard as it is, it sure beats feeling helpless.

Let others step in–or tell them everyone that everything can wait. Do what’s natural.

The Bare Essentials–A Few Important Things to Remember:

  • Get a piece of paper and pen–write down anything the doctors or nurses tell you–you’ll be glad you did when someone asks you something and you have a complete mind meltdown
  • Keep track of your loved one’s meds and treatment times–realize the care staff isn’t going to deliver the meds on the dot, but you have the right to ask–especially with pain meds (which can be done with IV) your loved one should be kept comfortable–and you can insist on this
  • Designate a liason–a family member or friend who can field calls and coordinate plans–they’ll feel useful and you won’t feel overwhelmed
  • Pace yourself. If you’re in a hospital or hospice or at home, know that you have to keep some strength and clarity in reserve–in case you need it
  • Get your sleep–and get a bit of fresh air–you may be called on to make a very important decision–do you really want to do that on no sleep?
  • If your loved one can talk, initiate a conversation about end of life care–feeding tubes, Do Not Resuscitate orders–if you have a living will, then you have it in writing–if you don’t, then as hard as this is, ask the nurse’s desk for one (the staff can get you one). It could save you so much heartache later
  • If you do have a living will, bring it to the hospital or care center. Even if the facility has one, you need the other copy with you. Trust me, these things can slip through the cracks
  • Be the family you are. Don’t let others judge how you’re reacting to this situation. If you’re not cuddly, then don’t do anything that doesn’t feel natural
  • Know that you can’t control others actions–some people may rush to your side, others hang back. Let everyone “be” without worrying about them. Stay focused on you and your loved one

I’m Already Wracked With Guilt and Regret–We Should Have Caught This Sooner, I Should Have Done More…

These are normal feelings. It gives our brains something to do. We’re under the illusion that we control things, that if we had done this, not done that, that things would be different. Life is bigger than us mere mortals. Try not to stay in this awful, negative vortex.

You’re spinning your wheels and taking valuable time and thought –and love away from your your loved one and the time you have together. Stay Present.

I Can’t Think Straight–Shouldn’t I Be Making Plans?

Only if that brings you a measure of comfort. It will all work out. Let your liaison coordinate anything you’d like done now–flights, checking out care facilities, etc. This isn’t the time to get caught up in the doing–and if you are, do it because it’s your coping mechanism, not because you think you should.

When Do I Start Making Funeral Arrangements?

It’s different for everyone. Some people have family plots and know their local funeral director as a friend. Others are new to their area and haven’t a clue.

Are you the type to ask a doctor flat out how long does your loved one have left?

Do you want to know?

It’s okay not to, everyone’s copes differently. Also know that doctors are not infallible. They can be wrong. They can misjudge. Life is determined by the will–and the spirit. But if it would make you feel better to have a general time frame, then ask a doctor or nurse–ask if it’s time for hospice–enlist all the care you can get.

Hospice will be more wiling to talk about the death and dying process than doctors will (usually) -and palliative care (pain management). Some doctors resist hospice, but I find they’re a valuable resource to families. It doesn’t mean your loved one is going to die this second because you ask for hospice. It means you’ll have the support you need–people that have been through this.

Should My Loved One Stay in the Hospital, Go Into a Hospice Center or Should I Take Them Home?

Again, what’s right for you? And your loved one? Have you talked about this before? Have you ever thought about it? Is there care manageable at home? Will that be more stress on you–or less?

It may take you a while to figure out what feels right, and sometimes you figure out what’s right by what’s wrong–if the hospital is getting on your nerves and you just one everyone to go away and for it to be a time of peace, then you probably want a hospice center or to return home.

Does the care feel overwhelming to you? Would you rather go to a care center and let others take care of things? You can spend the night there, and most hospice centers are very thoughtful and serene.

Or does home sound like the only place you and your loved one wants to be. Home hospice is available as well, and pain can be managed from home.

You’ll figure this out along the way. Don’t feel pressured to make decisions prematurely or on someone else’s timeframe. Trust your gut.

For some, this is a deeply spiritual time, a time when faith is important. Even if you haven’t turned to your faith in years, if it feels right, then ask to see a chaplain, priest, or rabbi. Faith can oftentimes give you a measure of comfort and hope.

I’m Scared if I Stop Moving, I’ll Fall Apart

Is it so bad to fall apart? I know you think that if you do, you’ll never function again. You will.

If you truly can’t let yourself fall apart now, then set a date–in the future–and give yourself permission to fall apart then. Eventually, you’ll need to cry and scream, and beat something. You’ll need to curse, or sob, or fall to the ground. This is all a part of grief, and grief starts long before the last breath.

Losing a loved one is about the hardest thing you’ll ever do and the emotions that come with it are some of the hardest, strongest, saddest, awful-est time you’ll ever go through. But you will.

You will keep breathing. Your heart will keep beating, unfair as it is. You will.

But for today, be present.

If you have only days, weeks, or months left, then gather and treasure every sweet moment you have–

Carol D. O’Dell

Author of Mothering Mother: A Daughter’s Humorous and Heartbreaking Memoir

available on Amazon

www.mothering-mother.com

Family Advisor at www.Caring.com

Syndicated Blog at www.OpentoHope.com

Kunati Publishers, www.kunati.com/mothering-mother-memoir-by-car/ – 95k

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Don’t think it can’t happen.

 

Elder suicide rates are up in the United States and it usually start with depression–also a major factor in the elderly.

 

It’s a deadly combination–life debilitating illness, loss of spouse, career, a terminal diagnosis, medications all exasperate the situation.

 

But it’s not the way we want it to end.

It’s not the family legacy most of us aspire to.

 

Depression affects approximately 19 million Americans per year, (National Institutes of Mental Health, 2000).

 

Depression is often not recognized in the elderly because the symptoms can be attributed to “normal aging.” How sad, that we have come to believe that melancholy, lethargy and apathy are connected to older age.

 

Nearly 6% of the people in the United States over the age of 65 have a diagnosable form of depression, and while adults age 65 make up only 13 percent of the U.S. population, they account for 20 percent of all suicide deaths.

 

We should be more alarmed.

 

Who is most at risk? Our dads. Our husbands. Our brothers. 

 

Male Caucasian are the over the age of 85 are the the highest suicide rate in the nation (National Institute of Mental Health, 2000). But don’t think mom is out of danger. While men tend to be more violent in their attempts, women tend to lead toward pills.

They’re also not talking. Elders are not like teenagers who threaten, make dramatic attempts in order to stopped (subconsciously). Many elders are not comfortable talking about mental illness and so they suffer intense feelings of loss, hopelessness and despair alone–never realizing there is help. They don’t have to feel this way.

Factors that Lead to Suicide: 

  • Recent loss of a spouse, loved one, or pet
  • Debilitating or life-threatening illness
  • Pain, especially if pain is severe, chronic, and/or inescapable
  • Loss of independence and/or mobility
  • Inability to live alone
  • Loss of employment or productive activities
  • Financial difficulties
  • Depression
  • Alcohol abuse and/or dependence
  • Loss of role or stature in family and community
  • Feelings of hopelessness and helplessness
  • Physical, social, and emotional isolation

What are the Warning Signs:

  • Statements about death and suicide
  • Reading material about death and suicide
  • Statements of hopelessness or helplessness (e.g., “I don’t know if I can go on.”)
  • Disruption of sleep patterns
  • Increased alcohol or prescription drug use
  • Failure to take care of self or follow medical orders
  • Stockpiling medications
  • Sudden interest in firearms
  • Social withdrawal or elaborate good-byes
  • Rush to complete or revise a will
  • Overt suicide threats

How to Help:

  • Be aware of your elder’s emotional state
  • Be sensitive in times of a new loss, such as the loss of a beloved pet or dear friend
  • Consider filtering the news–more negativity about the state of the world, wars, and the economy might not be the best thing for any of us to focus on 
  • Make a list of who your elder or spouse is most likely to talk to–a priest or pastor, a close friend, a nurse or doctor they’re closest to–let this person know of your concerns and ask them to listen closely for tell-tale signs.
  • If you’re truly concerned, then talk openly about your concerns of depression and the risk of suicide. Don’t think you’ll cause suicide by talking about it. 
  • Let them know that their thoughts and feelings are normal, that despair is common, and that there are people who care who can help, that part of their feelings are triggered by life events, but also diseases and medication play into this.
  • Let them know you’re not judging them. Life is hard. But this is not an option. You are there to help. There are medications, people to talk to, that their thoughts and feelings can change. Life is full of changes and this situation doesn’t have to stay the same.

I’m Afraid to Broach the Subject:

  • They will get angry with me or deny it. So what if they do? This is too important and the risk is worth it. You don’t want all your love, time and caregiving to end this way. You don’t want this blow to hit you and your loved ones.
  • I might put the suicidal thoughts into their heads. If your loved one is having suicidal thoughts, then they’ve probably been having them for weeks, months, or even years. For many people, depression is a lifelong battle and this may not be the first time they’ve found themselves in this debilitating emotional state. It is extremely unlikely that a caring question from another would convince a person, whether truly depressed or not, to commit suicide.

 

  • I won’t know what to say. I know, this is tough. Bungle your way through it. Don’t think you’ll handle this perfect. You have no experience (I hope). Your love and emotions will come through no matter what words you are able to get out. It’s not your words that will convince them to get help–it’s your love and concern.

 

  • Suicide greatly affects your life and other family members. Suicide ripples into the fabric of humanity. It’s a devastating blow for those nearby, so do all you can to prevent this tragedy.

 

  • End of life and palliative care (to reduce pain during the last weeks and days of dying) is a different subject. This is a highly controversial area and one that should be handled privately with your “council of elders” (family, chaplainor other faith leader, hospice, etc.).

How to Help Someone Who is Deeply Depressed and May Be Suicidal:

  • Be sensitive, honest and straightforward. Come right out and ask:  “Dad, I’ve been worried about you lately. You seem pretty down. I’ve noticed that you aren’t seeing your friends any more, and you’ve talked about not wanting to go on. Would you really want to die?”)
  • Listen. After you’ve opened the discussion, then let them talk. Listen–listen all day long, ask questions that will encourage them to continue to talk and open up. Caregiving is more about listening than it is a to-do list.
  • Seek help yourself–dealing with someone who is suicidal kicks up all kinds of emotions, particularly if they’re your spouse or parent or other close family member. Talk to your pastor or doctor or call a suicide hotlineand let them know what you’re dealing with. Alzheimer’s Association and other organizations also have great hotlines withpeople who care, who know what it’s like to deal with depression and stress on top of a horrific disease. Reach out.

What If I Find Out They Are Contemplating Suicide:

  • Do your homework. Make sure you know about the resources available in your area:
  • Check the front of your telephone directory–or the Internet,as well as your local community mental health unit. They often have suicide hotlines and emergency inpatient crisis stabilization units available if the danger of suicide is high.
  • Let your elder/spouse’s doctor know. Certain diseases and medications can aggravate the situation.
  • A psychologist, psychiatrist or other therapist is another good option but check with your insurance as to what is covered.

Practical Things You Can Do:

  • Get the guns out of the house
  • Monitor all medications, including your own
  • Stay close by. If you’re in a particularly dangerous time, monitor them 24/7 by granny cam/baby monitors
  • Take threats serious and cause a fuss–make it unappealing to try again
  • Get help immediately if there is an attempt. Don’t worry about embarrassment–this is bigger than that.

YOU need to deal with this in your own life and heart. YOU can’t control what someone else does, so stay with you. Love you. Care for you.

 

Your goal is to prevent a tragedy. Be aware. Be sensitive. Speakup–this is worth fighting for.

 

Resources:

www.metanoia.org/suicide/

www.suicidepreventionlifeline.org/

www.save.org/

suicidehotlines.com/

 

~Carol D. O’Dell

Author of Mothering Mother: A Daughter’s Humorous and Heartbreaking Memoir

available on Amazon

www.mothering-mother.com

Family Advisor at www.Caring.com

Syndicated blog at www.OpentoHope.com

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