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Archive for the ‘emotional’ Category

You weren’t born a caregiver, although it might feel like it. This morning, I noticed that a bright orange Crepe Myrtyle leaf lying on the grass. Fall is on its way. Yes, I live in Florida, and yes, it’s still hot–but it feels different than a few weeks ago. The click in the gear has already begun. The seasons are changing. Caregiving is like that leaf. It comes in seasons, and you can’t fight the seasons life gives you no more than I can glue that leaf back on its branch, paint it green and declare it Spring. 

Some people seem to care for someone most of their life–a sibling, their alcoholic parent, their co-dependent spouse. It’s not that we mean to attract it, but for some, caregiving is a recurrent theme. For most, caregiving is something we’ll do more than once in our lifetime. But I do know this: You won’t always be in your caregiving role.

You weren’t always a caregiver, were you? You were a child, a teenager, a young person–in college or with a new job-career. You fell in love. You traveled. You birthed children, raised them. Maybe you got a divorce, remarried, changed careers. Even though caring for others may have been a part of your life many times over, it didn’t completely sideline you.

So why should caregiving sideline you now? Yes. There comes a time, particularly in elder-care, chronic illnesses, or at the end of life, you need to stop everything else and just be with your loved one. There are times when another person’s care is all-consuming–time, emotions, finances…you name it and it takes it all. But that needs to be the rare occasion and for the least amount of time possible. Why? It’s not a healthy way to live. If you’re not careful, you’ll find that you’re living for and maybe even through someone else, and that’s not good if you do it for too long at a time.  

Think of it this way: Humans are capable of running marathons. We can exert great physical and emotional energy and do amazing things–for a short period of time. Our bodies have great reserves (and I believe our spirits do as well). They say we only use 10% of our brains and 20% of our body’s capabilities in everyday life. We have enormous reserves. We have to. When we need to tap into that deep well of energy, thought, and focus, it drains it very quickly.

Stress is like jet fuel–it takes a huge amount, so our stockpile has to stay stocked. Intense caregiving is a lot like a marathon–you really can’t expect your body to run 26 miles a day, every day.

I fought full-time caregving in the beginning. I was a sandwich generation mom. I already had a full-plate life. But my mom needed me–I worried about her falling, not eating, not taking her meds–that other people were having to do my load.

Even after we moved her into our home–I avoided her/caregiving. I’m not proud of that, but I just couldn’t be with her all the time. She got on my nerves, made me nervous, however you want to put it. It took time–I felt judged, watched, consumed by an all-present mother-figure. She certainly had no qualms about stating that she was in charge. It took time, but we learned how to live together again.

Caregiving allowed me to dance around, dip into, and even avoid it for a season, and then the seasons changed. I couldn’t leave my mom with my husband or children (they were teens and quite competent). She was too emotionally volatile and her medications and needs were too intricate to explain. One by one, my activities dwindled. Death was like an intrusive relative who moved in with way too many bags and set up housekeeping.

The last year of my mother’s life was a series of secessions, and from March until June, I did nothing but watch my mother die. Each week got quieter. Each week I gave up a little more of the outside world. At first, I was angry and scared–death is an unwelcome and rude guest. As time went on, I learned how to let my family go on about the business of living–jobs, school, boyfriends, and part-time jobs. I became comfortable with the fact that I was supposed to spend these last months by my mother’s side. Like a circle that kept growing tighter and tighter, I drew close to her.

It felt like she’d never die–only continue dying. The last few weeks were grueling, and now I know the meaning of that word. It’s not that I wanted her to, it was just so painful, so quiet, so intense…

And then it was over. The funeral home people came, took her body, and I walked back in her room, her empty room. I’d never felt so lost, so unhinged, so exhausted and depleted in every way.

Getting used to that space in my life–that caregiving space that was now an empty room with empty hours with empty purpose–it was such a void and it took time and being tender with myself. I’d lost my mom. Who was I now? What was I if I wasn’t a caregiver?

New seasons came. I returned to college. Helped one daughter get married, two off to college. I wrote a book. I now travel and speak and teach. More seasons to come.

If you’re just starting caregiving and wondering where this will take you, how long you’ll be caregiving, try not to jump too far ahead–there’s just too many what if’s out there. If you’re coming to the end of your caregiving journey, hang on–it won’t last forever–and that’s a good and not good thing.

Currently, I’m not a caregiver, but I know that one day, that season will come back into my life. I’ll be out walking one day–I’ll look down, and there will be a crisp autumn leaf reminding me that a change is about to come.

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Move over, Michelle Obama, cause Mama’s in the house.

That’s right, Michelle Obama’s mother is moving into the White House.

Marian Robinson quit her job 22 months ago to help care for the Obama girls while Michelle and Barack started campaigning. She’s now 71 and a retired secretary and she’s moving into the White House on a “trial basis” before giving up her home in Chicago. While the presidential campaign was underway, Ms. Robinson cooked the girl’s meals, shuffled them to their various activities, helped with homework and kissed them goodnight. That’s a big job, but it was for a big reason.

That’s something I admire–a family that figures out how to care for one another and when it’s the appropriate time to do so. I’m not too worried how she’ll be treated a few years from now when she needs elder-care or caregiving. She’s invested in her family, and love is almost always returned.

The White House will be full again, with a father, mother, two children, a grandmother, and a dog. I like the idea of those old rooms bustling with the sound of feet running up and down the halls, of a grandmother’s stern call to order and the yelp of a dog.

Multigenerational families aren’t new. People used to live together under one roof out of necessity–to run the farm, to continue the family business. In fact, it’s on the rise.

More than 3.6 million parents lived with adult children in 2007, according to census data. That number is up 67 percent from 2000. And in the new economic light, more and more families are choosing to “bunk up” to save on expenses, and as a necessity for those who have lost their jobs.

Somehow, we got away from that in my generation. We got independent, perhaps too independent thinking that money would be enough–or as my southern daddy would say, “We got too big for our britches.”

My adoptive mother grew up in a multigenerational house. She was surrounded by aunts and uncles (her mother was divorced and raising two children on her own in the 1910’s). My mother’s memories are good ones. A large table with lots of food and conversation. She said she felt as if she had many mothers, not just one–and it helped that her mother could work full time and her two children had someone at home.

Times haven’t changed that much. Marian Robinson is an example of millions of grandmother’s who are either raising or helping to raise grandchildren. We need each other. We need our mothers and fathers to be a part of their grandchidren’s lives. That’s how values and stories get passed down.

From all I’ve read, Marian Robinson is going to be a busy woman. She’s noted for her independence and will only stay if she’s needed. She may even purchase a home nearby just so she has some privacy and doesn’t have to deal with the day to day fuss life in politics entails. She’s no where near slowing down and has recentlycompeted in the Senior Games running the 50 and 100 yard dash. No matter where she chooses to sleep, she’ll be an active part of the Obama household and everyone will benefit from that.

It’s not that her value as a grandmother is in throwing in a load of laundry or chauffeuring the girls around, it’s that the children will be influenced by her wisdom and will have that sense of family and continuity that’s so important. It’s easy to caught up in the “doing” and not the “being.”  The most valuable gift our elders have to offer is simply who they are–a part of us. Their life, their experiences, their stories shape and define future generations.

I have seen families take advantage of their elders–used them as free babysitters–and that’s not healthy for anyone. Sometimes we have to say, “No, not tonight, I have plans.”

As my mother moved in with my husband, our daughters and myself, I knew I had to strike a balance. My mother had to fit into our home, and in return, I (we) needed to treat her with respect and privacy. These are the concerns multigenerational families face. You don’t know exactly what your issues are going to be until you’re there, all living together. One person becomes needy, another bossy–someone needs more privacy than another, and…somebody always gets jealous. It’s just human nature and no matter how old we are, we still get jealous or needy at times.

My mother was always a part of our lives, and I’m so grateful that even though she was an older grandmother (she was 74 when her first granddaughter was born), she got right to being an active grandmother. She used to come over and get our girls and take them for an overnight stay as soon as they were out of diapers. They remember going to eat breakfast at Shoney’s with my mom and how proud she was showing them off to anyone who walked by, and then going to K Mart to hold the dolls. She’d buy them something small and even though these times weren’t fancy, they were just enough to begin to build a relationship–and memories. Our daughters remember my mother’s songs, her prayers and Bible stories, her stories–and even her quirks, her humor, her fears–everything that made her a whole person. So when it came time for my mother to move in with us, they expected it. In many ways, she was already a part of our lives.

Just the other day, our 21 year old daughter said she was glad her grandmother lived with us. That’s saying a lot, because she was there through it all, the Alzheimer’s, the heart attacks, and the end of life. She’s now able to measure the whole of the experience and not just focus on a particularly dark time.

What I wish for the Obama’s is that everyone will be patient and understanding with one another during this time of change. My advice, if I may offer a little–be quick to forgive, laugh at your mistakes, value your togetherness, and respect each other’s differences.

Getting used to living together and under such scrutiny is bound to cause some nerves to be razzled. Just as with any family, it takes time to learn to live together. But it’s worth it. There are times when we need each other, and that’s the best definition of what makes a family that I can think of.

In the end, the Obama girls will be surrounded by family, by legacy, and by love.

I wish them (and all of us) the best.

~Carol O’Dell, author of Mothering Mother: A Daughter’s Humorous and Heartbreaking Memoir

Familly advisor at Caring.com

 

 

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I wrote these words during the early weeks after my mother moved in with us. It captures the concern, guilt, and trepidation we all felt on this new venture.

 

I didn’t feel I had a choice–about insisting my mother move in with my family and me. My mother’s Parkinson’s and early signs of dementia had grown to the point that I didn’t feel she was safe living alone, or that her care was something I could continue to farm out to paid care, extended family, church members and neighbors. She needed consistency. She needed me.

 

 

But it wasn’t easy on either of us.

 

 

Here’s an excerpt from my journals, and what later would become my book, Mothering Mother.

 

 

“I think Mother would just like to sit down and cry. She can’t figure out the layout of the house and says she doesn’t want to sleep downstairs. I explain that there isn’t a downstairs, but her apartment is on the opposite end of the house from my bedroom. It’s so far away that she must feel like it’s on a separate floor. She keeps saying she wants to sleep next to me. Not in the next room, but next to me. She walks around touching the walls as if they could collapse on her if she were to let her hands down. She sits in my dining room chair with nothing to do. I’ve made her breakfast, given her the paper and told her I need to unpack the kitchen, which she can see me do from where she’s sitting.

I feel as if I’ve taken everything from her, which she enjoys announcing to everyone, from the bank teller to the podiatrist. She makes sure to note that she’s selling her house, moving in with us, and giving up everything—her church, her friends, and her home. I stand beside her as she regales them with her sob story, wishing I could add what I am giving up—my freedom, my privacy, my mind, and that I’m not doing this to hurt her. I’m trying to help. Instead, I smile and pat her hand, hoping she’s receiving the sympathy and attention I can’t give.”

It took some time for all of us to get used to living together. I still had two teenage daughters at home. Along with “mother issues,” I had to contend with boyfriends, curfews, teen drivers, and the ever threatening emotional outburst from any of them–at any time. Mother was usually the first to blow.

 

“Mother, I want you, we all want you. Relax. You’re here now, and we’re all at home. This is our home. Please give us time to adjust.” I think of my own mother angst. I spent the first half of my life trying to get away from her and the second half trying to get back.

The cat walks by and rubs against her leg. I don’t know why that cat insists on cuddling up to the only person in the house who would like to throw it across the river. Mother pushes it away with her foot, gentler this time because she knows I’m watching. She looks disgusted. I try not to laugh.

“Go on now, scat!”

Great. Now I have to play referee between her, the kids and the pets.

 

 

 

 

For me, being an adult, a daughter, a wife, and a mother at the same time was challenging to say the least.

 

“We’re having to figure out how to stand next to one another in the kitchen, how to maneuver past each other in the hall, not just physically but even in our thoughts. No one fits every groove of our psyche, habits, or beliefs, and those knots and bumps rub us raw before we develop calluses. As hard as this is, I’m not in a hurry to get to the dying part. I want to face each day and glean whatever sweetness there may be, to truly be here, open my eyes wide and learn to stand next to her, neither one of us shoved to the side, each with a decent amount of space.”

 

 

 

 

I think women are particularly vulnerable into morphing into whatever and whoever someone needs them to be–to the point of losing a piece of themselves. We are the ultimate super-hero, we lose our identities in order to care for others.

 

 

Caregiving takes it even one step further. Your loved needs more. You are their protector, their provider. You are their lifeline.

 

My mother’s apartment was next to my kitchen and laundry room and was the parallel opposite to my bedroom.

 

I can remember evenings of helping my mother change into her gown, giving her the last of her medication, tucking her into bed, kissing her goodnight…and then walking through the kitchen and feeling myself “stripping” that caregiving/daughterly clothes and having to change into the next person I was to be–to help a daughter study for her SAT’s, or become a wife, my husband’s lover. All within moments…a new identity.

 

 

How do you keep your head and heart intact?

 

  • Believe you can do this. You were meant to do this–wife, mother, daughter, friend, co-worker. You have lots of experience already. Life never comes to us orderly. You have to be able to unload the dishwasher, talk to your best friend, pack your kid’s lunch, kiss your hubby goodbye for the day, and hand your mother a bowl of oatmeal–oh, and don’t forget to feed the cat.

 

  • Having your mother move in with you–or you with her–isn’t the worst thing in the world. Not having a mother is far worse. Yes, you’ll have a few squabbles, at least I hope you will. Your mother will teach your more about yourself than ten shrinks ever will.
  • Becoming your parent’s parent is the hardest, fastest, best way to really grow up. Whatever residual crap you had left over about your childhood (or adulthood) issues, you will finally either forgive or give up. It just gets too hard to stay angry and do everything else you’ve got to do.
  • Put yourself in your mother’s place. One day, you will–so take a moment to consider how vulnerable they feel. Their bossiness, negativeness, or fussiness is just a cover up. It helps to remember that it’s much easier to be the one in charge than the one in need.
  • Speak up. Set boundaries. Don’t give anyone–your kids, your husband, or your mother all your time and energy. Save some for you. Be alone every day–for ten minutes. I don’t care if you have to lock yourself in the closet, go to the mailbox and stand by it for ten minutes pretending to read the mail–be alone. Take long baths. Drink your coffee on the back porch. You do not have to be at anyone’s beck and call every second of the day. It’s not good for you. It’s not good for them.
  • If you don’t pray or meditate–start. You’ll need it. Find your center of strength. Ask for help, guidance, and wisdom.
  • You might not like it, but you’re probably a lot like your mother. The quicker you learn how to love her, the quicker you’ll love you.
  • Don’t let every little comment get to you. So what if she thinks you’re a slob, wear your shorts too short and can’t cook. There’s no better way to get over what people think of you than to practicce with your own relatives. Smile and be content with being just who, and just how you are.
  • Our minds, bodies and spirits are meant to love a lot of people. You can do it. You can find the patience and perserverance to do this. You will surprise yourself with how much you can love.
  • Caregiving is stressful, I won’t try to water it down in the least. You will have to be on your game almost all of the time. You will lose your cool, cry, curse, and at times, fall apart. But you are resilient. You will rebound.
  • This won’t last forever. I promise. It won’t. Parents die and kids grow up. My mother’s gone now–and what seemed like an eternity is now a memory. And I miss her.
  • Being a part of a family and caring for someone intimately is a priviledge. It’s messy, heartbreaking, hair tearing, and scary–but the alternative is orderly loneliness.

When it’s over, let go.

You will most likely grieve, feel secretly relieved, guilty, resentful, and scared all the way through and especially after it’s over. But this will pass. Your parent will become a part of you–in a cosmic, spiritual, and even on a biological level.

It will then be time to recreate who you are again.

Trust that all you need to know you already know.

You will find your way.

 

 

~Carol O’Dell

Family Advisor at Caring.com

Mothering Mother is available at Amazon

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Do you feel this is the last Christmas with your spouse or parent?

Perhaps you’re looking at a  cancer diagnosis, or you’re at the end stages of Alzheimer’s or heart disease.

This can put a cloud over the festivities. Everything drips with meaning. You’re standing in Wal Mart and feel weepy.

Or…you can’t seem to wedge your butt off the couch. Flipping channels has somehow become  your life.

 

You don’t know it, but this is the face of grief.

We start grieving long before death enters the picture.

The word grief means Deep mental anguish, as that arising from bereavement.

 

So what do you do if you feel like this is your last Christmas together?
Do exactly what you feel like doing. Trust your gut, your heart, your intuition, your spirit…whatever you want to call it.
If you need to flip channels, then give in and flip. Are you missing something significant?
Could you really grasp “significant” right now? Even if it hit you on the side of the head?
I really do believe that after about 3 days, either you’d get sick of the same old “As Seen on TV” merchandise–or, you’d get carpel tunnel and you’d have to quit anyway. Be willing to give in and see where it takes you. I’ve learned that the best way to get over something  is sometimes to give in.
Even scientists have observed  this–they find that if a child is exposed to copious amounts of pizza, chips, cookies, and apples–they’ll eventually get the junk food crave out of their system and willingly choose the apple.
Grief isn’t something you can fight. Nor should you.
It’s natural, and for the most part, healthy.
But if you can, try not to jump time–don’t go to the future–to the time your loved one dies. Be present. That season isn’t here yet.
Also realize  that if you’ve been caregiving for several years, you may have hit the caregiver’swall–you may feel numb, exhausted, and zombie-llike.
Trust the process. If you go too far, you’ll know it–everyone else will know it.
If you do have the ability to rationalize and feel, then cherish this season. Don’t dread it or push it away.
Don’t make everything drip with meaning. That can get exhausting and annoying.
Your loved one won’t appreciate being inthe spotlight every second. Follow the moment.
When something touching, seweet, or poignant happens, you have a better  chance of recognizing it if you are ‘gently” alert.
If you get a few photographs or can jot down a few thoughts, then you’ll have something you can treasure for years.
If you can’t–or don’t–then let it go. I promise you, all you need is one moment–one glance, one gentle touch of the hand, one brush of the hair–somethig will rise to the top. You will have your moment. You will find the sweetness in the season. Just let it happen.
Our relationships–and the holidays–aren’t to be forced. 
Trust that this holiday will give you a gift–at the most unexpected turn.
~Carol O’Dell, and hope you’ll check out my book, Mothering Mother

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Every day, a child’s mother, father, grandmother, grandfather or sibling dies.

Experiencing death while still a child is common, but that in no way makes it less difficult.

There are ways to help a child deal with grief.

When a child loses a loved one to death, that loss can have a profound effect that can even last a lifetime.

Emotional, psychological and physical trauma can occur and effect how a child views the world.

If grief is talked about and a child is given the proper coping tools, is surrounded by love and support, then the negative impact can be lessened.

But too often, adults are at a loss. They’re grieving themselves, and they don’t know what to say or do to comfort a child.

They don’t know how to tell a child that someone they love has died.

They don’t know how much to share with them–they either tell too much or too little.

Adults can simply “freeze” and stop communicating, and the child is left to grapple with their sorrow alone.

They can also insist that the child be happy and move on–because it makes them feel less guilty. They try to live life through their child–but children also have their ups and downs when it comes to grief. They can’t be puppets that we demand to be “okay,” because we need them to be.

Many people expect and demand that children are expected to go on with their lives.

They want them to hurry and go back to school. They don’t want them to get behind. How sad. Something as profound as a parent, sibling, or grandparent dying is so much more significant than an A in algebra.

Just days or even hours after a grandparent dies, many children are expected to return to school, sports and activities. Adults someone need the child to be busy so that they can deal with “adult” matters of business and details, but the child has his own grieving process to go through.

Children have so many issues to deal with–growing up, adolescence, fitting in, weight issues, pressure to smoke or smoke pot, divorce, family issues, academic and social issues–and it starts at a very young age.

When are they supposed to feel safe and free to open up and talk?

When can they express how much their miss their grandad?

How Do You Tell a Child That a Loved One Has Died?

Keep it simple. Use “died”, not “He is sleeping.”

Allow your child to express raw feelings freely or ask questions.

Answer questions honestly and simply. Do not go into detail, unless asked.

If the death was due to a violent crime, explain that they are safe now, nd you will do all you can to make sure they stay safe. 

Offer a comfort object–blanket, doll, teddy bear. Even if they’re “older,” something cuddly can reduce anxiety.

If the body is suitable for viewing, allow the child to see your deceased loved one, if requested. Prepare the child for what he or she will see.

Tell your child what will be happening in the next few days.

Give your child choices in what to do. Some children want to go to school the day of the death–it’s comforting and feels “normal.” Give them a choice. Whenever they return, inform the school of the death before your child returns.This makes their teachers and classmates more sensitive. Most schools have a school counselor that can also assist and be made aware of the situation.

Reassure your child that he or she will be cared for and explain the plan.

Children sometimes open up easier if they’re doing something with their hands–playing cars or helping bake cookies–it can take awhile for them to feel safe–and they feel less on the spot if they don’t have to look at you but can pretend to be “busy” with their hands.

 Don’t Know How to Talk To Your Child: Here’s some Easy Conversation Starters: 

 I’m sorry your grandmother/papa/mom/dad/sister died.

 What was your dad/mom/brother like?

Tell me about your__________. 

What was his favorite food/book/thing you did together?

 What do you miss the most? What is the hardest time of day for you?

I cannot know how you feel, but I remember how I felt when my __________ died.

 Whenever you want to talk about it, I’m here.

I’m thinking about you especially today because I’m aware that today is your mother’s birthday (anniversary of the death, your birthday, etc). 

If you don’t want to talk, we can still spend time together.

 

WORDS THAT CAN HURT:

I know just how you feel. I know just how you feel…my dog died last year. Lick your wounds and move on. You’ll get over it. It will be okay. Don’t think about it. You are better off without him. Don’t cry. It’s your fault. God took him so he wouldn’t be in pain. Tears won’t bring her back. Be strong. Forget about it. You are the man/woman of the house now. You should feel ….(proud, relieved, happy, sad, etc.)

Children May Express Grief Differently Tnan Adults:

Their emotions may experience highs and lows. They may laugh inappropriately–even at the memorial service. Don’t think this is because they don’t care. It’s difficult for a child to figure out how to handle their emotions. They may avoid sleep–or a teen may sleep all the time. They may zone out and not seem to hear anyone talking to them.

Become clingy and panic if you’re not home on time or don’t pick them up on time. Act rough or violent toward a sibling or friend. Defiantly disobey.

Teens may become daredevils–drive fast, extreme sports, breaking and entering–anything to feel “alive”

They may even try to “test” your love.

When Do You Seek Professional Help?

When the symptoms (lack of sleep, depression, agression) continue for weeks or months and grow in intensity.

When they can no longer function in school or around other people

When they isolate themselves for too long

When they become dangerous to themselves or others

They fixate on death, experiment on animals, or are exhibiting cruel behavoir

What do you do if you suspect your child or teen is not handling grief well?

Talk to the school counselor, your pediatrician, or clergy

Get a recommendation for a therapist who has helped children through grief.

Don’t settle for just a prescription. Talking and expressing their emotions is crucial to the healing process.

Don’t go just one or two times and think your child is “better.” Follow through and be consistent.

The Best Advice?

Be patient. Expect some some highs and lows. Share your own grief journey. Listen. Reassure. Be there. Provide help if or when it’s needed. Let them know it’s okay not to be able to handle this all by yourself–we all need each other. 

 

In the United States, approximately 4.8 million children under 18

are grieving the death loss of a parent.

~Carol D. O’Dell

Author of Mothering Mother, available in hardback or on Kindle

www.caroldodell.com

Helpful sites:

www.opentohopefoundation.com

www.beyondindigo.com/children

www.griefnet.org

www.childrensgriefnet.org

www.kidsaid.com

I’m Carol O’Dell, author of Mothering Mother: A Daughter’s Humorous and Heartbreaking Memoir, available on Amazon. I hope you’ll visit my blog again.

www.mothering-mother.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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The first month after your loved one dies is perhaps one of the scariest,

most dreaded times in a person’s life.

Losing a spouse, a parent, a child is devastating. But somehow, you will get through.

I know you don’t think you will.

But there’s this little thing called breathing. Your body does it whether you want it to or not.

Your heart can be breaking, your gut wrenched, and you can feel as if you will truly lose your mind–and your body will continue to take its next breath. There will be times when you don’t want to breathe. You don’t want to live–the pain is so intense. Just let your body get your through for now.

It’s a divine design–to keep our heart and lungs on automatic.

I’m sure I would have either forgotten or opted not to breathe, not to allow my heart to pump if I had any say in the matter. But this sheer involuntary response is the only way to go on during those early days of grief.

Death comes in many forms–by way of an accident, or after a long agonizing illness–it’s never easy.

Even when you’ve been caregiving for years and you know your loved one is no longer suffering, almost everyone has a difficult time letting go.

Why? Why is it so difficult to watch death take those we love–even after pain and suffering, and even old age?

I believe because there’s something in us that deeply believes in the eternal.

Our brains do not compute that life is simply cut off. I’m not basing this on any particular religion or theology–I’m basing this on biology–we cannot comprehend that someone we know and love was here yesterday–and is not here today. Those who look at this purely scientific would say that it’s mere habit–but something in me feels that it’s more.

Why, after practicing a lifetime of faith, and believing with all our hearts that we will see our loved one again–is it still so hard to stand next to their lifeless, breathless body and kiss them goodbye?

The same reason a toddler cries for his/her mother. We don’t like separation.

And those early days of separation are very, very difficult.

What’s it like? That first month?

Experiencing a death of someone we love–at any age, and for any reason, usually means that we go into shock. Not only have I experienced the death of several loved ones, like you, I have many family and friends who have also experience grief and loss.

By looking at these first few days and weeks, we can begin to see a pattern–in ourselves and others. It’s less scary to know that we’re not alone, and that our bizarre thoughts and actions are something others experience as well.

What is shock?

It’s our body’s response to trauma or pain.

Physically, speaking, shock is when the body isn’t getting enough oxygen. It can occur after an injury when the body shuts down (the blood stays close to the heart to preserve life at its core level–or it can occur after a severe emotional trauma.

WebMD desribes shock as this:

  1. A sudden physical or biochemical disturbance that results in inadequate blood flow and oxygenation of an animal’s vital organs.
  2. A state of profound mental and physical depression consequent to severe physical injury or to emotional disturbance.

If you’ve ever experienced shock (yourself or by witnessing it in another person), one of its prime characteristics is that you’re probably not reacting to pain (physically or emotionally) as you would expect.

Car accident victims can walk around with a head wound or internal injury–and only after minutes or even hours does the body “compute” the damage and begin to react. This may give the person time to rescue a child or get out of a fire.

Emotional trauma shock can present with similar symptoms–the person may talk or act rather normal, even when you would expect them to cry or scream or fall apart. They might eventually do all those things–but it may be weeks or months later. The mind has the ability to stay “in shock” much longer than the body–and it will usually only allow the person to really feel and experience the deepest levels of grief when it’s safe.

The movie, Reign Over Me is a great example of emotional shock.

Adam Sandlerplays a man who lost his wife and children during 9/11. He spends years in “shock,” and the exploration of how this man deals with grief in an unconventional way–and the arguments that the social and mental health community make to try to “fix” him, is interesting.

Every person’s journey with grief and loss is different. Honor yours.

Trust your gut, your shock will get you through.

During the first month you might: (no two people are the same)

  • Be able to plan an elaborate funeral or memorial service
  • Hold yourself together–be courteous, thoughtful and polite
  • Look healthy and strong
  • Go back to work days or weeks after your loved one passes
  • Feel euphoric–an urgency to get on with life
  • Plan a trip, go shopping, or other ordinary things
  • Go off with friends and do things you haven’t been able to do in a long time

But…if you observe grief and shock a little closer, you’ll notice things aren’t quite what they appear on the surface.

You might also:

  • Feel high strung, nervous, agitated
  • Can’t pay attention, get bored or antsy with people
  • Suffer from insomnia
  • Have a panic or anxiety attack when you’re out in public
  • Zone out and not remember where you are
  • Feel guilty and think you caused your loved one to die (by taking them to the hospital, or not taking them, or a myriad of other decisions you had to make)
  • Forget things–your keys locked in the car, your wallet at the gas station
  • Avoid falling apart or crying because you may feel like once you start, you won’t be able to stop
  • Have nightmares, even scary dreams of your loved one coming back alive–but not alive
  • Become obsessed with something–putting your affairs in order, doing something your loved one nagged you about but you put off–but now you’re doing it to excess
  • Do something, anything to feel alive–gamble, go to Vegas, visit online chat rooms, shop too much, eat too much
  • You may start to snap at people–or cling–can’t let yourself be alone
  • Your emotional pendulum keeps swinging wider and wider

Practical Things You Typically Do The First Month:

  • File for and receive the death certificate (that’s tough)
  • Contact your life insurance
  • Decide when or if to go back to work
  • Comfort others around you–children, friends, even when you don’t feel like it
  • Cancel credit cards and put your house or car in your name only
  • Pay the bills associated with your loved one’s passing–funeral expenses, etc.
  • Decide to buy or sell certain items
  • Figure out how to pay the bills or deal with repairs–whatever your spouse/loved one did that you now must do
  • Catch up with your lfe–if your loved one was ill, there may be many things that need your attention now
  • Write thank you notes and figure out how to handle your relationships with this new change

Emotionally You’ll Have To:

  • Make calls and let businesses know your loved one has passed
  • Talk to many family and friends–and some of them will be awkward and say the “wrong” thing
  • Walk back in your house, your bedroom, drive his car–feel his/her presence and be faced with your loss
  • Sleep in the bed he’s/she’s no longer in
  • Deal with clothes, cars and other personal items–even if you don’t start sorting and deciding what you keep, they are with you–in your house and your life
  • Allow your brain and heart to assimilate that your loved one’s not here for you to call–to talk to
  • Wake up and think he’s/she’s still there
  • Feel alone and lost even when you’re busy
  • Figure out who you are now and what to do with your time and energy
  • Think about that “first” that is to come–first birthday without him, holiday without her–and make a plan
  • Literally survive the best you can

For most people, the first month is a blur.

At times, you’re in bone crushing grief alternting with an odd euphoric gotta-get-out feeling.

You can bite someone’s head off or not even care if the shoes on your feet were on fire.

There’s a lot to do, and that list of wrapping things up and starting anew at least keeps your keep moving. The good news is: you probably won’t remember most of this.

Shock does a whammy on the brain. You may feel like you’ve put your skin on inside out–and your nerve endings are exploding–but later, there will be many things you can’t recall.

Your body is protecting you. Let it. J

As crazy, lost, alone, scattered, numb, and frantic as you feel in those first months, know that as hard as it is to believe, it won’t last forever.

Just breathe.

Carol D. O’Dell

Author of Mothering Mother, available on Kindle

www.caroldodell.com

Carol is a family advisor at www.Caring.com

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Alzheimer’s is a tough diagnosis.

Many people hear the word and instantly get an image of their loved one completely uncontrollable–who no longer knows who they are.

It’s worse than any horror movie.

Recently, at a caregiver’s conference I started my talk about my caregiving journey–and that my mom had Alzheimer’s. A woman jumped up out of her seat, let out a cry, and ran out of the room. The director followed her out the door.

Later, the director shared that the woman’s mom had been diagnosed with Alzheimer’s, and this was the first event she had attended. This was the first time she was admitting to herself that her mother had Alzheimer’s.

Why is it so scary?

Because Alzheimer’s, like cancer has a ripple effect.

We’re afraid of what the end will be like.

We’re afraid our loved ones will suffer. We’re afraid of how bad it’ll get.

We’re afraid it might be in our genes, too.

Afraid, afraid, afraid.

People are afraid they’ll get Alzheimer’s, and then if they do get it, they’re afraid of what the end will be like. That’s a lot of fear. I don’t know about you, but if I’m going to be mauled to death by a bear, then bring it on–cause worrying about it for two decades will kill me with an ulcer before I ever see a bear!

Getting that dreaded diagnosis means your life as you know it is over.

Really?

Is it all or nothing?

Does your brain, your personality, your purpose and dreams all fall out of your head the second the doctor utters this terrible word?

NO.

You (or your loved one) have probably been living with Alzheimer’s/dementia for awhile.

Life’s been pretty good, right? Sure–some slippage–some “what’s that called, what’s his name”  moments–but hasn’t there also been some quality of life?  

Does it mean as a caregiver that you will never see your friends, go on vacation, or make love–ever again?

No, it doesn’t!

Yes, it’s scary to say the word.

It’s scary to know that “it’s” in there. Lurking.

But you do have time.

You do still have a life and people you love. Nothing has really changed since yesterday.

I’m not saying it’s a picnic, my mother had Alzheimer’s and lived with us the last almost three years of her life, so I’ve seen this disease up close. But now that there’s such an awareness of Alzheimer’s, there’s earlier diagnosis–which means people are getting treated earlier.

Drugs such as Aricept, Exelon, Cognex, and Razadyne work well on many people who are in the early stages of Alzheimer’s. You can take your meds, and still enjoy so much of life.

What can you do if you or your loved has Alzheimer’s?

(It depends on age, stage, and other existing illnesses)

Get up tomorrow morning and have the same breakfast you had today.

Watch The Price is Right or go to the store. Keep on living your life.

Yes, you can take a trip. Go to Greece. Go to Rome. Do those things you’ve always dreamed of–but also know that your ordinary every day life has value.

Don’t feel lke you can’t go with a friend, your spouse and take a tour. You can. Take your meds, don’t over do it, but go!  So what if you forget the busboy’s name on the cruise ship. So what if you and your wife walk everywhere together hand in hand.

Just remember that having coffee on your back porch while reading the morning paper is pretty darn great too.

Get together with friends. Talk about your diasnosis. Get it on out there. Let them ask questions.

Let’s educate our loved ones. Let’s get over the stigma. Let’s show them that life indeed does go on. Enjoy dinner, enjoy eating out–crack a joke and watch everybody bristle as to whether to laugh or not.

Go for a walk. Your legs aren’t broke, you know. You don’t have to become a couch potato. If your finger can flip channels, it can surf the ‘net. Raise money for Alzheimer’s research or blog and share your journey with others. That’s what Terry Prachett is doing. He’s a well-known writer who has Alzheimer’s and he’s donating monies and bring awareness to this disease. You might as well use it to do some good in the world.

There are no guarantees for anyone–so why not have the best Christmas ever? Get that toy train you’ve always wanted. Take that family portrait with the kids, grand kids and great grand kids. Wear a Santa suit and pass out presents.

This is the time to video or audio record your life, your memories, your songs and stories.

Life is precious. Memories are to be passed on and held dear. So find the time when you are rested and clear headed to go ahead and yack and yack and tell all the stories you can think of–about you, your career, your adventures, your sorrows and your victories.

What if you’re forgetting more than you’re remembering these days?

Then spend this tender time with those you love. Tell them you love them–now.

Ask them to remember for you. Create a system of post-it notes, alarm clocks, and every memory helper gadget you can find. But more importantly, sit with your sweety, play with your dog–and just be present.

What if the diagnosis of Alzheimer’s comes after there’s much memory loss?

Then know as a caregiver that while your loved one may at times feel agitated and scared–Alzheimer’s is not physically painful. There is some pain at the end of life (but that’s related to the shutting down or bodily systems). The hardest part regarding pain is that late stage Alzheimer’s patients can suffer pain from another ailment and not be able to communicate it (such as a bladder infection, toothache, heart condition, etc).

Yes, Alzheimer’s is confusing (and that falls under emotional pain), I”m not belittling the ramifications of this disease and its impact on families in any way.

What can I do as a caregiver/loved one to help?

  • Be patient
  • Don’t get overly emotional–that’s scares them
  • Stay in charge–that makes them feel safe
  • Keep them safe
  • Take care of yourself, pace yourself–this could be along haul
  • Let them talk about deceased loved ones/careers/the war–and enjoy listening
  • Don’t get caught up in the million question game
  • Don’t take their outbursts seriously
  • Do what’s right and don’t let them manipulate you
  • Provide what they like as much as possible (likes will eventually fade)-food, music, art, sports
  • Introduce yourself and who you are–daughter, nurse, etc. every time you see them (If they’re forgetting who people are)
  • Don’t be offended when they forget who you are to them–even if you’re their wife of 50 years
  • Don’t take it personal if another person, animal, or inanimate object seems to make them happier than you do–it’s just this wacky disease
  • Know that they love you even when they can’t verbalize it
  • Remember for them. Write their stories, sing their songs, play the music they loved when they were dating
  • Keep a watchful eye on them in the hospital and care facilities–no one will pay attention and catch mistakes more than a loved one
  • When the end comes, give them your verbal permission to let go
  • Stay up beat. They need you more than ever

Don’t get me wrong–I’m all for falling apart, so you’ll need to fall apart every now and then.

But fall apart in the closet, in the shower, in the car. Scream, cry, beat the steering wheel. This is a mean son of…, and you have every right to be angry at this disease. That’s important.

Then go on. Occupy your thoughts with a song, a new recipe, the color you’ll paint your bedroom next month. Don’t abandon your marriage or your kids or all your hobbies. You need a life (however small it may seem to shrink).

Don’t dwell on this disease–that’s giving it way too much power.

It is what it is.

Eventually, you’ll reconcile yourself to Alzheimer’s. You will if it hangs around enough to absolutely wear you out. Reconciliation isn’t the same as giving up. It’s about allowing.

You can fight it–beat your chest and beg–but it won’t let go.

So laugh at the crazies, hug and hold hands as much as you can. Scream and cry when you need to.

Create your own village of support, and be “okay.”

I don’t know where you are–if your loved one just got the news and you’re still reeling.

Or maybe you’re in your tenth year and your mom’s in a care facility and she has absolutely no connection to reality.

No matter which case, you can’t get to any level of peace without going through the fire.

You will find your way. You will have a good moment, an allowing moment here and there–when life and your loved one–and all that you’re going through is ironically, “okay.”

Oh, and about the gal who ran out of the conference crying?

I met her–and her mom walking through the mall last Christmas. She introduced me to her mom–with tenderness and pride.

I’m Carol O’Dell, and I wrote Mothering Mother: A Daughter’s Humorous and Heartbreaking Memoir. It’s available on Amazon and in bookstores.

I hope you’ve enjoyed this blog and will visit again.

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Remember the old Art Linkletter show? About kids saying funny things?

Well, parents can be pretty darn funny too.

My mom may have had Parkinson’s, Alzheimer’s and a heart condition, but she could still say and do the craziest things.

It’s okay to laugh. We have to. If we don’t, we’ll just dissolve into a puddle on the floor.

Why is laughter so good for you?

“The old saying that ‘laughter is the best medicine,’ definitely appears to be true when it comes to protecting your heart,” says Michael Miller, M.D., F.A.C.C., director of the Center for Preventive Cardiology at the University of Maryland Medical Center. “We don’t know yet why laughing protects the heart, but we know that mental stress is associated with impairment of the endothelium, the protective barrier lining our blood vessels. This can cause a series of inflammatory reactions that lead to fat and cholesterol build-up in the coronary arteries and ultimately to a heart attack,” says Dr. Miller who is also an associate professor of medicine at the University of Maryland School of Medicine.

Cool, huh?

So, what makes you laugh?

Think about the movies where you’d laughed out loud.

I just saw Tropic Thunder–and laughed until my sides hurt.

I warn you–it’s raunchy from the beginning to the end (and I’m not usually a raunchy humor kind of gal–not a big Austin Powers fan). But it’s also well-written and sharp.

Make Your Own Funny List

  • Funny movies
  • Funny friends
  • Great jokes
  • Funny songs or rhymes
  • Funny or ironic moments in your own life
  • Funny, sharp, witty turns of phrases
  • Funny books or authors

Begin to see the “funny” in each day. Start looking for it.

The Benefits of Laughter

Dr. Lee Berk and fellow researcher Dr. Stanley Tan of Loma Linda University in California have been studying the effects of laughter on the immune system. Published studies have shown that laughing has the following benefits:

  • Lowers blood pressure
  • Rreduces stress hormones
  • Increases muscle flexion
  • Boosts immune function by raising levels of infection (fighting T-cells, disease-fighting proteins called Gamma-interferon and B-cells, which produce disease-destroying antibodies)
  • Triggers the release of endorphins, the body’s natural painkillers, and produces a general sense of well-being

Wow! Too bad the pharmaceutical companies haven’t caught on. I wish they’d include a complimentary Saturday Night Live video with each of their prescriptions!

I’ve laughed my head off at an indecisive squirrel who just can’t seem to make it across the road. I’ve laughed at my dog eating peanut butter–I’ve laughed at my ability to trip walking down a flat sidewalk!

Recently, I was at a caregiver’s conference, and after my talk–in which I do a one-act play of my mother and I having an arguement about me refusing to wear a slip–a woman in the audience whispered in my ear, “It’s probably been over a year since I laughed. I laughed today.”

There is no better gift she could have given me.

We caregivers can get too darn serious. Sure, we’re dealing with disease and end-of-life issues–but the absurdities and incongruities of life are even more ironic, more funny when there’s so much at stake.

Mark Twain said,

Everything human is pathetic. The secret source of Humor itself is not joy but sorrow. There is no humor in heaven.
– Following the Equator, by Mark Twain

 

 

Finding the funny in caregiving kept me alive. I had to write about all the crazy, irreverent, whoopsy-daisy moments caregiving brought into my life. Sometimes I wrote about it with biting sarcasm, other times, it’s tinged with sorrow. You can’t separate it–caring for our loved ones is bitter sweet. I’m grateful that my mother could laugh at herself–at us. When I was a child (she was my adoptive mother and 50 years older than me), we’d watch Jack Benny together and Red Skelton. We’d laugh and laugh. I’d stack their stand up routine against today’s finest–and they’d still trump these guys (and gals!)

Mother had a gillion sayings. She knew she was funny–and she could wait for a punch line.

I’m so grateful to have been brought up in a house where we could laugh.

Here are a couple of excerpts from Mothering Mother when my mother was at her finest!

Remote

Mother can’t figure out all this “high-falutin’ machinery,” as she calls it. The phone rings, 

 

“Hello. Hello?  Hello!”

 

She doesn’t know she’s picked up the remote control.

 

“Hello!”

 

No one answers. She sets it on the table, thinking she’s hung up the phone, but somehow she’s knocked the real phone off the hook. It starts making that noise. I reach over and hang it up.

I look at her but don’t say a thing. I’m trying not to laugh.

“They must have hung up,” she says.

I agree.

“Yes, mother. Someone has definitely hung up.”

***

No Bacon?

I need to go to church. I need to get out this house, wear a dress and sit on a pew and sing a hymn and pray. I desperately need to know I’m not just out here on my own.

 

I dress and hurry to fix Mother some breakfast. I place cereal, toast, coffee and cut-up bites of cantaloupe in front of her, then hand her the little silver tray of pills, the same silver tray she always handed to Daddy, and give her some water to take her medicine with.

You can’t hurry Mother anymore. She’s worse than a preschooler meandering down the sidewalk, pausing to examine a ladybug on a blade of grass and pocketing every pebble.

“Are you sure I take this purple pill now?” Mother stares at the silver tray as if I’m trying to poison her.

“Yes, Mother.”

“Where’s the yellow one? I need to take the yellow one.” She dumps the pills from the tray into her hand.

“No, Mother, that’s with lunch. You take these with breakfast.”

Is it breakfast time?  I thought it was late afternoon.”

“Yes, honey, it’s breakfast. Swallow these pills and then you can eat.”

“Where are you going?” She looks around the room, tilts her hand, and drops the purple pill onto the floor. I find it on the carpet.

“Church, and I need to hurry.” I put the pill on her tongue.

“Is it Sunday?  I need to go to church, too.” The pill drops out of her mouth.

“No, Mother, you’re not strong enough today, sweetie. Phillip is staying home with you today.” I pick it back up.

“I can get ready in a jif.”

“Mother, take these pills. I need to go.”

Aw, you’d wait for me.” She reaches in her house robe pocket and pulls out a long strand of pearls then puts them on over her housecoat.

 

I rub my face to keep from chuckling at her attire or screaming at how long this is taking.

I think of what she’s really like, of the Sunday mornings of my childhood and our intricate dance of preparation. The ironing that commenced on Saturday afternoon, the cleaning out of her purse, the polishing of everyone’s shoes, the check of the nylon hose for runs, the dab of clear fingernail polish… on and on… late into the night, beginning again early on Sunday morning, culminating in southern perfection.

 

Now, it’s a sling of the beads over a well-worn housecoat and she’s good to go. This isn’t like her.

“No, I can’t wait for you, honey. Maybe you can go next Sunday, but you can’t make it today.” I don’t like the sound of my own voice, the hurry inside me.

“Who’s gonna stay with me?”

“Phillip. Now take these pills and sit down and eat.” Five minutes later, I’ve scooted her from the bed to the chair and put the tray in front of her. She surveys it, scanning the food as if she’s a New York food critic, flicking a cantaloupe chunk onto its side with her fingernails. I turn on the television to a preacher I know she likes and take a step back, sneaking out of the room the way I did when my girls were babies so they wouldn’t cry.

“What?” She looks around on her plate. “No bacon?”

***

I’ve heard some of the greatest stories by families and caregivers around the country.

One story I can share is about a man who works at home and takes care of his mom who has Alzheimer’s. She “goes to work” with him–sits right beside him at the computer. When the man’s wife comes home from work, the man’s mother goes ballistic. She sees his wife as “the other woman.” She hides her purse, pinches her under the table, and tells her “to leave her man alone.”

That could really mess with your head!

***

One more story–(I have a million!)

A friend of mine was placing her 91 year-old mother in a care facility (falling/memory loss). She and her sister were cleaning out her mom’s house and consolidating things. She found a rather bright pink Las Vegas type dress–kind of ballroomy with lots of sequins. They decided to donate it to Goodwill and couldn’t imagine who the dress even belonged to–surely not their mother!

A month later their mother asks her daughter’s, “Did you all see that pink dress I had in the back closet? I want to be buried in that dress.”

The two daughters looked at each other–tried not to laugh–and said of course, that would be perfect.

They spent the next 2 months trying to track down the dress. Sequins and all.  

***

So come on, share your stories!

Let’s laugh to the point of tears–not laugh at each other but at life and all it throws our way.

Carol O’Dell is the author of Mothering Mother, available at Amazon

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I’m 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

Caregiver Depression is Very Real and Very Dangerous.

Why?

It Doesn’t Always Look like Depression.

That means it can go undiagnosed for a very long time.

Caregivers can’t (or don’t) stop. They don’t lock themselves in darkened bedrooms for days on end. They don’t necessarily cry or stop eating. They keep on caring for their loved ones. They suffer in silence.

So, what does caregiver depression look like? It can be tricky. It doesn’t manifest itself in the same way other people display depression.

What caregiver has the time to fall apart?

Conservative stats put caregiver depression 20%. That’s very conservative. I’d say it’s closer to 50%. It comes with the job. We’re dealing with disease, pain, and the end-of-life. Depression doesn’t have to consume you, but I doubt there is one caregiver out there who isn’t touched by it.

Am I Depressed? Ask Yourself These Questions:

When is the last time you got your hair cut?

Have you gained more than ten or fifteen pounds this year?

Have you stopped calling friends? Do you think they’re sick of hearing you complain and what else do you have to talk about anyway?

Are you so antsy, so anxious that you can hardly stay still? You stay on your feet, clean, talk, eat–all to avoid something you can’t even name?

Do you feel like all your energy has been drained out your big toe? Seriously, do your legs feel like they’re in cement?

Do you do nothing other than care give?

Fill in the blank: I used to ___________, but I just don’t want to, have the energy, or care about things like that any more.

Have you stopped decorating for the holidays or celebrating birthdays or other special days? Why bother, it’s just more work for me–attitude?

Do you find yourself zoning out–all the time? Can you not think anything through?

Do you get on crying jags and just can’t stop?

Are you stuck in negative thoughts, berating yourself mentally–for hours on end?

Are you waking yourself up with copious amounts of caffeine–or pills–and then forcing yourself to sleep with even more pills?

Do you feel (and look) 15 years or more older than you really are?

Do you feel hopeless? Do you feel you have zero options in your life–you can’t stop caregiving even if you wanted to?

Do you not even want to think about life after caregiving–because you don’t even know what you’d do with yourself?

Is sex a ridiculous concept and even the thought of it takes way too much energy?

Do you flip channels endlessly but never rent a movie or read a book all the way through?

Would a work colleague or old friend even recognize you now?

Are you an insomniac–after years of caregiving, sundowning, and middle-of-the night emergencies, do you find your sleep patterns all out of whack?

Have you ever thought about taking yourself–and your loved one “out of this world?”

***

If you don’t answer “yes” to at least a few of these questions, I’d be surprised.

Caregiving is hard on the body, spirit, and relationships. These signs of stress and depression are common–for anyone, but especially for caregivers. But it’s the severity in which you experience these symptoms. Every day, all day long, the vortex of negative thoughts never ending…

Men are vulnerable in different ways.

They don’t always have the friends and support system that would allow them to let off steam.

They relied on their wives and family members to talk to, feel close to, and if their wife is the person who needs their care, is no longer their companion in the sense the person they communicate with the most–then these men are truly isolated. They may drink too much, flip channels, pull in to the point to where no one knows how bad it is.

Some men take it too far–if their loved one is dying (or they perceive they are), or in sever pain, they might come to the conclusion that it would be best if they both “leave this world” at the same time.

The statistics for elder murder-suicide are startling.

Florida has the highest incident, and one all too common situation is that of the husband whose wife has Alzheimer’s, and he can’t continue to care for her. There’s usually a gun involved.

This is a tragedy–for families and for society. We have to find a way to reach people, to let them know they’re not alone. There are options.

How do you know if the stress and depression has gone too far?

You probably know in your gut. You know how much you’re fooling others. You know how much weight you’ve gained or lost, how little sleep you’re getting, the last time you talked to anyone outside the house. You know how many times you’ve reached for that bottle.

Are drugs the only answer?

In today’s pharmaceutical world, the first thing a doctor is going to recommend is an anti-depressant.

But know that anti-depressants come with some risk.

These are helpful, and when needed, a god-send. But it won’t address the root of the problem.

You need friends, a community, a network. Caregiver supports groups can be a life-line.

You may need a professional to talk to–someone who will listen and ask questions, who will help you make a plan. This may be in conjunction with medications.

If anti-depressants are a good choice for you and your situation, then take them properly and give them time to work. Also, think of this as a part of your health plan, and keep in mind that you will eventually want to wean yourself off these power medications.

Lots of Ideas to Help Ease Depression: 

  • Get the junk food out of the house–sugar highs and lows can really whack you out
  • Get the guns out of the house! Why risk it? Sell the thing, donate it to the local police.
  • If you’re having a problem with alcohol, get rid of it. You can live without it if it’s proving to be a detriment.
  • Join a caregiver support group. Get into a healthy one–a place where people can share openly, but also a place that is positive
  • Get out of the house just for you! Plan one outing this month–go to the zoo, call an old friend, make a hair appointment. Start small.
  • Journal, meditate, stretch–give outlet to those thoughts
  • Walk. Nothing is more healing and takes less time and equipment for phenomenal results. Start with a 15, 20 minute walk. Do it religiously. Don’t wait until you feel like it. Do it like you’re taking a pill. Force yourself if you have to. Don’t worry about walking fast at first, or dressing right, just get out the front door and shuffle down the street. You can leave your loved one locked in the house for 15 minutes. If you can’t, ask a neighbor to come watch TV in your house for that long.
  • Wean off the sleeping aids. This may take awhile. Go slow, take less, but at least monitor that you’re not increasing the dosage.
  • Get angry! Depression is oftentimes anger imploded. Go outside and throw some old glasses against the side of your house. See if it feels good. Go out to your car, shut the doors, roll up the windows and scream your head off.
  • Go to the doctor and get a prescription if you really need it–then take it–get rechecked and make sure you’re taking something that’s working for you. It may take you a couple of months to hit upon the right dosage/medication.
  • If you’re having dangerous thoughts, tell someone. People will understand. You will find compassion.
  • Watch out for physical signs. We can so ignore our health needs that we have a real physical condition we’ve ignored. You might not be depressed–you might be sick! The good news is, you can get well–so check with your doctor and at least get that over-due physical.

Important to Consider:

It’s okay if you can’t be a full-time caregiver any more.

Quit. Place your loved one in a care facility. God will not hate you, and if your loved ones hate you, then tell them to come do some non-stop, full-time caregiving!

Sometimes we just hit a brick wall. Cry, and then let go. It’s okay.

As dark and scary as depression can be, it’s our heart’s and body’s way of asking us to deal with something.

Depression can be an ironic gift that leads you to help and healing.

~Carol O’Dell

Family Advisor at Caring.com

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