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Been to the downs of caregiving which is called "vacant"? empty, drained out. Pls share some revolutionary tips. Only for sole caregivers who don't get help from anyone.
My advice is DON'T be a "sole caregiver who doesn't get help from anyone." That way lies madness or vacancy which leads to madness.
The number one thing caregivers MUST do to avoid burnout is get some respite. This is not optional if mental health is to be preserved.
And to have some daily help.
If the loved one has assets and/or income to afford the costs of in-home help and respite care, that is what the assets and income should be used for, until the money is gone. Then Medicaid can pick up the gap. If the loved one has no income or assets, then apply for Medicaid immediately.
I know that as a caregiver, hearing "find respite" sounds like one more thing to add to an already overwhelming to-do list. But it needs to go to the top of the list.
Ah, I fit the bill perfectly. No help from anyone and sole caregiver for over a decade. I recently hit what I discovered to be a new 'rock bottom' I had not realized existed. The emotional rock bottom. Vacant...drained...unable to remember what it was in myself that had always kept me going before. None of they ways I used to help myself made one bit of difference. I was literally at the end of my rope.
Then my mom broke her second hip and had to spend 3 months in a SNF so that she could regain as much function as possible...if not walk, then standing at least. I'm not sure we got there because I had her home one day and she broke her arm...I think we still have some potential progress with HHC OT and PT but I digress.
The three months was more for me, I suspect. I realized last night that I was finally able to get my ducks in a row and now, I am finally feeling equipped and able to deal with the unpleasant surprises that invariably come with caregiving. At first, I thought I had kind of wasted the three months because I basically did nothing productive, including housework...just sat around, played games on facebook and vegged...visited with friends but not as much as I thought I would.
Now I see that I was working on myself mentally. And I did some paper crafts (I love paper) which I had not done IN MONTHS or maybe YEARS...I listened to music...I talked to myself...I did get slightly impaired whenever I felt the nudge...and was able to reflect upon things and see what I should change when mom came home. Of course, "the best laid plans of mice and men...." but that didn't matter. I had regained the ability to handle things. I hope it lasts...I think it will because I somehow gained a new perspective.
That's not helpful, perhaps, because you might not have the same opportunity....it was tragic she broke her second hip but in a way it was exactly what was needed even for her in many ways I won't go into here.
And being all alone means that it is near impossible to get a 3 month break outside of personal catastrophe. I had, before the break, decided I was going to call my 3 half-siblings and tell them that I could not go on without some sort of weekly break if even for an afternoon and it was going to be up to them to work out a way to provide financial resources to hire a private pay sitter from the HHC to sit with mom a few hours a week in order to save the sanity of the caregiver that was preserving the comfort of THEIR (siblings) own personal lives.
However, not knowing your situation, that might not be an option. It might give you a seed to start from, though...I hope.
I think that it is ESSENTIAL to have some sort of regular break any way possible. When mom's arm is healed in a couple of weeks, I plan on sending her to the local senior center a couple times a week and the adult daycare another couple of days. It will be good for her and for me. And it is free.
If I think of anything else, I will write it for you.
Also, if you have any hobbies you enjoy and can do at home while 'at ease' in your caregiving duties...pick them back up and do them! After I got my first craft project completed, I was amazed at how much better I felt inside! I thought, damn...why wasn't I doing this all along? How did I forget how good this is for me to do??!!?
It is sooooooooo easy to forget things like that when consumed in giving care 24/7 365 days a year. You put it aside for a day or two and the days turn into weeks and months and you just forget even those things that maybe at one point were so much a part of you, you didn't have to remind yourself exactly WHY they were a part of you. The essential things....creativity...imagination...music...reflection...just taking time for self. Any little moment you can grab for yourself...GRAB IT.
I'm new here. And thankful to come to a thread where people aren't prattling on about how caregiving enriches you life, gives you courage and compassion, yadda, yadda, yadda.
And Captain, I like your suggestion. LOL
My suggestions: Realize that when the elderly person is hospitalized for one of these falls, THAT is the time for there to be a change in their living situation. You MUST say that you will not be able to further care for the person. Period. And likely, you won't.
If the patient has the money to pay, fine. If they don't, find out what Medicare will pay for. My grandparents ended up in a County old age home. And it actually was not all that bad. (My mother, who is now 93, wasn't about to bring them into HER home!)
FWIW despite my mother (see my question post about having to break contact) making statements that she would never leave her house, that "they would have to take her out of there ten toes up", she is now happily the "Queen" of the facility where she lives. It is one of THE most expensive facilities in this fairly large city. The cost is $6,000/month and she is on self pay. Depleting the inheritance? Oh, yes, but hey, it's her money.
So, you need to look at the situation and ask yourself some questions. WHY are you giving care? Is it a money issue? In what way? When my grandparents needed placement I went to both my County Representative's office and my State Representative's office and requested assistance. Lo and behold, despite a "long waiting list" they were placed within 2 months.
When you look into it, despite almost every elderly person saying they "don't want to go into an institution" and they "want to stay in their own home", they almost always do better and have a better quality of life once they move. Alone at home the older they get, the more they become socially isolated.
My own situation is different. I was not an in-home caregiver. But I was an "only" caregiver, despite having a sibling. (And that's another whole story) I also did not have a particularly good time of it with my elderly mother over the past 10-12 years of her decline. (As in, my husband was diagnosed with Stage IV kidney cancer, and despite aggressive treatment, died 14 mo. later at age 60. Three MONTHS later in a conversation with good old mom, I teared up when talking about him. Mom looked at me and said, "Are you STILL crying about him?? What's wrong with you?"
And yes, I was my husband's caregiver. He died at home as per his wishes. "No hospital" were his last lucid words to me.
If I could help anyone here in any way, as a "newbie" to this board today, I would ask that you ask yourself WHY you are in the position of being the caregiver. Really, really look at it. And don't ever think that things can't be changed.
Those are great points! The "WHY am I here" and the "If money were NO object" are pretty much the root of the issue when it comes to deciding what is best for EVERYONE involved. If that's possible, then it is the only way to go..and then with the largest number of satisfied voters, if you dig. But if anyone does not at least in some degree WANT to take personal care of the elder in question, then it can so potentially turn ugly...for everyone involved. It is okay if the elder alienated everyone in their lives before hand but saved enough or built enough to pay for their infirm end years...it is kind of like karma although I won't say that it is (cause I'm not sure myself what's what). You reap what you sow.
Why am I here? Because the first time I envisioned my mom in a nursing home as a hypothetical solution to the issues she was facing at the time, 10-11 years ago when I first came back home, I could not abide it. I could not stand to think of anyone in the family putting her in nursing home. I have worked in them. They are not bad places but they are not home. My mom is not the type to do well in one, and I have always known her that well...and 10 years later I know her even far better. And I think that is part of the 'why' am I here answer for me, too.
If money were no object for us, my mom and I, I know I would definitely keep her here and use the money for hired private trustworthy kind help, supplying all needs I possibly can from diet to wardrobe, etc., making sure she got the BEST care money could buy in our own home under my direct supervision. You know, the old lady in the crochet shawl sitting out on the veranda each evening about mint julep time. LOL
So the only real difference is that we don't have a veranda and I don't have anyone to supervise myself, which, actually, is better/easier for me in the final rackup, I think. (yeah right...keep on telling yourself that)
And I think I'm going to go buy me a powerball ticket in a minute. "~)
kamilghafur, I'm a nosy bird...just asking out of curiosity about another culture! So don't answer if you don't want to, or can't...I understand.
But I don't really understand what you meant about taboo stigma? Is it taboo to take care of your elderly parents in your country or just taboo to discuss it? If just about discussion, does that apply to family, too, or just maybe to public and strangers? If you can't talk to ANYONE at all because of that it must be really hard!
@ jeanne, " madness " lol beeeb-abeeeb-abeeb-abeeeb, etc. mom has been standing in the driveway this am hurling my sockets and wrenches as far as she can throw em. cool, this is better than warner bros cartoons.
Keep it real. Strengthen your mind and body. Read, yoga, nutrition, laugh, be honest, cry, talk, write. Pray, or meditate. This will fill the vacancy, which I don't think is really vacancy, but a form of isolation boredom. You need to interact in real life, even if with birds and animals. It will bring you a connection to the divine.
I am amazed everytime I read these and hear the stories as they are so close to mine! I need to pull out my beads now n then and make something sparkly! I can get lost in them for hours never a care! But somehow caregiving has stolen the simple outlets as well, My poor lil Jack Russell Terrier (I mention his breed because they need the excersize) is a saint, he has learned to sleep most of the day but he also can just look at me with those eyes saying come on, lets go, And I just wanna cry I tell em im sorry lil boy, I can't! when I can and should just snap a leash on and get out for a few....he and I would both be the better for it!
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
The number one thing caregivers MUST do to avoid burnout is get some respite. This is not optional if mental health is to be preserved.
And to have some daily help.
If the loved one has assets and/or income to afford the costs of in-home help and respite care, that is what the assets and income should be used for, until the money is gone. Then Medicaid can pick up the gap. If the loved one has no income or assets, then apply for Medicaid immediately.
I know that as a caregiver, hearing "find respite" sounds like one more thing to add to an already overwhelming to-do list. But it needs to go to the top of the list.
I recently hit what I discovered to be a new 'rock bottom' I had not realized existed. The emotional rock bottom. Vacant...drained...unable to remember what it was in myself that had always kept me going before. None of they ways I used to help myself made one bit of difference. I was literally at the end of my rope.
Then my mom broke her second hip and had to spend 3 months in a SNF so that she could regain as much function as possible...if not walk, then standing at least. I'm not sure we got there because I had her home one day and she broke her arm...I think we still have some potential progress with HHC OT and PT but I digress.
The three months was more for me, I suspect. I realized last night that I was finally able to get my ducks in a row and now, I am finally feeling equipped and able to deal with the unpleasant surprises that invariably come with caregiving. At first, I thought I had kind of wasted the three months because I basically did nothing productive, including housework...just sat around, played games on facebook and vegged...visited with friends but not as much as I thought I would.
Now I see that I was working on myself mentally. And I did some paper crafts (I love paper) which I had not done IN MONTHS or maybe YEARS...I listened to music...I talked to myself...I did get slightly impaired whenever I felt the nudge...and was able to reflect upon things and see what I should change when mom came home. Of course, "the best laid plans of mice and men...." but that didn't matter. I had regained the ability to handle things. I hope it lasts...I think it will because I somehow gained a new perspective.
That's not helpful, perhaps, because you might not have the same opportunity....it was tragic she broke her second hip but in a way it was exactly what was needed even for her in many ways I won't go into here.
And being all alone means that it is near impossible to get a 3 month break outside of personal catastrophe. I had, before the break, decided I was going to call my 3 half-siblings and tell them that I could not go on without some sort of weekly break if even for an afternoon and it was going to be up to them to work out a way to provide financial resources to hire a private pay sitter from the HHC to sit with mom a few hours a week in order to save the sanity of the caregiver that was preserving the comfort of THEIR (siblings) own personal lives.
However, not knowing your situation, that might not be an option. It might give you a seed to start from, though...I hope.
I think that it is ESSENTIAL to have some sort of regular break any way possible. When mom's arm is healed in a couple of weeks, I plan on sending her to the local senior center a couple times a week and the adult daycare another couple of days. It will be good for her and for me. And it is free.
If I think of anything else, I will write it for you.
Also, if you have any hobbies you enjoy and can do at home while 'at ease' in your caregiving duties...pick them back up and do them! After I got my first craft project completed, I was amazed at how much better I felt inside! I thought, damn...why wasn't I doing this all along? How did I forget how good this is for me to do??!!?
It is sooooooooo easy to forget things like that when consumed in giving care 24/7 365 days a year. You put it aside for a day or two and the days turn into weeks and months and you just forget even those things that maybe at one point were so much a part of you, you didn't have to remind yourself exactly WHY they were a part of you. The essential things....creativity...imagination...music...reflection...just taking time for self. Any little moment you can grab for yourself...GRAB IT.
And Captain, I like your suggestion. LOL
My suggestions: Realize that when the elderly person is hospitalized for one of these falls, THAT is the time for there to be a change in their living situation. You MUST say that you will not be able to further care for the person. Period. And likely, you won't.
If the patient has the money to pay, fine. If they don't, find out what Medicare will pay for. My grandparents ended up in a County old age home. And it actually was not all that bad. (My mother, who is now 93, wasn't about to bring them into HER home!)
FWIW despite my mother (see my question post about having to break contact) making statements that she would never leave her house, that "they would have to take her out of there ten toes up", she is now happily the "Queen" of the facility where she lives. It is one of THE most expensive facilities in this fairly large city. The cost is $6,000/month and she is on self pay. Depleting the inheritance? Oh, yes, but hey, it's her money.
So, you need to look at the situation and ask yourself some questions. WHY are you giving care? Is it a money issue? In what way? When my grandparents needed placement I went to both my County Representative's office and my State Representative's office and requested assistance. Lo and behold, despite a "long waiting list" they were placed within 2 months.
When you look into it, despite almost every elderly person saying they "don't want to go into an institution" and they "want to stay in their own home", they almost always do better and have a better quality of life once they move. Alone at home the older they get, the more they become socially isolated.
My own situation is different. I was not an in-home caregiver. But I was an "only" caregiver, despite having a sibling. (And that's another whole story)
I also did not have a particularly good time of it with my elderly mother over the past 10-12 years of her decline. (As in, my husband was diagnosed with Stage IV kidney cancer, and despite aggressive treatment, died 14 mo. later at age 60. Three MONTHS later in a conversation with good old mom, I teared up when talking about him. Mom looked at me and said, "Are you STILL crying about him?? What's wrong with you?"
And yes, I was my husband's caregiver. He died at home as per his wishes. "No hospital" were his last lucid words to me.
If I could help anyone here in any way, as a "newbie" to this board today, I would ask that you ask yourself WHY you are in the position of being the caregiver. Really, really look at it. And don't ever think that things can't be changed.
Take care of yourself,
Deeana
Would the patient be placed in some place other than in YOUR home?
It is okay if the elder alienated everyone in their lives before hand but saved enough or built enough to pay for their infirm end years...it is kind of like karma although I won't say that it is (cause I'm not sure myself what's what).
You reap what you sow.
Why am I here?
Because the first time I envisioned my mom in a nursing home as a hypothetical solution to the issues she was facing at the time, 10-11 years ago when I first came back home, I could not abide it. I could not stand to think of anyone in the family putting her in nursing home. I have worked in them. They are not bad places but they are not home. My mom is not the type to do well in one, and I have always known her that well...and 10 years later I know her even far better. And I think that is part of the 'why' am I here answer for me, too.
If money were no object for us, my mom and I, I know I would definitely keep her here and use the money for hired private trustworthy kind help, supplying all needs I possibly can from diet to wardrobe, etc., making sure she got the BEST care money could buy in our own home under my direct supervision.
You know, the old lady in the crochet shawl sitting out on the veranda each evening about mint julep time.
LOL
So the only real difference is that we don't have a veranda and I don't have anyone to supervise myself, which, actually, is better/easier for me in the final rackup, I think. (yeah right...keep on telling yourself that)
And I think I'm going to go buy me a powerball ticket in a minute. "~)
But I don't really understand what you meant about taboo stigma? Is it taboo to take care of your elderly parents in your country or just taboo to discuss it? If just about discussion, does that apply to family, too, or just maybe to public and strangers?
If you can't talk to ANYONE at all because of that it must be really hard!
" madness " lol
beeeb-abeeeb-abeeb-abeeeb, etc. mom has been standing in the driveway this am hurling my sockets and wrenches as far as she can throw em. cool, this is better than warner bros cartoons.
I need to pull out my beads now n then and make something sparkly! I can get lost in them for hours never a care!
But somehow caregiving has stolen the simple outlets as well,
My poor lil Jack Russell Terrier (I mention his breed because they need the excersize) is a saint, he has learned to sleep most of the day but he also can just look at me with those eyes saying come on, lets go, And I just wanna cry I tell em im sorry lil boy, I can't! when I can and should just snap a leash on and get out for a few....he and I would both be the better for it!
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