As stated in my original post when I joined this forum, I'm the sole caregiver for my dad. I wanted to not only ask the above question but also give some advice. I have noticed a change in my personality since caregiving. I'm no longer excited about things that I love. Why? I believe it is because I'm basically burned out and because my father and I have always had a stressful relationship. Yesterday, I noticed just how burned out I was when I pulled out in front of a car that I did not see. there was almost an accident. At the time, I was in deep thought about something he had said to me that he should not have. I'm often preoccupied with his negative words. I just started a new job and I cannot concentrate. Here is some advice to those who are new to caregiving or considering being the sole caregiver: Do not do it alone. Get some help if you can. As for me, I'm an only child and I'm sure there are others in the forum who are as well. I have mentioned getting Home Health to help, but he does not want to do this.
- It is ok for your parent to go to Assisted Living. Years ago, I said I would never do that. But now I think differently. This forum as helped me to see that it is ok.
Always put your needs first. If you do not, you WILL become burned out and depressed. I do everything for my dad. But I have learned to put my needs first. He has me to do everything for him and I have no one to help me. I'm not saying I need help, but I recently thought about the fact that he has to do nothing while I'm doing his tasks and half doing my tasks.
These are just a few pieces of advice. I pray that all of us caregivers will find the peace we need for ourselves. We only have one life. We must try our best to live it!
The one comment you've made, that I want to address has to do with the close call accident; you wrote: "At the time, I was in deep thought about something he had said to me that he should not have. I'm often preoccupied with his negative words."
I'm sure you do understand, I have to keep reminding myself, that it was NOT my wife (your dad) saying the objectionable words - it is this ugly disease. My wife has said some of the most objectionable things possible - to me, our adult children, other relatives, even healrh care workers. Since joining this forum a few months ago, I've learned form the comments of others, that verbal aggression is probably one of the most common traits of this disease.. Please do not allow it to get to you - your dad is not verbally attacking, Dementia is - however, if it's not Dementia - disregard my rantings.
I feel, it has made more more empathetic to the struggle of others.
I remember feeling annoyed by elderly patients, their adult children, and some of the less than glamorous doctor-patient interactions in this situation.
But, I think living through my mother's situation has given me new perspective.
Even the difficult/unpleasant question of "why doesn't the family member of xyz terminally ill person visit more often" has taken on a new perspective.
I used to think, they were being selfish and didn't care about their sick parents... but now I realize that it's just burnout.
There is only so-much 24/7 caregiving you can do for your parent... and for those adult children, sometimes the hospital admission of their parent is the only chance they get for a full night's sleep.
* It is or feels like a quantary to be exhausted caring for another and then needing to also care for our self ... exercise, eat right, making 'fun' or 'me' time. When I'm beyond pooped, I ALSO need to exercise. Really? I can't or shouldn't eat that extra xxx (dessert staring at me) ?
* Often finances play a huge part in how to manage loved one's care and hiring an/other/s to give us a respite. or as I did (too) researching and managing volunteers.
* Guilt feelings / life long family relationships weigh heavy on our current needs / involvement of caring (when we have decades of feeling power-less, angry, etc.).
* Needing to learn - without any prior awareness, ability, or knowledge that its even possible to set boundaries / limits. This digs deep into feelings of self-worth, self-care, self-love --- feelings I've spent 40 years developing. ... Some people need to learn it in present time - not easy.
Personally, I am so SO aware of all this, and I was exhausted for two years. Much of what I needed to do was be present in the moment and do what I needed (eat healthy, take a walk / jog, and go to bed). You know... all the healthy behaviors I USED TO DO RELIGIOUSLY until these responsibilities presented themselves.
The 'good' news is that we CAN and DO learn from our behavior and thoughts (and those sharing here). We can re-direct our thoughts and realize that we can do so much and then, as some might say "let go and let God."
Give yourself a hug and tell yourself "I am doing the best I can" (or I did the best I could ... as I am saying now).
Gena / Touch Matters
American Psychological Association - way too much to copy here. Go to the link. This isn't to scare you... hopefully, you will realize you can only support another equal to caring for yourself FIRST.
Stress effects on the body
Stress affects all systems of the body including the musculoskeletal, respiratory, cardiovascular, endocrine, gastrointestinal, nervous, and reproductive systems.
Our bodies are well equipped to handle stress in small doses, but when that stress becomes long-term or chronic, it can have serious effects on your body.
Musculoskeletal system-When the body is stressed, muscles tense up. Muscle tension is almost a reflex reaction to stress—the body’s way of guarding against injury and pain. ... With sudden onset stress, the muscles tense up all at once, and then release their tension when the stress passes. Chronic stress causes the muscles in the body to be in a more or less constant state of guardedness. When muscles are taut and tense for long periods of time, this may trigger other reactions of the body and even promote stress-related disorders.
Respiratory system: The respiratory system supplies oxygen to cells and removes carbon dioxide waste from the body. Air comes in through the nose and goes through the larynx in the throat, down through the trachea, and into the lungs through the bronchi. The bronchioles then transfer oxygen to red blood cells for circulation.
Cardiovascular system: The heart and blood vessels comprise the two elements of the cardiovascular system that work together in providing nourishment and oxygen to the organs of the body. The activity of these two elements is also coordinated in the body’s response to stress.
Acute stress—stress that is momentary or short-term such as meeting deadlines, being stuck in traffic or suddenly slamming on the brakes to avoid an accident—causes an increase in heart rate and stronger contractions of the heart muscle, with the stress hormones—adrenaline, noradrenaline, and cortisol—acting as messengers for these effects.
Chronic stress, or a constant stress experienced over a prolonged period of time, can contribute to long-term problems for heart and blood vessels. The consistent and ongoing increase in heart rate, and the elevated levels of stress hormones and of blood pressure, can take a toll on the body. This long-term ongoing stress can increase the risk for hypertension, heart attack, or stroke.
Repeated acute stress and persistent chronic stress may also contribute to inflammation in the circulatory system, particularly in the coronary arteries, and this is one pathway that is thought to tie stress to heart attack. How a person responds to stress can affect cholesterol levels. The risk for heart disease associated with stress appears to differ for women, depending on whether the woman is premenopausal or postmenopausal. Levels of estrogen in premenopausal women appears to help blood vessels respond better during stress, thereby helping their bodies to better handle stress and protecting them against heart disease. Postmenopausal women lose this level of protection due to loss of estrogen, therefore putting them at greater risk for the effects of stress on heart disease.
Also see:
Endocrine system
The HPA axis
Stress and health
Gastrointestinal system
Esophagus
Stomach
Bowel
Nervous system
STRESS MANAGEMENT ____________________
Maintaining a healthy social support network
Engaging in regular physical exercise
Getting an adequate amount of sleep each night
These approaches have important benefits for physical and mental health, and form critical building blocks for a healthy lifestyle. APA gratefully acknowledges the assistance of William Shaw, PhD; Susan Labott-Smith, PhD, ABPP; Matthew M. Burg, PhD; Camelia Hostinar, PhD; Nicholas Alen, BA; Miranda A.L. van Tilburg, PhD; Gary G. Berntson, PhD; Steven M. Tovian, PhD, ABPP+more.
Gena / Touch Matters
You’re great!
I don't consider myself a natural nurturer- just ask my 55 year old daughter that I raised as a single parent. When DH and I married 38 years ago, he was pretty self-sufficient, suiting my lack of nurturing skills. Six years ago he was diagnosed with the first of his life threatening maladies. They have since grown to a total of 6 separate -but overlapping illnesses. At first, I niaevly took the romanticism view..."in sickness and in health..till. death do us part.." That quickly turned to anger...resentment...and near-constant "poor little me". After about 4 years of that, I contacted a therapist that I had seen for several years, over 40 years ago. She now lives out of my state, but took my call without reservation and has been my steady, caring voice of reason since.
With the help of my husband's care team of neurologist, pcp, pulmonologist, cardiologist and neuromuscular neurologist, I was provided with resources to help support me as I care for him. They helped educate me and point me to other resources. I began to read every peer-reviewd medical journal article and foundation information update I could find. (You need at least two devices...one to search and read, the other to look up every other word. A printer helps. I can highlight things I question or don't understand to ask his care providers.) This has served to help me cope...but also has had a downside. I am obsessed with knowing what it all means. Does the increase in nightly cheyney stokes apneas mean he is closer to dying? Does it account for worsening dementia from lack of continuous oxygen? His gaite freeze is more frequent. Will he wake up unable to walk? The dyspnea (trouble getting enough air to move around) is horrible today. Should I call 911? He is so weak he can barely make it to the bathroom in time. All these things are happening in one day...will this be the day he closes his eyes and dies? He is so needy the past few days, I can barely keep up. He wants me close at all times. Will I be able to hang on two more days until a home care person comes and gives me 3 hours of freedom?
My anger and resentment have -oh so slowly- turned to acceptance. At least for now. This is my new normal. When he tests my patience, I mutter a prayer, "please God, let me learn to love him more". And the end of the day. I thank God for giving me the strength, love, and patience to care for my husband another day. Then add,"please God...keep me strong and healthy...and save a little of 'me' so that when he dies, I have opportunities to build a new life where I can thrive".
But...I am not a forced caregiver. I do not have the extra burden of someone in the house who just assumes I will handle everything. But I have learned to advocate for myself better. I no longer let my husband and 'head of the house' steam-roll' over me. Most often things I must give in to are truly not 'that big of a deal' and I go along to get along. But when necessary, I have learned to say no. Like when he did not want in Home care givers. I finally said, fine. I hired them anyway and told him they were for me. When they arrived, I simply showed them where everything was..and left, saying I'd be back in 3 hours.
Yes, I have changed greatly.
Please, please find her again. You will!
Life is too short, please find her again now (not after LO dies).
Ask me how many utensils that I have accidentally ran through the disposal! 🤣, hahaha, I would be embarrassed to say how many I have ruined!
you can’t expect your loved one with dementia to sympathize .. appreciate
and help with all you do for them.
Their brain is broken … they’re not same person anymore . You’ve got to make all the decisions for both of you. You’ve got to make sure you’re
Both safe and well cared for and decide on how to do that best !!!
hugs to all !!
How about if they don’t have dementia?
You say you've mentioned home health to help & he doesn't want it - well you do! It is NOT all HIS way dear!! We are here to support you and WE KNOW that if YOU WANT and NEED HELP - then we say - GET THE HELP! It'll be a bit of a fight but worth it for YOURSELF and YOUR SANITY. I am not yelling sitting here @ my desk typing, but I am yelling to emphasize that you are very precious and dear to God for the love you give and you must care for yourself too. It is not a betrayal or sin to get some help. I pray you will.
Oh, and caregiving did change me too. I was depressed and angry for 'losing my life' for a while (few years) - I was a caregiver/manager for 7 years. I even moved in with them (elderly couple, both had dementia and more ailments). How did it change me? After I got past the anger and resentment...I actually started to open up. I started to relax a bit and "be" with others - the 4-5 other caregivers. I was very closed and guarded - I had to relax to manage because I was terribly bossy and acted like I didn't care about the other people (but I did) and I had to change to survive in my position. I learned to forgive on a daily, hour to hour basis. No more anger & unforgiveness for days/weeks @ a time. I couldn't afford that and be a good caregiver. Caregiving requires you to love and forgive again and again and again and again (you know what I'm saying - 20x a day for years). I also learned that I didn't have to be angry all the time. I used slathered everything with anger. I learned through the Mr. & Mrs., and their family, that even though their personality were worlds apart and some definitely didn't see eye-to-eye, they didn't "yell" at each other; they didn't curse and say horrible awful things, the way I had learned growing up. This family taught me good behavior through the differences. I'm grateful. I don't know if I could say these things if it were my own family I was talking about cuz that's another story. I'm grateful God gave me that opportunity and it was good. Hardest job I ever had though. I think caregivers are angels on earth, though I don't know about me. I'm still ornery, but I'll never be the same. ❤
My heart goes out to all of us that care and give and care some more. I have slowly began to get bits oh myself back. It was so much loss: loss of my beloved home, friends, sleep, and hopefulness. One of my doctors told me that I “am becoming a widow in slow motion” and a huge light went off in my head and heart. I lost my sense of humour and fun, joy in life and health and what was left of my looks. Huge handfuls of my still dark hair were falling out and my hands were shaking a lot. How did I miss that? (Not to be shallow, but also lost so much money and financial security from becoming a full-time at-home care-giver.)
My therapist gave me literature on how spouses of men with last-stage COPD and heart failure often die years before them…the “sick” ones.
As I was diagnosed with severe Caregiver’s Post Traumatic Stress Disorder, I finally saw how much my life and I had changed.
Now begins the tiny baby-steps to regain some of what I lost. We hired care-takers to care for him and he didn’t die! He hasn’t been too happy that I became so physically sick and spent so much time in hospital and had two surgeries…all because I had no time to even sleep or see a doctor after getting him to all his many many appointments. His cardiologist often told me I was the only person that could keep him alive and I believed that to the point of almost dying myself.
Rambling a bit too much here and hindsight’s always so glaringly obvious.
I lost myself. Trying to piece myself back together has been painful and I struggle with guilt a lot but almost dying opened my eyes.
Hugs and support to every single one of us that undertakes this role of caregiver!
I'm rethinking about my hair loss. I just attributed to old age, but maybe its all the stress and unconscious actions of running my hands through my hair.
I want to find my soulmate. I’ve never been married. I want to get married.
It’s very sad that your closest connection is with your mother instead of someone who you would like to spend the rest of your life with.
What is holding you back from finding alternative arrangements, so that you could find the love of your life?
Taking care of my mother is way easier than what and how my husband expected me to take care of him. He was a physically, normal individual, and a middle manager for a large corporation. After the divorce, I definitely had a better idea of my emotional limitations and realized how much I did to "serve" him.
Thankfully, I have my sister and sister-in-law that can provide me emotional assistance when I need it. In addition, with the emotional growth that I have done with the divorce, I now can choose what I do, rather than let others choose for me. I try to stay out of the guilt trap, which both my Mom and my ex used extensively in the past.
So I'm sure I've changed....and yes, I'm probably burnt out too.
I think we can all identify with what you wrote. Oftentimes in these caregiving roles something happens overnight or an emergency and you are thrust into the role, you just do it. These situations can go on for years.
"A girl has gotta get out". I know this sounds corny and a cliche but you have to save a piece of pie for yourself along with keep an eye on your finances. I have said many times on this forum, I do not want to be living on popcorn in my old age.
Sounds like you are spreading yourself too thin. The near car-accident you described is a warning but can also be a Blessing! You may have to sit down and make some changes. Your father may disagree with you but when this is all over, you want to be left standing--in one piece.
The list of "things to do" may be getter longer for you and you may have to outsource some--cleaning service, groceries delivered, whatever you can streamline to save time but more importantly your energy and health.
You need a group--swim group, walking club, Church, an instrument, language, you get it. A few hobbies but not online. Join your local gym or Y, a class perhaps and see how life can change.
Do you have good pillows for sleeping, a pleasant comforter and a good reading chair. Flowers on the table from the supermarket and of course a dark chocolate candy bar.
Find yourself a good "colorist" it's like a marriage and stick with them. A good cut and color now and then will give you your groove back.
I, too, for the longest time would say, I would never put my mother in a home. But, with Lewy Body Dementia there may come a time. We have tried home care--the people were wonderful. Occupational therapy, physical therapy, palliative care, a short term rehab, one morning a week day respite...
An Up Walker Lite, special shoes, piano keyboard, etc. Everything is modified in the bathroom, etc. A button in case of emergency, you name it.
You have the right idea and you don't need anyone else's permission to take care of yourself! Amen Sister...
Even though we placed my mom in a SNF in March, she functions as a quadriplegic and I'm in there every day to feed dinner and help with personal care stuff that they don't handle. My father goes for hours during the day and lunch.
For those who have LO's at home, that is the worst and I've been there and the level of desperation I felt was excruciating.
Having her in a SNF is much better, but I still feel the heavy responsibility of her life somehow. I thought that the SNF would make me feel much lighter, but it really doesn't. She cannot do a single thing for herself. The nursing home is fantastic, but they only handle the basic needs, it's like no frills care. I feel like my mom actually needs private-pay aid to do all the stuff she really wants such as constant massage, scratching her itches that she can't do herself, haircare, shaving, FLOSSING, basically personal and self-care. I do this for her. My father refuses, my brother sits in blissful ignorance when he visits. My father is not going to pay for a personal care aid, and I've already paid dearly with my life as it is.
So even though she's in a home, she still needs a lot of attention. She doesn't really appreciate what I do, she feels entitled to it. I feel that my life has no purpose other than to serve other people. I am so out of touch with what I might want for myself. If someone could give me a time-frame of how long she would be here, I think I could better assess and make plans for my time investment and how I plan to handle it. But that's the WONDERFUL mystery of life! My 76-yo mother's roommate is 104-yo. We just don't know.
Life expectancy is so much longer these days. I've already told God I don't want to live a really long life, any older car breaks down and so does the human body.
God bless all the caregivers!
76…
Caregiving could go on for many years. I hope you can do something to reclaim your life already now.
”my brother sits in blissful ignorance when he visits.”
I want to beat him up.
“My father is not going to pay for a personal care aid”
That’s really bad of him.
Using you. Exploiting your free labor. Unacceptable that he won’t hire help.
“I've already paid dearly with my life as it is.”
Right.
“She doesn't really appreciate what I do, she feels entitled to it.”
I don’t like it when elderly parents feel entitled.
And why you? Why doesn’t your mom harass her son to help? “Interesting” she only wants to sacrifice your life, the daughter. Why does she protect her son’s life from this hard work?
(These aren’t real questions. They’re rhetorical questions.)
Be aware this can go on for many years. Your mom is only 76.
I wish you to reclaim your life. YOU own your life.
First of all, sending love & support as I can feel and relate to your burnout.
Are you now pursuing AL? My first thought was that you should absolutely do this aggressively, otherwise you're going to be locked into this for a long time.
In the meantime - hire bi-weekly cleaners, grocery and maybe even prepared food delivery, and either outsource the laundry or have someone come in a few times a week to help with laundry/meal-prep/running errands. Heck, maybe even taking to MD appointments.
The second option costs money - your Dad should pay for these services since he can't do them himself and YOU can no longer sustain this level of sacrifice.
You are not just an all-you-can-eat buffet and you're not free forever! I say this to you as much as I'm saying it to myself. This is simply too much!
You need to focus on your new job & getting some rest. If you do option 2, you'll still be doing the management/planning and it will be a heavy responsibility. If he's in AL, you won't have to worry about meals, cleaning, laundry, socialization - think about it - he truly needs to move to the next phase of his life vs. draining the life out of you forever and always.
If you're unsure about paying for AL, etc - it would be well worth it to get a consult with an experienced elder law attorney who can guide you through AL financial options.
Please do not continue this way, sending love. XO
He would definitely benefits from extra help or AL but he wants neither. I understand that he wants to stay in his home but I can not be a 24/7 caregiver. In his mind, I'm supposed to do it all. I'm definitely having a hard time focusing on work and I can not let that happen. Also, I'm exhausted. I told him once that I was tired and he said " I don't know what you are tired from."
being a caregiver has taken its toll on me. Now i must get more help and my kids are scared as much for me as my husband with parkinsons. Hes up and down- some days ok but always an accident waiting to happen. Hes a fall risk
and will not go to assisted living . Maybe i should.
if i have learned anything its that this kind of caregiving requires a team. Please pray we find the right solution
But we are big girls now ! And I agree 100 % the most important thing is you (and me too!) so for all of the daughters out there caring for their Dad let’s cheer on each other. ITS GOING TO BE OKAY 👍
Sometimes it’s not OK, and the caregiving/helping ruins the caregiver/helper.
Don’t let that happen to you. It happened to so many women.
At first it seemed insurmountable. I couldn’t stand to think that I would need to change her diapers several times a day, wash her, clip her toenails and all that stuff she used to do for herself. Not to mention fixing all her meals and running her house and finances, in addition to running my own business. I considered putting her in long-term care of some sort but I stuck it out for a while and then I realized that she was thriving under my care.
Now it wasn’t just me: I have the support of my partner who lives here too and the home hospice care that my mom is now getting. Hospice is all about making Mom comfortable and making her life as good as it can be in the time she has left. She’s off most of her meds now, and maybe that’s part of the reason for her improvement. Support is everything, and I think if I was doing this all alone, well, I probably couldn’t do it. My partner, hospice home care and this forum all make it doable for me.
I’ve learned so much and I feel a competence and strength that I didn’t used to feel in myself. I’ve figured out how best to handle my mom’s sometimes crazy-seeming behavior and how to sooth her and calm her. I actually feel like I love her more than I did, or at least in a different way. It’s almost a mothering of her, which seems odd since I’m the daughter but there it is.
I’m sure things will change as time goes on, but I feel I can handle whatever comes, and I’ll never regret that I chose to take care of her.
You learned positive things from helping your mom, sacrificing years of your life — in a sense you don’t have a choice but to try to find positive lessons from all that. Having a positive attitude.
You’re very kind. But I warn you: don’t sacrifice yourself. You weren’t born just to be a helper, and not have your own ambitions and dreams in life. It happens to so many girls.
Expect a lot from life.
(((Hug)))
- to try to shut her off in my mind. Not easy, but I have to distract myself when I start playing those unpleasant conversations on endless loop in my head.
- I can control very little of her situation. I try to let it be; to let go of what I cannot control.
- stop giving her power over my emotions. She has dementia. She has no power over me.
- her life is not my life. It is hers. I can help, but I cannot fix it.
The important thing for me is keeping my boundaries intact. I cannot help her if I am also sucked in to the mental chaos that dementia has placed in her life. It is a cruel disease and a health crisis that becomes more prevalent as medical advances find ways to prolong life beyond all reason. (My opinion.)
you and I are on the same page. Good for you for caring for yourself first.