September 2009 Support For Caregivers and Seniors
Minding Our Elders®: When Elders Don't Accept Outside Caregivers in the Home
 

A Note From Carol

Dear Friends,

While most of us aren't seeing autumn leaves yet, it won't be long and the changing season - for those of us who live where the seasons mark the rhythm of life - becomes apparent. With this change often comes the worry of how our elders will make it through the coming winter.

The ice in parking lots can make an already complicated doctor visit even tougher. I'll never forget pushing my 200 lb. father-in-law in his wheelchair up an ice and snow clogged incline to get him into the doctor. The struggle is recorded for history in "Remembering Milton," a chapter in my book.

When taking my mother out with her walker, I carried sand in my car trunk. I'd have to make a sand trail from the car door to the building, then guide her in with her walker. We were quite a sight, but she didn't slip

Ah, the joys of winter in the north. But these challenges aren't the only winter challenges of caring for our loved ones. Will Dad try to save money by conserving heat, thus risking both his health as well as Mom's? Will Grandpa be safe and not wander out into subzero temperatures while Grandma sleeps? Will your normally spry uncle take a tumble on the ice in the grocery store parking lot?

It seems the worries increase with inclement weather. But then, the worries are there year around. Summer heat is not picnic for elders, either. Sometimes our worries are like seasons. They come around in cycles, no matter what is really going on. Taking care of our elders requires a ton of strategic planning, but we have to remember to add a dash of reality. There are some things we just have to cope with and move on. Fall, winter, spring, summer - they all offer challenges. The biggest challenge of all for the caregiver may be not to borrow trouble by guilt- producing doubts. There's only so much you can do, and that has to be enough

Take care, Carol

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Hello!

Welcome to Minding Our Elders! Our hope is to break the isolation that caregivers often feel. We'd also like to share ideas, comfort and information that will help you along your caregiving journey. Thanks for reading.


When Elders Don't Accept Outside Caregivers in the Home

When my uncle had in-home health care, he liked a couple of the caregivers, he thought one was okay, and barely tolerated two others. I wasn't always there to witness his behavior, but I'd say that the caregivers he didn't particularly like were not thrilled with him, either. Yet they did their job.

My neighbor, Joe, had a similar situation. He locked one caregiver out of his home, let another one in but was rude to her, and thoroughly enjoyed one young man because they could discuss golf. Quality of care wasn't the issue. Joe resented anyone but me helping him, and the only reason he liked the guy was for talking about a shared sport.


Has Your Loved One Has Lost Ground Mentally After Hospitalization? It May Be the Anesthetic

Frequently, I talk with people who have gotten their elderly parent home from a hospital stay, expecting an improvement in health, and found that they have deteriorated mentally - sometimes significantly. They ask, "Will this go away?"

Obviously, each case is different, but it's certainly an issue that needs to be addressed. Sometimes a hospital stay can be so disorienting that an elder will sink into a confused state, even though no sign of infection or other physical reason seems evident. Some recover, but some don't seem to ever get back to where they were prior to the hospital stay.

Is delirium the wrong word for this? Perhaps, by some definitions, but it is one that has been used by scientists as they've looked into why an elder can go home mentally worse off than they were before the hospitalization. If there has been an anesthetic used, as is often the case, there seems to be more of a chance that the elder will suffer mentally. While anesthesia is meant to wear off, causing no side effects once processed by the body, this doesn't seem to be the case with many elders.


8 Coping Strategies for Caregiver Stress

Caregiving can be rewarding, but it can as many of us know, be a nightmare. Caregiving carries a health warning.

Caregivers go to their doctors for their own health problems 50% more often than non caregivers, they receive 70% more prescribed medicines than non caregivers, they go to hospital or Emergency room 25% more than non-caregivers, they suffer the effects of stress including high blood pressure, heart disease, and suffer emotional problems that include anger, despair, hopelessness, guilt and depression. All these things highlight the fact that as a caregiver you must find the time to look after yourself.

Often caregivers will say they don't have the time, but you have to try and make it otherwise you will need caregivers yourself

Can I suggest a few things? I know you have probably considered many of them before, but at times when you get very stressed there is an urgency to look at self care strategies again.


Family Caregivers Need to Be Fair to Out-of-Area Siblings

There's a great deal of angst in the family caregiver world about siblings who don't help out with the aging parents. Very often, it's the person who lives closest to the parents who ends up being the primary caregiver. This is kind of a default thing because logistics would make it seem only, well, logical.

However, the adult child living closest to the parents may not be the one who is best suited emotionally, financially or practically, for the job. This person may be a single mother trying desperately to take care of children and provide them with a living by working two low paying jobs. Then she takes on the parents, as they live in the same town. She is, understandably, overwhelmed.

This is when she needs to turn to her siblings for whatever help they can give. If they can't be present physically, they should help financially, or with bill paying and legal paperwork. They should do something, but often they don't. Many times, it's because they just don't want to be bothered


About Carol

Caregiving expert Carol Bradley Bursack, Author, speaker and columnist, presents a collection of articles, stories, news and research for you to browse. Please check the blog and Web site links for more information and feel free to email Carol at carol@mindingourelders.com to chat or ask questions. Minding Our Elders is a registered trademark.

If your group or organization would like to buy "Minding Our Elders: Caregivers Share Their Personal Stories" in bulk, please email carol@mindingourelders.com for information. Bulk rates are available.




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