Caregiving challenges

His face a maze of rivulets and ravines, crutches help bear the weight he carries,
his feet heavy, movements ponderous. Yes, age has wormed its way into his bones
but more, he carries the years upon years of caring for a willful, capricious wife –
most times removed, caught up in her own world, with people and presences
no one else can share or know, leaving him alone with the battle of care.

Caregivers have a heavy burden even with the easiest people those with minds still clear, bodies more or less functional. Whose age or disease make the need for care, daily or occasionally, a burden, willing or not.

But for others, caregiving  carries a much different burden. When they must manage a violent or mentally challenged person, a person with bipolar or schizophrenic
episodes, one whose body has worn out, needing total care, it can make the caregiver
sicker than the person cared for.

That old man has cared for his wife since she had nervous breakdowns forty years prior, sitting by her bed every minute, ignoring all else, including his only son, alone, left to fend for himself, do the shopping, laundry, cleaning.

He has abided her demands, given into whims, defended her right to choose not to medicate. In so doing, she has chosen a tangled trail leaving her family to carry a hard burden of care allowing the right of self-choice to medicate and feel largely better or be “in control” of herself as she berates, hits, babbles, ignores him or
or talks gibberish. BUT always remains the center of attention.

The burden of caregivers is their lives aren’t their own, at the least for sizable chunks of time.  From bill paying and shopping, to bathing, feeding and all facets of self care,
they spend from Sunday visits to constant care for family or hired professionals.

When it comes to Alzheimer’s, all bets are off. You are not often recognized for yourself. Hitting, endless paranoid pacing, constant distraction, inability to  voice thoughts coherently . . .it is exhausting. But it is also a means to give back, to make amends, to relish the moments you have because they may not be long.

That old man now must also contend with a son who believes his mother has every right to choose not to medicate, even though all who are part of her life are negatively affected by that choice. The son refuses to listen to his own children who have enough detachment to see the situation more clearly.

When the Father is overwhelmed, the son brings her, 600 miles away, to his home
where she sits alone, hour after hour, or wanders off with the dog, lost, unaware of where she is or why others are yelling at her to get off the street. It’s not care, not a solution, it’s an ill-chosen stop-gap measure that could hurt or kill her.

We need to be aware of the long-term effects of the decisions we make for our loved ones or those under our care. Sometimes the right solution is personal care by the family, sometimes it’s professional care within the home, but assisted living or skilled nursing homes may be the best options too.  Money is, of course, a vital component in decision-making, as is insurance coverage, and what the impact will mentally have for the person being cared for.

One thought on “Caregiving challenges”

  1. This is such an even-handed, sensible post. My own limited experience with care-giving, and what I’ve witnessed with others, supports the conclusions you’ve drawn here. Well done — truly.

    Like

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s