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April Rudin

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Who Cares for the Caregivers?

Posted: 11/06/10 01:43 PM ET

The population in America is shifting as baby boomers age and the "sandwich" generation is feeling more and more pressure to take care of aging parents while raising children at the same time.

Increased lifespan (a good thing!) combined with the latest medical advances may mean that adult children could spend 10 to 15 years or more as caregivers for an elderly parent or even two parents! Furthermore, it may be simultaneous or even consecutive, which creates a difficult and lengthy burden on adult children. Also, consider the likely scenario that grandparents may be living as well! Adult children (primarily women) may be responsible for three generations of care-giving for many, many years.

This begs the question: who takes care of the caregivers?

Enter Michael TS Lindenmayer. He has an incredible vision of the future as he is rooted in his own past. After living in the land of sun and fun in Rio de Janeiro for the past years, a brief weekend visit to his hometown turned into a year-long journey of caregiving for both his parents and grandfather. It was an unexpected, radical sabbatical that changed his life.

He woke up to the caregiving struggles his parents were facing after 12 years of caring for his grandfather under the same roof. Their health and financial well-being were severely threatened due to the chronic caregiving duties, and his nearly 90-year-old grandfather was wrestling with old, old age. As Michael waded through the crazy-making maze of caregiving for his family, he discovered a massive, silent crisis. Caregivers silenced by feelings of guilt, exhaustion and fear were quietly being crushed by the millions by chronic caregiving.

Nobody was caring for the caregivers.

Michael witnessed countless families being torn apart as they tried their best to navigate the complex road of caring for someone aged, disabled or chronically ill. This moved him to tear up his return ticket to Brazil. Deciding to care for the caregivers, he founded the Caregiver Relief Fund.

All caregivers face twin problems: no time, and no plan. Without the time, caregivers find themselves exhausted, bewildered and alone. They have no time to plan. Without a plan, caregivers deplete their resources, put their own health in jeopardy and find themselves trying to do it all, all by themselves. Michael realized this and decided this needed to change. It's basic, he says: "A balanced caregiver equals a happy family." He adds: "Today's caregivers are time-bankrupt and shell-shocked; this is no way to treat a national treasure."

To realize his vision, he focused on building partnerships with leading at-home care agencies to replenish caregivers with time relief. And he encourages every recipient to use part of the awarded time to start getting a plan in place.

Michael is a giant (he's 6'6") and thinks like one. He loves taking on mission-impossible social challenges. He was an early adopter of both the Grameen Bank and Room to Read in their infancies. Both have gone on to help millions of people. Michael plans to take those lessons learned to care for millions of caregivers and help families be strong together.

Why should you care when there are so many worthwhile causes vying for attention and support? The reason is quite simple: it will affect you. The drama here is that regardless of your financial status, ethnic background, age, etc., each of us is a son, daughter, grandson or granddaughter. Additionally, we are mothers and fathers or aunts and uncles.

What can you do? Become involved in educating and talking to others about this groundswell that has an impact on each of us. If you know a caregiver, connect them with Caregiver Relief Fund. Send this important message to everyone you know who will be supportive of this effort. Talk about it and tell others. Follow Michael's lead and become an early adopter.

As a mother, I feel vested in influencing my own children to recognize the opportunity here to do good. They have watched me and my sister struggle to provide care to our own grandmother, who recently passed away at age 95 in California. My sister and I have children, work and live on the East Coast.

I encourage each of you to follow the leader: Michael TS Lindenmayer. For me, he is a "Prince Charming" of sorts. Selflessly, he put his own career and life in Brazil aside and returned to assist his own family and then created something that may one day support your family, too.

 

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The population in America is shifting as baby boomers age and the "sandwich" generation is feeling more and more pressure to take care of aging parents while raising children at the same time. Incr...
The population in America is shifting as baby boomers age and the "sandwich" generation is feeling more and more pressure to take care of aging parents while raising children at the same time. Incr...
 
 
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09:59 AM on 11/11/2010
Caregiver burnout and stress is a serious issue and one that can be put at bay with the help from others. A caregiver may want to consider an adult day care facility like Active Day http://www.activeday.com to help. Adult day care centers provide caregivers a much needed break while their loved one enjoys socializing with friends, and if necessary, receives proper medical care.
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MrClean
03:44 PM on 11/10/2010
There's a large population of people in recovery from multiple addictions (alcohol, drugs, gambling, etc) that are now caregivers for their loved ones. Professionals in the field of addiction are now seeing an increase of relapse due to the fact that these people in recovery are focusing on caring for others BEFORE taking care of themselves. A wonderful group has been established on InTheRooms.com to support these individuals so that they can effectively assist in the care of their loved ones. It's a free site, but due to protecting anonymity, you're required to briefly register. Check this out here: http://inther.ms/9Hco0T
09:35 PM on 11/10/2010
Thanks for posting this one. It is also important to note that there is a rise in family caregivers trying to deal with the overwhelming stress by raiding their loved ones meds, in particular the pain killers in an effort to self medicate. That is a formula for addiction and creating a situation where the caregiver will become another care receiver. Isolation due to chronic caregiving can bring this about, that is why it is key to have a care team around the caregiver and to treasure caregivers so they don´t go down that destructive road.

Michael
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Carolab
Walking an 87-year-old in the sand isn't easy
12:25 AM on 11/11/2010
Michael, how does one assemble the team?  Everything costs something, even adult day programs are $70 on average a DAY.
09:39 AM on 11/09/2010
I want to stress to all caregivers to remember that they are not alone. There is a ton of information and help out there for caregivers. I'd like to promote the Visiting Nurse Service of New York as a place for a host of information and services. Even if you are not in the New York City area, check out their site for articles like Avoiding Caregiver Burnout http://www.vnsny.org/home-health-care-and-you/quick-tips/avoiding-caregiver-burnout and http://blogs.vnsny.org/2009/12/22/avoid-caregiver-burnout/ Take care of yourself! Stav
10:46 AM on 11/09/2010
Thank you. This looks like a wonderful resource.
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nikanj
free the fnords
06:35 PM on 11/08/2010
What this article does not address are the difficult questions
of how much and what kinds of medical intervention to provide,
and when to stop all but palliative care. Most elders, unless VERY
healthy, would not be living nearly so long were it not for antibiotics
and oxygen, to name just two products which are prolonging lives,
sometimes long past their 'due date'. There are no easy answers
to these issues; it may sound harsh but to me the quality of life
of the caregivers as well as the person being cared for should
be factored in to treatment decisions. Keeping the living dead
alive serves no one except the pharmaceutical industry.
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teknodum
12:53 PM on 11/11/2010
Exactly. Our preoccupation to prolong the dying process, with little regard for maintaining death with dignity is the reason we can't afford universal health care. Seems selfish and wasteful in many instances
06:21 PM on 11/08/2010
Most of the time, caregivers become very busy taking care of others that they tend to forget to take care of themselves. This can result in to stress, anxiety, frustration and exhaustion, which may eventually lead to "Caregiver Burnout." I want to share this article that discusses ways to avoid caregiver burnout and ways to care for caregivers: http://www.ladolceliving.com/caregiving/tips-on-preventing-caregiver-burnout.html

Remember, caregiving can be very stressful that's why it's important for caregivers to give importance to their health as well.
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martintillier
human
02:53 PM on 11/08/2010
As a full-time carer for my elderly and disabled Mother I recognise the necessity of carer-support, and your article goes some way to stress that carers are so often the "hidden worker" who, as in my case and so many others, has put a career on hold indefinitely, while they set about the business of caring for a loved one. I live in the UK and here we have something called a carers allowance, its not much at all, but its much better than nothing. This allowance is paid for by the government, and is funded by the National Insurance that all working people pay, so the population that is working helps carers to be able to function even if they are having to care full-time. Everyone pays National Insurance anyway, to fund their state pension and free, at point of use, health care. So no-one is paying extra just so that I and the millions of other carers can do what we do. I do have one question though, what is an adult-child ? This is an oxymoron that I cannot quite understand, surely one is either a child an adolescent or an adult, even if a young adult ? Thank you for this article and I wish American carers all the best of support that American society can possible give them.
02:13 PM on 11/08/2010
Supporting caregivers is a HUGE issue in our society. I joined the hidden majority of caregivers when my then 47-year-old husband dealt with a rare cancer. People who haven't done it have no idea that caregiving is often a full-time job in itself. My family was helped tremendously when a friend created a caregiving group for us, based on the time-honored tradition of people coming together to help. I've since written a blog http://blog.helenepowers.com/ and booklet to create greater awareness of this form of support. We still need to develop better social, health care and economic policies to deal with caregiving but organized caregiving groups also provide tremendous support and community.
09:38 PM on 11/10/2010
Caregiving IS a full time job. It demands technical skills, incredible emotional fortitude and most of all it requires a team and a plan of action. Glad to hear that you came together as a caregiving group and found strength in the power of people coming together for a loved one.
09:33 AM on 11/08/2010
Caregivers can now download the new iBiomed App for managing and tracking the health of any loved one living with a multi symptom health condition. It has a Mobile Log Book to keep track of Supplements, Medications, Tests, Diet & Therapy Information on the go. Other features include:
✓ Time Stamped Searchable Notes & Daily Journal.
✓ Recorded History of Previously Administered Treatment.
✓ Reminders & Alerts for Supplements, Medications, Therapies & Alternative Treatments.
✓ Evaluation Tool to chart and graph your symptoms & progress e.g appetite, sleep, behaviors, bowel movement etc.
✓ Share Records & Reports By Email or with another IOS device.
✓ Health Forum & Message Board with "Smart Topic Filter' & Push Notification.
✓ Mid November 2010- Use iBiomed from any Web Browser/phone.
More info: http://www.facebook.com/ibiomed?v=info
biomedprofile.com
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inthelandoftheblind
Collage by David Choe
01:38 AM on 11/11/2010
Thank you - excellent info. I have a friend who works as a supervisory nurse to several caregivers, for a company that provides homecare. I'm sure this would be an invaluable tool for her, as the end of the day has her reviewing copious field notes &labors over reports to submit,while keeping track of several clients.

She's technology averse, but this might be something worth the effort to learn, to help her in her daily work!
02:59 PM on 11/07/2010
Another important stress reliever for caregivers is becoming informed about the VA Non-Service Connected Disability Pension which can be an additional source of money to pay for eldercare services. It will even pay a family caregiver, friend or other relative for providing care services. For many over-wrought caregivers, this information and the additional source of money has been a God-send.
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April Coleman Rudin
01:52 PM on 11/07/2010
Wow...there is so much emotional upheaval, sadness and despair! And, I understand the feelings so well and have empathy for each and every story. My sister and i struggled with working, caregiving for our own children and arranging for suitable care for our beloved grandmother before she passed away in California while we both lived on the East Coast.

I urge all of you to check out Michael TS Lindenmayer's resources for exhausted and overextended caregivers! Its: www.caregiverrelieffund.org

You are not alone thanks to the good work of people like Michael and many others! Thanks for the suggestions from all!
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inthelandoftheblind
Collage by David Choe
06:50 PM on 11/07/2010
Thank you for this timely article.Having just enjoyed my 64th birthday, guess it's time I finally resolve some of the financial decisions I must make, regarding aging, long term care, & end of life so I can put it behind me.I want to leave my daughter in good shape, & don't want to become a burden to her.

I'd thought this house would be a good investment that I could hand down - until the market slid, & my daughter prefers metro living, so I have a lot to figure out yet.

If you haven't already, you might like to read The NYT columnist Ron Lieber's financial columns - There's a link below to articles related to aging & handling our money.Coincidentally, this afternoon, he was a guest on an NPR station.Apparently there will be ongoing columns on these topics.

He mentioned some of the complexities of long term care today,& how Medicare isn't enough, among a few other related topics for the "sandwich generation".A podcast may be found at Marketplace Money.It aired on NPR,produced by American Public Media.

To Lieber's articles:
http://topics.nytimes.com/top/reference/timestopics/people/l/ron_lieber/index.html
09:41 PM on 11/10/2010
That is honorable and great that you are thinking about leaving a healthy and clear legacy for your daughter. This is forward thinking and a way to both respect and help your present and future caregiver.

It is NEVER to early to prepare a plan and start those crucial conversations that help navigate this complex and often crazy making maze of caregiving responsibilities.

We are the CRF are all about encouraging people to plan, plan, plan. It goes a long way to stopping the heartache that often accompanies chronic caregiving

Michael
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liblizard
John Prine: stellar songwriter
01:17 PM on 11/07/2010
I took care of my Alzheimer's mother for the last nineteen months of her life. People ask me if it was hard and my reply is, "I'd do it all over just to be with her again."
01:09 PM on 11/09/2010
Lib,I think you are the richest person here.You truly know and show what"family"is all about.My hat is off to you.Some people forget that loves ones are not DVRs,you don't get to pick and chose what shape they are in.You just love them and do the best you can.
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inthelandoftheblind
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02:29 AM on 11/11/2010
Well said... I feel as you do, too, as far as missing my parents.

I didn't have any sort of burden in their latter years, though - compared to Alzheimer's, but when you truly love - you do all you can, as you have done.
10:46 AM on 11/07/2010
I have read many posts, but has anyone considered Hospice care? I went that route with my terminally ill husband. All you have to do is ask at your local hospital if they have this service, it is not only for the terminal. They help with all situations. I couldn't have cared for and kept my husband at home as long as I did without them. They are truly angels on earth.

It is so true that the caregivers need respite form the daily responsibility of their loved one. My husband passed away in August and my life has changed considerably since then. Hospice still checks up on me from time to time to see how I am doing.

For those of you pondering what to do, please check into hospice in your town, it might be able to help.
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BlueZoo
Independent voter, Independent thinker!
03:16 PM on 11/07/2010
Thank you for supporting Hospice Care and the angels among them who work so tirelessly to make matters easier for families. I simply cannot overstate how wonderful these people are and what they have meant to our family on two occasions. Nobody wants to have to call on Hospice facilities and their support; however, once you do, you are relieved of so many burdens and you are left with time to spend with your loved one before they pass away rather than attending to so many things that go along with having someone so ill. You will never, ever regret choosing Hospice Care!
10:12 AM on 11/07/2010
Wonderful story.
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LynneSpreen
www.AnyShinyThing.com, For Smart Women
10:02 AM on 11/07/2010
I once had to care for an ailing spouse, and while so doing, developed such bad heart symptoms that I earned myself a cardiologist. Doc said very common for women to develop heart problems for the first time in their lives when caring for ailing husbands! After hubby recovered, my heart did, too. The power of stress, fear and frustration cannot be underestimated! Thank you for this resourceful post.
www.AnyShinyThing.com, A Blog for Smart Women of a Certain Age
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Carolab
Walking an 87-year-old in the sand isn't easy
02:03 AM on 11/07/2010
I'd like to say (as I told my mother's doctors) -- if you want to help the caregiver, HELP THE PATIENT!
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inthelandoftheblind
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02:22 AM on 11/07/2010
With the "Boomers" approaching end of life issues, it will be necessary to focus on the needs of this large group which is aging, & the kind of help their families will need.

I wonder if there are any provisions in the new HC bill to assist with this large scale dilemma?
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Carolab
Walking an 87-year-old in the sand isn't easy
02:52 AM on 11/07/2010
Yes, it is an epidemic already with 5 million people in this country alone with documented Alzheimer's disease. There will be a huge problem with it among Boomers. I doubt there is anything in the new HC bill or I would have found it on the Alzheimer's Association website.
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LynneSpreen
www.AnyShinyThing.com, For Smart Women
10:09 AM on 11/07/2010
If there are, it may soon become past tense, as the stated goal of the newly elected Repubs is to repeal "ObamaCare". I hope they keep at least some of the useful things in. I'm self-employed, can't take advantage of group coverage, and as a 56-year-old woman I'm totally undesirable to most insurance companies. Even KaiserPermanente declined to cover me, citing their "responsibility" to their members to keep costs in line. I can pay my own way but I can't force an insurance company to cover me - except under the new health care laws, maybe I have a chance of joining a pool and buying coverage that way. I know people who own small businesses who have NO COVERAGE because they can't find any company willing to cover them. Is this considered okay? In the United States of America? That the profit motive rightly aspired to by business can be the determinant for who receives care in America? WWJD? (What Would Jefferson Do?)
www.AnyShinyThing.com, A Blog for Smart Women of a Certain Age