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Lori Hogan

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Strength for the Moment: 10 Tips for Family Caregivers

Posted: 04/27/2012 6:03 am

In 1995, an incident in our neighborhood helped me understand the kind of stress that family caregivers of aging loved ones face each day. My husband Paul and I noticed a ruckus at the house down the street and discovered that the elderly man who lived there had died. The man and his wife, who was blind, were being cared for by an adult daughter in her late 40s or early 50s -- the age at which many family caregivers are looking after their parents.

The family had no other relatives so I offered to spend the night. The daughter had been holed up in the house as the only caregiver to her parents. Both she and her mother were so distraught. The adult daughter was unkempt and exhausted from her role as caregiver to her parents. She kept coming out of her bedroom to talk with me, and asked over and over: "What am I going to do?"

Since then, I've had the honor of hearing the highs and lows of many caregivers' personal stories through my work with Home Instead Senior Care®, the organization Paul and I started to provide seniors at-home care and companionship.

I wrote "Strength for the Moment" to share these compelling stories in a devotional guide that families can use to find strength in those moments when the burdens of caregiving seem overwhelming. The book is a collection of 52 real-life caregiving stories that touch on all aspects of caregiving. What I've gleaned from these stories and my work as a mentor to hundreds of family and professional caregivers is the importance of caregivers caring for themselves as they care for others. Here are 10 tips that can help.

  1. Ask for help: Caregiving can be very demanding of an individual's time and energy. Don't suffer in silence. Ask for assistance and share your story with others at StrengthfortheMoment.com.

  2. Be patient: I once asked Paul's grandmother what she thought was one of the most valuable pieces of advice she could give me for my family. "Patience" is all she said. That advice still helps me through every situation.

  3. Treat yourself: Schedule a foot massage, manicure, nice dinner out or a concert to take yourself away from the situation and to reward yourself for the wonderful care you are providing to your aging relative. You shouldn't feel guilty about wanting to feel good.

  4. Take a break: So many of the caregivers in the book tried to go it alone, which is impossible in a demanding caregiving situation. Take single days or even a week's vacation. And when you're away, stay away.

  5. Keep moving: Even if you don't like exercise and your time is limited, keep moving. Simply taking a brief walk or parking the car as far away as possible from the store door can help.

  6. Don't avoid the doctor: You can become so busy with your loved one's health and well-being that you neglect your own. A healthy you is worth more to your aging loved one than a sick, weak you.

  7. Avoid junk food: Junk food, sugar and caffeine are so tempting under stress. Instead eat plenty of fresh fruits, vegetables, proteins, including nuts and beans, and whole grains.

  8. Maintain a sense of humor: Sometimes humor is all you have, especially when dealing with a disease such as Alzheimer's. One family caregiver recalls his dad eyeing his favorite candy bar at the store. "When asked if he'd like one, Dad declined, but then could be seen slipping the treat into his pocket," the son said. "I felt like a parent who could barely contain laughter as their child misbehaves in the most hilarious way." When all else fails, laugh!

  9. Pray: In a recent survey of family caregivers conducted for the Home Instead Senior Care network, prayer was found to be one of the top coping mechanisms for those caregivers who repress their feelings. These caregivers know the value of prayer and meditation when life becomes overwhelming. Share your prayer requests with others at Strength for the Moment on Facebook.

  10. Look to God: These caregiving stories reinforced my belief that strong faith and a positive attitude can guide us through even the most difficult situations. When facing difficulty, we can rely on our faith to remind us that we are not alone and that God is in control.

Many baby boomers, often unexpectedly and for long periods, will likely be called to provide care for a loved one, and it is my hope that anyone could gain strength, encouragement and inspiration through the real-life caregiving stories on which this book is based.

Lori Hogan is the author of Strength for the Moment (2012), co-author of The Stages of Senior Care (2009), and co-founder, with husband Paul, of the Home Instead Senior Care® network, the world's largest provider of non-medical in-home care services for seniors, with more than 950 independently owned and operated franchises in 17 countries. A former Miss Nebraska USA, she is the mother of four and a mentor to hundreds of family and professional caregivers.

 
 
 
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In 1995, an incident in our neighborhood helped me understand the kind of stress that family caregivers of aging loved ones face each day. My husband Paul and I noticed a ruckus at the house down the ...
In 1995, an incident in our neighborhood helped me understand the kind of stress that family caregivers of aging loved ones face each day. My husband Paul and I noticed a ruckus at the house down the ...
 
 
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madcityy
01:52 PM on 05/03/2012
have been thru this with alz dz mom...................there is no way to describe it,,but this is true,,,,,,,,,,,,

it is neverrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr gonna get better..............sad but reallllllllll.................

God bless u all.........and u will need Gods grace and help to get thru it.................
08:34 AM on 05/03/2012
I've been "the family caregiver" for family and friends eighteen of the last twenty seven years, out of sheer love for all of them.

I'm an openly affectionate person and know that tactile communication, touching, hugging, gentleness and a soft word accompanied by patience and a sense of humor creates a bond that's both immensely beautiful and rewarding beyond measure.

On the other hand, as their health further declines and my grieving process goes into second and third gears, meditation becomes my salvation in more ways than one.

I wish all caregivers and their charges love, honor, dignity and peace.
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ginadeoliveira2008
Seen a shooting star tonight and I thought of you
02:50 PM on 04/29/2012
Both my parents live with me. They're in good health for their age but both very limited in movement. Fortunately I'm not alone in this terribly demanding task of caregiving. I have excellent help, or else I wouldn't cope, I'm sure. Being attentive and keeping calm and good humored is the most needed and hardest aspect of it. I'm not especially religious, but there are times when I pray, a lot!
08:34 AM on 05/03/2012
:)
firstamendment3
It's all so ironic.
09:06 AM on 04/29/2012
Many local governments offer services to help keep elders safely in their homes. Call your local Council on Aging or city hall.
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06:02 PM on 04/28/2012
Hey i am my moms caregiver now. I use to caregive her roommmate too. He left to a home though. I also was a caregiver to an 84 yr old woman in N Calif name Joan from 2004 to 2006. I love caregiving. Then again i have a terrible time finding work because i am transgendered. Well i am 14 past surgery etc etc.. My good friend just spent 6 yrs taking care of her mom in Arkansas. Her mom at 95 just died last week. She is also transgendered. i know a lot of us trans people who are our parents caregivers. Hey if you ever seek a good hard working caring caregiver for your parents try to find a transgendered caregiver. We try harder and we understand what its like being rejected. My mom is now 89 and going strong. I have been with her since 2006. We left the suburbs and got a cute little cabin in the mountains where i can grow a garden too. Thanks for your 10 suggestions. OH I WAS ASKED TO COME HERE FROM FACEBOOK HUFFPOST
bye hugs Danielle

FROM central Pa appalachian mountians and amish mennonite country where people are loving and caring :)
02:48 PM on 04/28/2012
God has always been my best friend. I know God is always with us but I felt His presence especially during the most difficult times in my life. One especially difficult time was when my mother-in-law who was dying of cancer and was discharged from the hospital because there was nothing more to be done. She was with us in our home completely bed ridden. She was adament she didn't want to go into a nursing home or hospice before she became incoherent from the morphine and spreading cancer. My husband and I both worked but he worked nights and I was able to adjust my work schedule so she was never unattended. She lasted three weeks. It was very difficult and we were both there with her when the end came. The strength I needed came from God as it always has for me.
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10:21 PM on 04/27/2012
I know that I find peace and joy in praying.Just knowing that we all have our troubles,That Jesus
cares for us gives the strength to not only endure the problems I have.I cry at times but then
Jesus dries my tears.I wouldn't want to live in a world with out knowing God is watching
over me.I don't care what people say,I love my Lord..
08:49 PM on 04/27/2012
An excellent list. Those items all point to the caregiver caring for her/himself, which is something too many caregivers sacrifice. Providing care for oneself, though, allows the caregiver to give his/her best when providing care.

When it comes to asking for help (item 1) a network is great for a caregiver. One of our recent posts at Senior Care Corner discusses 10 steps a caregiver can use to set up an effective network. The full post is at http://seniorcarecorner.com/10-steps-for-caregivers-to-build-a-strong-and-effective-network.
06:52 PM on 04/27/2012
As others have noted, there are many useful suggestions in this list. But I stopped short when I came to the last two. Granted this is in the religion section, but I have found that telling people to pray or to trust in God when they encounter problems in caregiving only makes them feel guilty or inadequate or angry. . Those who are already in that mode of problem-solving don't need reminders; those who don't find solace in prayer or don't want to wait for divine intervention to solve immediate, pressing, real-world problems are not likely to be converted by exhortation. And their needs will continue to be unmet unless we advocate for real support. In a nonscientific but broad informal survey I did a few years ago asking caregivers to tell me the things that irritated them most when said by their friends, family, or professionals, the top statement was "God doesn't give you anything you can't handle." A number of clergy wrote to express, from different denominational perspectives, how hurtful and thelogically unsound they felt these statements to be. The entire essay is at:
http://www.uhfnyc.org/publications/417469 It's called The TopTen Things Caregivers Don't Want to Hear ----and a Few Things They Do." Carol Levine
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AntithiChrist
Rhymes with Grist
05:16 PM on 04/27/2012
I agree that items 1-8 are spot on.

Regarding item #9, if a caregiver wants to pray on their own time, that would be fine, whatever floats your boat, or simply makes you imagine feelings of buoyancy. Additionally, if a patient specifically asks for prayer, meditation, etc, then the caregiver would be welcome to "join the party" sotospeak, but certainly not to the detriment of their other duties.

Regarding item #10, and I can't stress this enough, that a caregiver should look to an actual, existing, proven, tangible source of information, support, or relief when confronted with challenges on the job. Someone with actual credentials.

"Looking to a God" wouldn't cut it. You can read about Jesus or his dad's clinical abilities in Leviticus (burnt offerings) or the gospels (casting out demons). These two imaginary guys don't belong near any situation where there exists a possibility of clinical need.
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Mary Mclocke
Let there be peace on earth, let it begin with me
01:58 AM on 04/28/2012
As one who is not elderly but who is disabled and has caregivers, I have to strongly disagree. It's all a matter of personal preference. When the 'patient' or the caregiver(s) or both have a deep faith, then looking to God is VERY beneficial and necessary when those beliefs include God's strength to get both patient and caregiver through each day. Both my husband and my daughter have said that during some of my very worst times (relapse remitting MS) when I have needed them most and usually for a few weeks at a time, that if they didn't have their faith to carry them through and have the faith that I would get better again to ease their burdens both physically and emotionally, that they truly wonder if they would get through it. We've had the discussion many, many times. Perhaps this isn't true for ALL people, but indeed for many, it IS the case. Because you personally do not believe, you wouldn't understand when the situation involves those of us who do, thus you don't speak for all of us. When or if you wound up being a caregiver to a person of faith, you'd have no right to ignore that patient's faith. One of the MAIN attributes of being a caregiver absolutely needs to be selflessness. The patient's needs are priority ONE (which is why caregivers do burn out with no backup/support system) regardless of your own beliefs or lack of.
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AntithiChrist
Rhymes with Grist
10:27 PM on 04/28/2012
Thanks for the thoughtful response, though I'm still not sure which part of what I said, that we disagree about.

When and if I wind up providing care for someone who believes -or who has a family member who believes - in the supernatural as a way to get comfort for themselves, are you suggesting that I fake my way through a prayer so they feel better? I can do that, especially since I do agree with your point that you should give a dying person the things that give them comfort.

By looking to "a god" for personal strength to get through the trying moments is all well and good, like I said before, whatever floats your boat, or convinces you to believe it isn't sinking quite so fast. My contention is with valuable time and human resources taken up with prayers, chants, incantations, etc., during a time when a more tangible effort - in a word - DO-ing absolutely anything - is more appropriate.

It sounds like your impression of your god (I'm assuming the Christian one) is not one that you'd get from reading a bible, where neither the father nor the son demonstrate anything that would give a body a warm, fuzzy feeling about their ability to make a clinical, or even a "healing" difference. Your impression sounds much more nebulous, lovey, and so on. That's great. Just don't substitute it for medical science when the chips are down.
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JDH1950
05:52 PM on 04/28/2012
I spent 12 years caring for my parents. Had it not been for my deep faith, I wouldn't have made it - I'd have murdered both parents many times (if that were possible). I prayed a lot - perhaps there is no God, but it certainly helped relive the stress. Somethings one cannot "share" with one's friends. Bitching about these things to God was the only way to turn them loose.
08:37 AM on 05/03/2012
:)
03:50 PM on 04/27/2012
A good list.
Another thing to try;
take time to remember the good times.
Get yourself into the habit of verbalising your thoughts...
especially if you are alone with an elderly relative who has dimensia or alzheimers.
They may be aware of more than we realise...
and may think about what you say at some level.
They may remember some of your oral memories also,
or may be reacting and mentally living
thinking about the things you say you are doing during the day.
If there is a possibility of the same happening to you...
due to a family propensity towards it...
this practice may also keep your own mind more alert
and involved with the here and now and your day to day life.
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AntithiChrist
Rhymes with Grist
05:19 PM on 04/27/2012
Excellent advice! For someone with progressive forms of dementia, build a photo album of anything you can find, with big names of people underneath the photos. Scan memorabilia like crazy, get photos from wherever you can find them, and put them in a location where you can open and "review" the person's good times often.

This is actually a fun and rewarding project for everyone involved.
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05:47 PM on 04/27/2012
That sounds like a good idea, we will try that this weekend!
08:39 AM on 05/03/2012
Your comments are fantastic.

One of the most beautiful lessons I've learned from Human beings with dementia and Alzheimers?

They always remember love.

May you be remembered the exact same way.
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John Camp
Husband/Pastor/Scholar
01:42 PM on 04/27/2012
I would affirm all that is on that list, but as someone who has ministered extensively in the disability community, I would add a few other key items.

1. Don't neglect devotional reading of Scripture. Time may be tight, but there is nothing more refreshing and encouraging than time in the word. I particularly commend Psalms and 1 Peter in the midst of suffering and trials.

2. Be in relationship and contact with others in your same situation. This especially important for those caring for a loved one with alzheimer's/dementia. Often the best source of information is someone else caring for a loved one with similar issues. They may have already gone through a phase that you are experiencing and can speak to strategies, duration etc. in ways professionals often cannot. Also they understand the unique pressures of the situation and are safe to share with.
3. caringbridge.org is a great way to communicate with people who are concerned when you don't have the time to talk or return calls. You really should check it out.

4. Have someone who is your point man to communicate your needs to your friends, family and church. Instead of saying "I need help" have a friend with a list who will say John/Jane needs the lawn mowed, someone to bring by a gallon of milk every Tuesday, a three hour respite on Saturday etc.
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Mary Mclocke
Let there be peace on earth, let it begin with me
02:03 AM on 04/28/2012
Excellent list and indeed key items. As one who is the disabled one and has two caregivers; my husband and young daughter (22), they'd truly appreciate these suggestions and I will make note of them. When I am in a bad flare up, sometimes it goes on for weeks, and I feel horrible though I know that I also have no control over the situation and the disease. (I have relapsing/remitting MS).
Being a family of faith, these suggestions are indeed SO very much appreciated!
Also, you did mention Psalms, though personally, Psalms 91 gives me the most comfort. God bless you and for excellent suggestions, fanned!
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Salty too
Give me Liberty or give me death.
12:40 PM on 04/27/2012
The two most importent things on the list were listed as 9 & 19.
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AntithiChrist
Rhymes with Grist
05:21 PM on 04/27/2012
I think "19" is as imaginary in this case as the "10" you were likely referring to.
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buggeroffyou666
Hierophant of the Crawling Chaos
09:33 AM on 04/27/2012
So you decide to use logic for one through eight and then think you can sneak in complete BS at the end.
It's like an old episode of Star Trek. Remember how they would list three things that are real and then end with something completely made up?
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01:43 PM on 04/27/2012
If you don't like the last two find something that would have the same effect. Just because its religious doesn't mean it can't help a believer cope. And since this is a religous group they go with those options.
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buggeroffyou666
Hierophant of the Crawling Chaos
08:51 PM on 04/27/2012
And if someone needs to be a drunk to cope then thats ok right?
Anything that works even if its not a real answer right?
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JDH1950
05:55 PM on 04/28/2012
You can go talk to a tree, then. But you have to find a way to "talk out" the frustration that comes from being a caregiver. As I said earlier, some things one cannot share with friends - unless those friends have been caregivers. Non-caregivers simply do not understand. They can say they do, but they don't.