As caregivers (and human beings) a little pat on the back can sometimes come in the form of other people’s words. That’s why we include a Care Card in each issue of our weekly newsletter. Quotes are also some of our caregiving community’s favorite things on Facebook, Twitter, and Instagram.
This week, I asked our caregiving bloggers for some of their favorite inspirational quotes. What’s your favorite quote? Share with us in the comments or on our forums.
Photo credit: Mother Teresa quote via imgace.com // Leonard Nemoy quote via Corporation for National and Community Service
What are some activities for dementia and Alzheimer’s patients that have worked for you?
“As Dad remained quite mobile, one of my favourite activities to do with him was to go for walks together. Another common pastime was reading out loud to him, something he did for my sisters and me as a former University English Professor.” – Rick L.
“Traveling the world on Google Earth.” – Alicia W.
“Making short videos on my computer and singing or just saying ‘hi’ to people.” – Katie S.
“Soft sing alongs worked beautifully for my mother. She engaged and tried to sing. I even brought the Episcopal church hymnal with me once and flipped through the pages to remind me of her favorite hymns.” – Molly D.
“Something he did as a young boy – marbles, checkers, or cards.” – Kim R.
“Sorting – nuts, bolts, coins.” – Sandra O.
“Assembling something.” – Rhonda M.
“Mom likes current events or crossword puzzles.” – Julie H.
“With the help of a home aide, my father-in-law and I worked for months to create a rug for his great grandaughter Ava. When we brought out the materials, he became fully aware of his surroundings and why he was making it.” – Bobbi C.
“When my father-in-law’s memory was faltering, we’d take him for a drive in the country to see a wind farm. This unusual ‘field trip’ garnered Dad’s attention. ‘There are so many windmills!’ he’d exclaim. “And they’re all so big!” – Harriet H.
Photo credit of Teepa Snow via Alzlive
The waiting room starts to feel like our home away from home. All too many waiting rooms are terrible spaces to spend time in.
Architects, designers, and office managers take note – here’s what caregivers would like to see in your office:
- a variety of comfy seating options for people of all sizes and conditions
- enough space for everyone – there should never be people waiting in the hallway!
- space for people in wheelchairs and using walkers to navigate
- wifi and work stations
- a space for kids to play with toys and games
- a room to watch TV and chat
- a semi-private place to relax quietly
- a dark room with reclining chairs or daybeds to sleep in
- outlets to charge phones and laptops
- free refreshments
- blankets and toiletries
- access to a gym
- a fish tank to watch
- a reading library
- a masseuse
- lockers to keep your things
- full bathroom with showers and mirrors
- access to counselors, social workers, and other people to talk to
“Chemo took us from 3 to 6 hours 1 to 2 times weekly. If I were able to rest/sleep while my husband was in the best hands available, it would have been the most welcomed 3 to 6 hours of our hectic week on many occasions…” – Dianne S. C.
We know it’s possible…
“St. David’s Hospital Round Rock Texas has the nicest ICU waiting room with most of the amenities people have mentioned hot and cold drinks, comfortable furniture, a volunteer, new magazines, several areas widely separated, off the hall, nice tables and chairs for families to eat together. And it is off the main hall but without doors and at the side of the ICU so there is no walking traffic passing by gawking.” – Jeananne E.
“[The] hospital here in Melbourne for those with cancer has a quiet area for those waiting if they prefer to be away from noise – lounge chairs, soft lighting. They also supply wool and knitting needles and instructions on how to measure a square of knitting. The squares are then eventually stitched together to make rugs for homeless people.” – Jan T.
“At ETCH volunteers bring a cart stocked with toiletries, snacks, magazines, crosswords, etc hourly for waiting family to take advantage of. More than once I have personally benefitted from this service.” – Terina P.
Want to read all the responses? Here’s the original Facebook post.
“My mom diapered my butt, it’s the least I can do.” — Beth Crandall
“As Elton John said, ‘it’s the circle of life.'”– Rob Adams
“Maybe Grandma will leave me more in the will…? (I’m kidding.)” — Jen Houtz
“I see this as payback for that ‘poo painting’ phase I had when I was two.” — Will Thompson
“I don’t want to get calls about my mamita slapping innocent strangers over the head. At least I’m already used to it.” — Charlotte Sedillo
“Dad held my hair during the stomach flu despite his horrible gag reflex. I’m sure I can handle a sponge bath.” — Rick Franklin
“I certainly didn’t dress myself or change my own diaper when I was little.” — Joyce Mitton
“I peed my grandpa’s bed every summer I visited from about three until six. I think it’s safe to say I owe him some bed changes.” — Daniel Pulliam
“Letting your dad dress himself in gloves and a scarf in the middle of summer seems more fun if done in our own home.” — Linda Bauman
“Because my love is also unconditional.” — Evelyn Grimm
GIF Source: giphy.com
They estimate that there are between 60 and 90 million family caregivers in the US. There are about 6.5 million professional caregivers, according to the US Bureau of Labor Statistics. There are millions more who have served as a caregiver at some point during their lives.
That’s a lot of different experiences.
But as much as each of our situations are unique, we have so much in common. It’s time to come together. With so many millions of people providing support, there’s no reason for any of us to feel alone.
“My own take is that society’s lack of understanding and support is the main thing we have in common. There is no useful etiquette for dealing with illness and disability – our own or anybody else’s. As for a support infrastructure — mostly that’s a bad joke. Beyond this, however, it seems to me that our problems (and levels of opportunity) are all different.” – Sharon P.
“We all have different support situations, different personalities, and different energy and tolerance levels. I like how this page is here for all.” – Martha K.
“Mom is my priority…as always….If I plan something, it is planned in advance with arrangements made so that I don’t have to worry, and they all know I’m just a phone call away” – Traci S.
“I am a carer for my son. He has [a genetic disorder and autism]…Yet I read this post after returning from the spa…I have a supporting husband sharing in the care and a wide church family, most of whom are supportive a few are even offering practical help.” – Nancy H. D.
“I care give for free for people that either need me full time or others that need a break.” – T. B. T.
“I never fully embraced the caregiver moniker. All I can say is I endured. I changed. I have so much to pay forward my task honoring my husband’s memory has just begun.” Lauren B. C.
“We now…are in a position to have 48 hrs of private duty [help]. I’ve recently joined a gym and make time to go at least 3-4 days a week. My daughter can never be left unattended and I was lucky enough 2 yrs ago to hire a wonderful aide, besides my granddaughter who works with her Aunt on a regular basis.” – Patricia W.
“although caregiving can be awkward and demanding, I have the most personal freedom that I have ever had in my entire life. No regular hours, and I get to spend time on my writing (I’m an author of fiction), time watching my favourite TV shows and movies, and occasional time with friends. Plus, I have a husband who loves me and is good company.” – Xanxa S. R.
“I’m my husband’s caregiver and helper due to his memory loss from combat PTSD but he is also my caregiver in all things physical for my RA & Fibro. We care for each other in the ways that we are stronger than the other.” – Carly D. R.
“I’m 53. I care for my 46 year old brother who lives with me…MWF I send him to the adult/senior day center run by Catholic Services (you do not have to be Catholic to attend and it is not a church service). Nurses are on hand, they go on field trips, play games and are served breakfast and lunch. During these days I work as a caregiver for an agency helping others…Or, I can choose not to work those days and just sleep in or catch up with friends, family or my favorite tv shows.” – Lisa K. C.
“My mom has Severe Dementia, is incontinent and non-ambulatory. She is is a full-time nursing home, but I go every day (sometimes twice daily) to check on her, help to feed her, pick-up or take back her laundry, make sure she is getting the care an attention she needs, is taking her meds, take her outside for walks, bring her special treats and and meals and to tell her and show her that I love her.” – Renee F. H.
Everyone who is supporting someone through illness, disability, or disease is welcome here. Are you new to the community? Introduce yourself here.
Some of the quotes were edited for length. You can read the original posts on Facebook.
Although everyone experiences anticipatory grief—a feeling of loss before a death or dreaded event occurs—some have never heard of the term. I didn’t understand the power of anticipatory grief until I became my mother’s family caregiver. My mother suffered a series of mini strokes and, according to her physician, they equaled Alzheimer’s disease. I cared for my mother for nine years and felt like she was dying right before my eyes.
To help myself, I began to study anticipatory grief. While I cared for my mother I wrote a book on the topic. Writing a book parallel to my mother’s life was an unusual experience. Later, Dr. Lois Krahn, a Mayo Clinic psychiatrist, helped me with the final version. Our book, Smiling Through Your Tears: Anticipating Grief, was published in 2005.
Writing the book made me aware of the power of anticipatory grief and I went on AG alert. I had severe anticipatory grief when my husband’s aorta dissected in 2013. My husband was literally bleeding to death. Surgeons operated on him three times in a desperate attempt to stop the bleeding. Every time he went to surgery I thought it would be the last time I would see him.
My grief was so intense I began to plan his memorial service.
Although you realize you’re experiencing anticipatory grief, you may not understand its power. Here are some of the sources of that power.
Your thoughts jump around. You think about the past, the present, and a future without your loved one. These conflicting thoughts can make you worry about yourself. Friends may notice your distraction and think you have some sort of psychological problem. You don’t have a problem; you are grieving.
Every day is a day of uncompleted loss. If you are a long-term caregiver as I was, you wonder if your grief will ever end. Worse, you may wonder if you will survive such intense feelings. You may start to feel like anticipatory grief is tearing you apart.
The time factor can grind you down. Since you don’t know when the end will come, you are on constant alert. Friends may not understand your feelings and wonder why you’re grieving if nobody has died. Explaining your feelings to others is hard because you can hardly track them yourself.
Suspense and fear are part of your life. Because you fear others won’t understand, you keep your feelings to yourself. Grief experts call this “stuffing feelings” and you may feel stuffed with worry, insecurity, and sadness. Uncertainty seems to rule your life.
Anticipatory grief can become complex. Grief expert Therese A. Rando, PhD, author of the article, “Anticipatory Grief: The Term is a Misnomer but the Phenomenon Exists,” says anticipatory grief imposes limits on your life. That’s bad enough, but as time passes, your anticipatory grief keeps expanding. “I’m tired of waiting for my mother to die,” a friend of mine admitted. I understood her feelings.
There is a shock factor. Edward Myers, in his book When Parents Die: A Guide for Adults, says anticipatory grief doesn’t have the shock of sudden death, yet it exacts a terrible toll. As he writes, “If sudden death hits like an explosion, knocking you flat, then a slow decline arrives like a glacier, massive, unstoppable, grinding you down.”
Lack of an endpoint. Although you may think you know when your loved one’s life will come to a close, you aren’t really sure. Waiting for the end can put your life on hold, sap your strength, and prolong anticipatory grief.
You feel sorrow and hope at the same time. Hope may be the most unique aspect of anticipatory grief. While you’re grieving you hope a new drug will be invented, new surgery will be developed, or your loved one will experience a miraculous turn-around. Hope can keep you going.
Understanding anticipatory grief can keep you going too. Joining The Caregiver Space Facebook groups can be a source of support and hope. Remember, you are not alone. You are in the company of thousands of other caregivers, and we can help each other.
Caregiving generates a variety of feelings. When doctors told me my husband’s legs were paralyzed and I became his caregiver, I felt fear. What supplies did I need? Did I have the physical strength to care for him? Where would we live? My fear turned to worry as our healthcare expenses increased. I’ve felt many emotions since then.
Your experience may be similar to mine. Like me, you may welcome some feelings and wish others would go away. Although we can’t control what happens to us, we have some control over our responses to events. In short, we can manage our feelings. These steps will help you cope with your changing feelings.
Be on feelings alert.
As you go about your daily tasks, be aware of the feelings you’re experiencing. Feelings can change quickly, so your awareness “switch” needs to be on all the time. A packed schedule may make you feel anxious, for example. A shared laugh can keep you smiling. It might be interesting to track the different feelings you experience in a day through journaling or another technique, like “Morning Pages.”
Name your feelings.
I try to name my feelings as quickly as possible—eager, disappointed, satisfied, hopeful, etc. Whatever your feelings may be, naming them helps you cope with them. Don’t worry if you can’t name your feelings right away. In time, you may be able to name them and understand them.
Make a positive and negative list.
This simple task helps you see the “big picture” of your feelings. Which list is longer, the positive or negative? If your negative list is far longer than the positive list, you may wish to join a support group or consider counseling. Sharing your feelings with someone you trust is helpful too.
Keep a feelings log.
You can do this on the computer, in a three-ring binder, or small notebook. A log is much shorter than a journal or diary, and little writing is involved. Just jot down the date at the top of the page, list the feeling you are experiencing, and the time. Next to the time, you may write a few explanatory words, such as “doctor’s appointment.” This written record helps you track feelings and determine a course of action.
Identify the source of your feelings.
It took weeks for me to realize my negative feelings and bad mood were due to sleep deprivation. At 4 a.m. every morning the alarm clock goes off and I get up to help my husband. My tasks take a half hour or longer. Sometimes I go back to sleep and sometimes I don’t. One day I went to the grocery store after only four hours of sleep, and walked around in a fog. Getting more sleep boosted my feelings and general outlook on life.
Different feelings come with the caregiving territory. You are normal. Coping with feelings is easier if you pay attention to them, name them, track them, and take some proactive steps. You’re a caregiver because you care, and that’s a good feeling!
Many families rally together after a diagnosis or an accident, but a few weeks later they’re nowhere to be found. Caregivers can face months or years of little to no family support, only to have those same absentee family members reappear when the end is near. Suddenly, everyone has their opinion on the medical decisions you’re making, the care you’re providing, and want to be there every moment. The caregiving routine and rapport you’ve established goes out the window. How can you manage the situation without a battle?
Deborah C. H. W. captured how a lot of caregivers feel:
I too have been the sole caregiver for my husband. [His family] didn’t come and help for the last seven years, so they are not there for him and you, they are there for themselves. They are taking up your space and time with him. If they really loved him and cared about him, where have they been for the past seven years?
Is your home being invaded by controlling relatives? Here’s how other caregivers have coped with the situation and regained control of their lives:
Figure out what you want
Don’t allow their guilt to become your problem. – Gilda S.
You are under stress and need peace around you…If you want their help take it, if not, tell them kindly. This stressful time in your life and especially your partner’s is not about them and they should respect that. I’m sure they are hurting as well but they need to support your decisions. – Cheryl M.J.
Know your rights
[If you’re not legally married] make sure you get something in writing from him and a witness that gives you some right! – Clara D.R.
If your partner agrees, get power of attorney asap. You are the one that should be able to make decisions; you’ve been doing it all along while being his caregiver. – Carolyn Z.M.
Check the laws in your state for significant other. Unfortunately, you may be in for a fight with his family if they have the power to move in on you. Hopefully, you have your names on items you shared as a couple. – Christine D.R.
Do you have yourself covered legally? Durable POA.? Is the house in his name or yours? You should talk to your attorney and make sure your bases are covered so you don’t find yourself suddenly with nothing. Put away your valuables where they cannot be stolen. – Toni E.I.
Figure out what your patient wants
Ask your partner what HE wants, discuss your fears with him and Hospice, then ask Hospice to support whatever decision is best. – Linney E.
You may have to remind them, or have someone else do it, that this isn’t about them. It’s about your partner and making his life comfortable…If they kick up a stink gently remind them that tensions are not going to do your partner any good. – Madonna N.
Figure out what the family wants
Everyone just wants to spend time with their loved one and the OP needs to either set the boundaries clearly or have someone set them on their behalf. This is a tough time for everyone. – Rashida H.
They need to grieve and say goodbye too even if they missed out on time they could have had for whatever reasons. Set your boundaries but remember that many need to say good bye & it might not be in ways that you like or tolerate. People take illness the way they take life and sometimes it’s too little too late and only to make themselves feel better and sometimes it “mends fences” that give a person peace to let go and pass in peace. – Minne B.R.
I suggest you make one person the liaison person so as things develop you tell that one person who then can keep others informed. This takes the stress away from you at repeating yourself over and over again. – Lucy Rea
Have empathy for them, too
Very often family members, when they are not involved with the day to day don’t realize the toll it takes on the primary caregiver and sometimes how downright unreasonable their demands or requests are. – Betty M.
I think your in-laws are just trying to help, they also want to be near their child. You need to try to open your heart to them, see their suffering and their need to help you at this time…Be tactful; no one gets hurt and everyone wins. – Missy B. K.
Since he is private maybe he did not want anyone to know; I can say I know someone like that. It might not be that they did not care, just situations kept them from being there. There is so many scenarios but I feel everyone should think about the situation and respect each other. Everyone loves and shows how they care differently. – CherylAnn N.
Try to embrace this time and accept the help (I have just been there so I know what you feel), try to remember that before there was you, there were his parents, he is their baby, no matter what age and this will be their last months with him also and so they need to have memories and feel the comfort of knowing they shared in his last months here…look at this as a time to let you get some much needed respite and rest and time for yourself to a certain extent….love wins out, love them, embrace them, it will make all the difference. – Dianne B.
Find a compromise
There is most likely some guilt and resentment going on. They feel guilty that they haven’t been there and resentment that you have been (he chose you not them). That being said, maybe you can work it out to benefit all. Talk about caregiver burnout and a way to give him the best possible care is to take care of yourselves too. Work in shifts, so everyone gets equal time and rest/self care. For his sake, smiling faces are best and less stressful for him. 12 on 12 off or 8 hour rotating shifts or 4 on 4 off. – Tonia M. J.
Thank everyone for the thoughts and concerns, but politely inform them that you husband needs the peace to remain stress free and you or someone else will inform them of any changes. – Jennifer L.S-M.
You don’t have to tolerate this behavior and you have a right to keep your home serene. – Denise A. T.
Post the visiting hours outside the front door and say it’s overwhelming to both of you to have your lives disrupted. – Cheryl W.
Give them time but do set boundaries. – Minnie B.R.
I am a hospice nurse and it is our job to advocate for the family…I have no problem standing up for my patients, especially in delicate situations. – Chelsea M-M.
I would recommend social worker and pastoral services to help navigate this difficult situations. They can advocate for you both in a non threatening way what is best for your partner. – Kimberly E.
Absolutely talk to social worker or case manager. Have a close friend to be your main point to communicate with outsiders this is what many hospice volunteers do. The families appreciated this as they have a difficult time to say NO. What we want people to understand that close loved ones need their quality time with their loved ones. – Anita B.
My mom went through this with the passing of her boyfriend in her home. HIs family had nothing to do with her before this time. It was hard but at the same time, that was his family. You have to do right by allowing them their time but they need to also respect YOUR time and his. Hospice really helped her…they stepped in without her having to stress and when it was all said and done and his family left…..they stayed to help her out. HER. Not them. I really recommend them. – Leslie A.
Express what you need
They should also be prepared to help physically with things like cooking and cleaning. – Patricia D.M.
Put it in perspective
It can be very hurtful, but keep reminding yourself not to take any of it personally – its not really about you, its other people’s fears that are causing their behaviors. – Linney E.
Here are suggestions from other caregivers for the elderly who have been there and done that in how you can make your loved one comfortable as they transition to a residential care facility:
Know when it’s time
If I was dealing with memory loss I would want my loved one to at least become familiar with their new surroundings before [their health is deteriorated]. I have had senior parents have their daughter put in a residents home in case they died before her. They wanted the staff to hear her stories and the life she once had. – Dani H.
I was there every day for hours but she couldn’t remember, even if I just left. – Jane C. A.
Ask about activities provided and try to get her involved. – Betty S. H.
[My mom] was in a facility run by nuns and priests and at least once a day she would go to the chapel for services. – Eluisa I. L.
Staff will speak with residents more often if you let them know how sad she is…as well as inviting patients to activities more frequently. – Diana M.
Always make sure they have pictures of their own mom and dad in their sight and fill their room with family pictures and their own things that make them feel comfortable. I also left family albums so she and her private PSW could look through them, when I couldn’t be there. – Jane C. A.
Music!!! Get her an ipod or Walkman with old cds that she loved as a younger girl. Its made a WORLD of difference in my mom. – Cindy L.
Make videos of family gatherings and let her watch it as often as she wants. – Tonia B.
Sing old songs; most likely, she will remember every word. – Cindy L. L.
Have a family meeting if you can and schedule your days. Share how the visiting went and share wants and needs of your person. – Debra K.
I have a sign in book in my mom’s room. – John-Roz S.
When I worked in programs I had an email set up called eldersonemail for recreational purposes only. Every Wednesday family had until 8:00pm to send emails on Sunday the recreation staff would print them off seal it in an evenlope with their name and a volunteer would deliver it to them. Writing letters is difficult for many families. I learned this from families feedback. Setting up an email system worked great. – Dani H.
Advocating for excellent care
I helped family members make an album about their parent or spouse with pictures of who was in their life and names. I also had them write their likes and dislikes, key words to use or not use, how they liked to be bathed, etc. It would stay by their bedside table. Senior helpers would pick it up and get to know the person as an individual. – Dani H.
Not every patient is easy to care for.
How can caregivers keep their cool when dealing with demanding patients?
Here are tips from both family caregivers and professional caregivers on how you can keep your patience when dealing with difficult patients:
A deep breath, a smile, and to know when to just walk away. – Brenda M.
Selective hearing! – Betty S.
Distraction, humor, patience…and lots of love. – Cathy K.
Having a close friend to talk about frustrations helps me. – Jennifer C.
Remember it’s usually their disease and not their real personality. – Bruce R.
I try to picture them as children. Once you’ve made the visual you will find a wealth of compassion and patience. – Jodonna C.L.
I ask them questions about their childhood or whatever and they get talking and forget what they were whining about…sometimes. – Carol A.
I will ask them if they are in pain, not sleeping well, family problems…I probe to find them problem. If a client asks why I’m asking, I explain that their behavior isn’t common and I’m trying to solve their problem. I treat them respectfully, as an adult. Heidi L.
I tell [my daughter] straight up when she goes out of her way at times to pluck my last nerve. We have to tell it like it is with each other. If I couldn’t be honest about the difficulties of our situation it would be harder to continue doing this. She is honest with me as well. – Patricia W.
Giving them something to do with their hands or that they have to pay attention to will get them unstuck from being whiny and difficult. – Cathy K.
Remind yourself that the man upstairs is very patient with us all. – Stacy S.
Sing a song and keep smiling…before too long the shift is over. – Brenda G.
I try to remember that my son has no words and can’t express what’s happening or bothering him. I have a list that I run down just like you do with a baby – clean diaper, hunger, teeth, and now I’ve had to add puberty/hormonal. If everything seems OK, we take him for a walk or a car ride. Sometimes I will get him to sit with me on the floor and yell right along with him. If this doesn’t work, the last resort is getting him to his room and closing the door for a couple of minutes. – Lisa K.G.
I’m requesting help or ideas. Unfortunately It’s time for my mother (who has Alzheimer’s) to go to a care facility. She is currently at home. She has refused to get into a vehicle for almost a year now. For her safety and others, what should i do?
If you are taking care of a loved one at home, you might consider palliative care through a home hospice. Palliative care is specialized medical care for people with serious illnesses. It focuses on providing patients with relief from the symptoms, pain, and stress of a serious illness—whatever the diagnosis. The goal is to improve quality of life for both the patient and the family.
In my experience with home hospice, they provide 3 CNA visits per week, a skilled nurse once a week, an MD visit once a month, and a social worker once a month. They also have respite volunteers to help the caregiver take some time off, various counselors and chaplains, podiatrists, and even hairdressers. They prescribe all the necessary meds, and supplies like ointments, diapers, AP mattresses, wheelchairs, etc. All of it was covered by Medicaid. They will assist you in caring for her at home, a familiar environment, which is much better than being in a facility. However, this is a decision that should be made according to the condition of the patient, and abilities of the caregiver.
Before resorting to palliative care, a regular home health care agency might be a better option. They offer physical, occupational, and speech therapy visits in addition to CNA and skilled nursing. When a patient is past the point where therapy is effective, that agency can refer you to palliative hospice care at home, or in a facility. If you opt for a facility, do very exhaustive research, so that you can find the best one, one that you will have confidence in.
There are many excellent professional caregivers in facilities, and you shouldn’t feel guilty about making that choice. I have been down all these roads, and personally, I considered a facility as a last resort. Not because their caregivers are “bad”, or they don’t give quality care. It’s just that too many of them are under staffed, with one or two CNAs being responsible for 25 patients.
My mom refused to eat, or participate in group physical therapy in the facility, which was an unforeseen consequence. I found myself spending the entire day there, from 8:30 AM to 9:00 PM, every day, accompanying her to therapy sessions, feeding her, and even changing her when she was incontinent. She would only eat for me, and wouldn’t allow anyone else to feed her, so I brought her home, and got home assistance, first from home health care, and then from hospice. That’s working out much better.
Every situation is different. Whatever you do, don’t feel guilty about your choices. Do your homework, get all the information you can, and make a decision that works for your particular situation, knowing that you are acting out of love, putting the patient’s needs first, and doing the best you can.
It’s not an easy situation to be in for anybody, and can be overwhelming, but over time, experience and training will make it less overwhelming, and more manageable. Especially when you have professional assistance, so seek help. There are a lot of good people in the field who will help you, you don’t have to go it alone.
WebMD has additional information on palliative care.
The community member who wrote this helpful post wishes to remain anonymous.
Our site is for caregivers, sure, but I know that the patients our caregivers help visit our site, too. Recently, a husband reached out to me to express concern that his wife, who is his primary caregiver, is burnt out from caring for him. How can he lessen the load?
Here are suggestions from both family caregivers and professional caregivers on you can be a model patient:
A ‘thank you’ often gives me an extra pair of wings – and it makes my heart smile. – Felicia H.
I currently have my Mom living with me. She tells she loves me 40 times a day, how grateful she is and I am her pretty girl and the special one daily. I have moments of frustration and being overwhelmed, but I cherish her gratitude. – Trice G.G.
A man I care for tells me thank you every single day before I leave…it really warms my heart every time. – Morgan B.
[My dad] told me everyday that he loved me. So even on the hard days when I had no sleep with lots of other things that needed to be done for my kids it was a reminder to serve my dad the best I could. – Laura C.S.
My Mom understands. She went through similar, and then some, when she was caregiver for her Mom. That makes all the difference some days. – Ed R.
Show that you care
Mom always asks me “How are you?” – Ana L.
When my son sits down with me and pulls my head into his lap and pushes the hair out of my eyes. I do that for him when he’s having a difficult day. To have him return the gesture, to have him show that level of affection melts my heart! – Lisa K.G.
Be glad to see them
Whenever I got home after running an errand [my husband] would cry out with a big smile on his face, “There she is!” – Beth T.
My husband tells me he loves my company. – Sally M.
Make them laugh
I don’t think there is one day that goes by that I don’t laugh at something my mother says. She cracks me up on a regular basis! – Rita G.
If she smiles and we can laugh together that’s the best. – Sue R.
My son is non-verbal, so just to see him happy and smiling melts my heart! Sometimes he gets silly and tries to make me laugh ~ so funny!! Makes my day. Knowing he is home with me, feeling loved and cared for brings me the strength I need and makes the sacrifice worth it all. – Jerilyn B.
Share what you know
One of my clients has taught me how to make jam and bake a pie (I’m a city girl)….it was great to get her back into the kitchen she loves, and for us to connect in a new way. That has lead to more trips to fruit stands, which leads to getting out of the car and walking with a cart…good exercise, and a bit of socializing goes a long way to a better night’s sleep. – Kerry N
Trusting me with their private feelings and thoughts means a lot! – Lisa M.G.
Sharing old stories–reminiscing! Elders sharing how they found happiness; what brought joy to their hearts & minds as a child or through life. What pastimes they enjoyed: music, whittling, bird watching, fishing, hunting, riding, traveling, sewing, telling stories–funnies, collections: vehicles, guns, pictures, dishes, spoons, stamps, etc. Vintage people are AWESOME! They’ve succeeded thus far! – Carolyn M.B.
Help with what you can
Mama folds all the laundry in the house. It’s her job and will not let anyone else do it. – Linda L.R.
When I’m not able to, my client cleans up his paper and does a few dishes. His concern touches my heart. – Shirley V.
Be considerate and cooperative
Let me sleep! Which is rare, lol. – Anna L.R.
When he eats all of the meal that I cooked and comments on how good it was. I know that is kind of simple to most but for me, it’s like I won the lottery. – Diane M.
He tries to help in anyway he can and never gets upset with me. His spirit is uplifting and patient..just what I need to calm my nerves on bad days. – Nora F.
He tries very hard to stay strong and positive for me, because he knows positivity it what I use to stay sane. – Christine D.R.
Take care of them, too
My husband sends me to the Spa! – Jan P.
My mom invites her neighbors over to socialize, but I’m pretty sure she does it so I have free time. – Robin B.
We’ve been there and we’re here to help.
Here are some suggestions from fellow caregivers
I am at my breaking point right now. And the thing that is helping me…is solitude. I find a few minutes throughout my day that is quiet. No phone, tv, people just peace and quiet. Reflect on the positive reasons you are a caregiver. – Kristal S.
Share your feelings with organization, GP or support group that may be able to help you. Use this page as a means of “sounding off.” – Rosie H.
I also find that if I just sit down and make a list of things I am happy about or things I have accomplished…. A vocation whether it is a wife, mother, or caretaker of a sick, injured, or elderly person is infinitely more rewarding and meaningful than the worlds version of a happy life. – Jamie C.
“Nothing ever lasts for very long.” I have found validation in those words through many situations that have come my way. It does seem to keep things in perspective for me. – Patti G.
I took those moments when mom was asleep, to just go outside and grab some gulps of fresh air, some rays of sunshine or even a little bit of rain, to remind me that I was ALIVE. – Sugarpie Hunnybunch
First PRAY and realize it is at that point that you need a break. I keep Starbucks Frappuccinos in the frig for days like this. I pray sing & enjoy a frappuccino! Find what works for you & do it. No one can love you or take care of you in a moment like this better than you! – Eletha A.
I breathe deeply and believe this too shall pass. And it does. Takes a toll though. – Mary M.
Caregiving is not forever. There is always a light at the end of the tunnel. Just remember you are someone’s angel and think of where they would be without you. Keep up the good fight! – Mark S.
Every situation is so unique. Getting away would be ideal–completely removing yourself from the situation for as long as possible. Possibly admitting that your personal health is at risk and you’ve done all you can humanly do and your loved one needs a more skilled placement. – Dulcie N.
Breathe. It’s just about the only answer when your family wont help. – Diana K.
Find a place that is all yours. A bathroom, a spot in the yard. Fall to yours knees and scream. And while you are down there thank God for how far you have come and ask for the strength to get you through this. And ask someone for help. Hugs and prayers to all who feel this way. My journey is over for the time being. And don’t feel guilty for feeling relieved for it being over. – Tina D.
A handful of Oreos and milk helps too. – Gail F.
It’s OK to admit you’re unhappy or sad and maybe even lonely. Say out loud how you feel, maybe not to the person you care for, but just say it when you are alone. Admission is very releasing. If you can’t verbalize what you feel, start a journal. Writing has helped me greatly. – Luci B.
Maybe just turning to the person closest to you and seriously letting them know how you feel and that you really don’t know what might happen if something doesn’t change. – Vicki H.
Create a sacred space in your own home where you can be alone for even 5 minutes. Or ask someone to be with you in person or phone for 5-10 minutes, and simply ask them to listen with 110% attention without responding. – Jay K.
I love M & M”s so I buy a bag and my favorite magazine and just enjoy myself for a little while. Always helps. I also have literally screamed into a pillow to let out my frustrations (making sure my loved one can’t hear). Sometimes the hardest thing is not to feel guilty if you enjoy yourself. I have to tell myself it is an ok thing. – Dianne M.
Even if you can’t physically get away, try to carve out as many “mini-breaks” as you can during a day. – Jeannette L.
Hospice can help get relief for the caregiver. – Antoinette H.
Step back…regroup…and remember why you do what you do. And the lives you’ve made better and the hearts you’ve touched with your love and compassion. – Debra J.
Make sure you eat healthy. It seems crazy but good food does help. – Jana B.
5 more minutes, then another 5 more, count to 60 and then again, say a prayer, hold your breathe for a minute or so, say another prayer, count to 60 again and then force yourself to get up, go for a walk, garden, meditate, whatever until you reach that stillness inside of you which no person, no event or circumstance can touch, remind yourself of who you are, why you are doing what it is you are doing and then go and do that thing. – Virginia B.
Meditation. Peace and quiet. Those things have saved my life. Also, some Prozac has been very helpful. My facebook friends have also helped a great deal. I have found that your breaking point will stretch. – Kerry D.
Talk to someone you trust. Have a good hard cry. Cry until you get it all out. – Bobbi C.
Go lay down on the closest piece of grass you find and look at the sky, take a deep breath, cry, and then get up and get at it again… – Rachel S.
My aunt takes me out once a week to an hour comedy show and the laughter is a great release. – Danielle H.
I keep a prayer journal. Quite often I rant. But usually I start writing down all that I am thankful for. – Maribeth C.
It’s hard but worth it in the end. – Garcia
Recently, we asked you to share one piece of advice, or one tip, that you’ve learned through caregiving and how you avoid caregiver burnout. You had some amazing words of wisdom to share. Interestingly enough, many of you learned some very similar lessons — here’s what we found and what you said:
Breathe for Patience
1. “Patience. Much patience. And laughter is a close second!” – Tammy Lewis
2. “Breathe patience and understanding” – Karen Sulski
3. “Deep breaths and plenty of patience” – Cari Bergery
4. “Breathe… Take a moment in the midst of the chaos and just breathe…” – Annette Weber Andrews
5. “Be patient and love your patient as you love yourself.” – Cherel Verana Bustamante
6. “Always take a moment and breathe.” – Cheryl Montague
7. “Patience, understanding and heaps and heaps of love.” – Rhondda Rosenow
8. “Be patient and pray for strength.” – Denise Davis
9. “Hold on! The good outweighs the bad!” – Helen Tisdale
10. “We all lose patience at times, forgive yourself. Show your love, a kiss on the cheek, holding hands, and that precious smile they give back even though they don’t know us anymore means so much.” – Donna Bills
Make This a Non-Negotiable Top Priority
11. “Schedule self-care as a non-negotiable top priority.” – Michelle Poppleton Chumsae
12. “Take care of the one in the mirror.” – Paula StpierreChalker
13. “Take time to rest. You can’t help others if you don’t realize your limits.” – Bobby Arnott
14. “ALWAYS make time for yourself. It’s not selfish of you to do so. Separate yourself from the situation and do something for YOU and YOU ONLY. That was one of my biggest challenges in the beginning of my husband’s TBI. I would feel guilt leaving his side, but you have to train yourself to think otherwise. It keeps you sane in the insane moments when you’re able to walk away for a second.” – Kristina Zamora
15. “Take some time for yourself everyday.” – Amie Lynn Green
16. “Take care of yourself so you can take care of others.” – Diane Croy
17. “Please take time to take care of yourself, this is so important physically and mentally.” – Wyoma English
18. “Make time for yourself every day. Even if it’s just a short walk, shower, or eating lunch outside. Taking a little ME time is important to recharge your batteries so you can continue caring for the person you are caring for.” – Heather McBeth
19. “Take time for yourself. It is so important. I exercise and the strength it gives me to lift my dads wheelchair and other things. But it also helps my depression and anxiety.” – Jill Reincke
20. “Put self-care first or you will end up a martyr needing self care and those who didn’t show up to support you in caring for another won’t be there to care for you.” – Pat McDaniel
21. “Make time for yourself even if its five minutes here or there. If you don’t take care of yourself how can you take care of someone else? I know I had a breakdown in the midst of taking care of my mom and bro and turned into the one needing care for a couple of days.” – Annie Newman Crawley
22. “Maintain your own health…” – Darlene Tabangcura
23. “Be kind to yourself. If you don’t care for yourself, you’ll have nothing to give…” – Susan Grace
24. “Look after yourself first, even if it means screaming loudly for help!” – Jaci Wiley
25. “Take time for yourself. Do a hobby that you love, pamper yourself, visit with friends and loved ones, and see the doctor if you need to.” – Jessica Hope
26. “My heart, mind and soul was on my husband, praying with him, caring for him and being advocate. But I knew in order for me to be well I had eat well, sleep well and find a mentor for me.” – Jacki Smallwood
27. “Remember to bend those knees when lifting. Know your limit when lifting. I wish I had listened I thought I would be 23 for ever and I would never loose my strength but I’m 49 now and have had many surgeries for injuries caused by not being careful & knowing when to ask for help. So do yourself a favor and know your limits.” – Sylvie Perez
28. “When given time off, don’t overtire yourself.” – Kathelene Almanza
29. “Take care of you it will get you through…” – Donna Kukura
30. “Making time for yourself is a MUST otherwise you will lose yourself. Recognizing that there will be some good and bad days and being ok with that and remembering your only one person. Put yourself at the top of the list. If you don’t take care if yourself, you won’t be any good to anyone else…” – Renee Ferguson
31. “Make time for yourself… Like the stewardess says ‘put the oxygen on yourself first’ so you can help others. I was physically sick many times being so exhausted and did not know where to turn…” – Cindy A. Hardison Rodriguez
32. “Make sure you take a few minutes for you, the caregiver is as important as the person being cared for.” – Lisa Fletcher Richer
Live in the Moment
33. “Never get angry. Live each day as the last. Laugh. Smile. Cry.” – Kayla Huebner
34. “It’s not ONE day at a time, start with breakfast and work your way toward lunch… just a little at a time.” – Stacey Gordon
35. “Cherish those special little moments.” – Karen and Pavel Blaho
36. “Let things go for the day, when you go to bed. It helps start the next day a bit easier.” – Leota Endicott
37. “Life is like raindrops, you don’t know which one is going to get you wet—Stay warm and comforted, the sun will come again.” – Judy Ann Kent
38. “It’s all about the moments, cherish the good, distract the bad… Love through all.” – Patty McCoog McMahon
39. “Take one moment at a time, moods shift quickly with the ill person. Very difficult for only one caregiver to deal with.” – Pam Roche
40. “Take it one day at a time and breathe!” – Beverly Axel Smith
41. “Remember nothing last forever and take one day at a time.” – Concepcion Ocegueda- Thompson
Keep It Practical
42. “Mouth breathing while diaper changing.” – Jennifer Oertwig
43. “Humor goes a long way. So does kindness and love.” – Tammy Martin
44. “Patience and a sense of humor… Loving heart…” – Lora Lee Ziegler
45. “Pray a lot and think positively!” – Patricia McHugh Santmyer
46. “Sleep when you can.” – Tori Webb Woods
47. “Be kind.” – Susan Wiffill
48. “Get an elder care attorney involved soon. Alzheimer’s is a devastating and costly disease.” – Christy Dave Hirschman
49. “Get a good social worker in your family’s corner.” – Rosanna Maher
50. “Don’t be too proud to accept help when needed.” – Marjorie Deuell Fox
51. “Let people help you. It is a gift to them to be able to do something and it will help both of you. Don’t be a hero or a martyr. Prioritize and delegate when people ask what they can do.” – Jane A. Tilleman
52. “Ask for help when needed. My hubby, and my dad require 24 hour nursing care… They forget how big a load I got to carry not including my own.” – Celina Markishtum
53. “Make as many connections as possible that can help the person you are caring for along the way, whether it be financially, medical or social. There are many resources available—just ask.” – Mary Frances Kovack Studzinski
54. “Listen to specialists. There are wonderful services in the public, charity AND private sector who can help. None of them work with each other so you need to prepare your own special network of all three.” – Lucy Woodhouse Haughey
Vent, Connect and Let It Go
55. “It’s ok to vent. Let it out then let it go.” – Trish Ashby
56. “Find the real people who have really walked your path… My closest friends are people I met on the internet with kids about the same age and diagnoses. We have a closed group on Facebook where we can say anything. And we have also made a point to meet in real life. I would have gone insane without these people. Truly.” – Amber Stilwell Fergason
57. “Don’t feel guilty for feeling angry. It’s natural. Deal with it as constructively as you can.” – Ali Costine
58. “Do not allow yourself to become isolated!” – Leslie Ann Shields
59. “Create relationships with those who share similar struggles.” – Kara Davioni
60. “Never have any expectations that family will help and support. I did and it was a costly mistake in the early years. And try not to get too isolated as I did, it’s devastating.” – Megan Northcott
61. “Let go of the need for control.” – Liz Gary Maurice
62. “Let go, let go and let go!” – Diane Godlesky 63. “Try to let go of the mistakes.” – Cindy Morris
Remember Your Loved One
64. “They mimic your emotions always smile stay calm and love wholeheartedly.” – Cassandra Friend
65. “Remember we (survivors) don’t like being dependent either. Sometimes we may say thing we don’t mean. There is a lot of frustration on our part because we can’t do things we used to do.” – Rick Ernest
66. “When dealing with dementia, a hard lesson I have had to learn is not to correct my mom. Who cares if she says it’s Tuesday when it is Saturday? The most important thing for me is to stay healthy-my gym time keeps me strong inside and out and better able to handle all challenges.” – Melanie Malone Weaver
67. “My disabled adult son always says to me ‘I would do the same for you, Mom’ and I know he would if he could. Keeps things in perspective for me.” – Malia Lovell
68. “Instead of trying to bring your loved one to your side of the river, go to theirs. Try and truly understand what standing in their shoes is like. Join THEIR journey.” – Diane Marie Jurgensen
69. “Never forget the person they used to be. They have not CHOSEN to be dependent. Remember them at their best.” – Beth Bodette Rymer
70. “Don’t take their aggression personally. They may not know they are being aggressive towards you, it could be a part their disease ‘talking’ or they could be just having a bad day. Walk away when and if you need too so things can calm down and remember to breathe. It’s ok to ask for help also.” – Maria Medina
71. “Remember they are doing the best they can even though it doesn’t appear that way sometimes.” – Christy Dave Hirschman
72. “They may not remember what you said but will remember how you made them feel.” – Amanda Konrad
73. “Treat them how you want to be treated.” – Celeste Morrison
74. “Do unto others…” – Adrienne Gruberg
75. “Try to see them as they were and deal with them as they are, you will be angry, frustrated, hurt and overwhelmed but when the end comes you will know you did all you could do and feel no remorse, only sadness for the loss.” – Suzie Horak Marcin 76. “Try to remember that your loved one would love to not have to be cared for.” – Joyce McMahon
77. “Remember the love you share… Let it be your guiding light.” – Judith Bateson
78. “Touch, for a patient, can be so healing. Rub their forehead, ask if they want their hair combed, or hold their hand. Knowing someone truly cares is so very important for their peace of mind.” – Sheila-Lynne Beal Wurzer
79. “Leave no kind words unsaid. Remember the Golden Rule. You might be the caregiver today and someone else may be your caregiver tomorrow. Be the one you would want for yourself. It won’t always be easy, but it will always be worth it. Give yourselves the much-needed breaks and take some guilt and duty free trips, when you can. When it feels like the weight of the world is on your shoulders, shrug it off and let love fill your heart, because your sacrifice, your care and your service has made a difference.” – Karen and Pavel Blaho
80. “The person you are taking care of appreciates everything you are doing more than you will ever know.” – Belinda Hall
81. “Treat those you love and care for the way they treated you your whole life. With love and respect.” – Tracy Johnson Pegram
82. “Try to be kind at all times. They need us to help them. Not everyone can do what we do. Hang in there. It’s just a season.” – Deb Krause
83. “ALWAYS have compassion!” – Amber Gryder
Speak Up and Stand Your Ground
84. “Take help when it’s offered. If no one offers, ask.” – Devin Ball
85. “Be firm with your decisions. I take a lot of questions and nitpicking from my husband’s family. At first it gave me such bad anxiety and I was so unsure of myself. I had to learn to stand my ground.” – Ambre Irby
86. “Don’t be afraid to ask others for help!” – Sue Bastien
87. “If you have to, LEARN to ask for help from others.” – Adrienne Gruberg
88. “Don’t be stubborn and try to do it all, when someone offers help accept it if possible and ask when you need it. Burn out is no joke…” – Mandy Ladd-Lueshen
89. “Choose your battles wisely. Only fight the ones that will make a difference in the end!” – Lisa Ward Arnold
90. “Pick your battles. Only fight the ones you can win.”
Keep It in Perspective
91. “Understand and come to terms with your limitations as a caregiver, and don’t be too hard on yourself because you’re not able to fix everything.” – Adrienne Campbell
92. “You ARE good enough! Don’t ever doubt that you are doing enough. Sometimes you’re taken for granted, sometimes you are the one to take the anger and the hurt… Remember it is because you are the one they love and trust the most.” – Vicky Klass Cramer
93. “Be as kind and forgiving of yourself as you are of your caree.” – Leanne Irwin
94. “Remember that you are only human so don’t be too hard on yourself.” – Norma Cole
95. “The days are long but the years are short!” – Anne Webster
96. “Recognize that you are doing your best, day in and day out. Some days will be better, some not – but always give yourself the credit you deserve. This is a labor of love and a difficult job all rolled into one.” – Susan Keller Suresh
97. “Take breaths: No, nothing is normal and nothing goes as planned—it is okay to cry every so often.” – Tabatha Dean
98. “Don’t forget that you are the most important part of the process.” – Bruce Solomon
99. “One day at a time. If it doesn’t get done today, life will go on.” – Mary Frances Kovack Studzinski
100. “Just keep everything simple!” – Cathy Martinez-Blackwell
101. “Remember that you are human! What you have to give say or do is precious.” – Lorinda Hilliard
102. “Remember that it could be you or your loved one be a positive light!” – Sharon DaGreat Elicke
103. “You can help with love but remember you can’t fix everything and it important to make time for yourself and don’t blame yourself… We are not perfect people no matter how hard we try to be!” – Alan Thym
104. “Be patient and think, this could be me!” – Kristinna Stephens
105. “Don’t take words said or things done to you personally… It is so hard to do sometimes… Today has been one of those days with my mother…” – Gail Williams
106. “Imagine you were in their shoes!” – Scott Troxell
We want to know: did you agree with the advice? What stood out for you? What advice would you offer a new caregiver? Let us know in the comments below!
We asked what caring is to you and you told us! This month, we will be creating CareCards based on your words: caregiving, as defined by caregivers. Complete the sentence “Caring is…” in the comment section below and share what caregiving means to you.