The job of becoming the primary caregiver for your aging parent
is universally recognized as one of the most difficult transitions we will go
through. To start with, it’s hard to go
through the reversal of parent and child.
All your life, mom or dad were the strong ones. They were the ones you ran to for help and
who were always there to tell you, “It’s ok. Everything will be all right.”
But now as your parent ages and you have to witness their
demise mentally and physically, you realize that everything may not be all
right especially if your parent is going through a slow decline of a terminal
illness. When the only outcome of what
you are dealing with in your parent’s life is death, that makes it tough to stay
upbeat, creative and proactive about how to handle life’s daily challenges.
The task of caring for an elderly parent is
overwhelming. You have concerns about
their finances, their medications, the progress of their disease if they are
battling something terminal, their mental state, their diet and their emotional
state as well. It’s easy to begin to
“hover” your senior citizen in an emotional attempt to block any more harm
coming to him or her. This is a
parenting instinct and one that your dad and mom probably won’t resist because
they want to be cared for.
You feel the anxiety of your parent and the fears they face
as the months and years ahead hold uncertain dangers and a certain
outcome. So there is an instinct in caregivers
to give 100% of your time, your energy and your resources to caring for that
elderly loved one.
The problem is that you, the caregiver do have other
obligations other than caring for your loved one. You may have a job, a family and your own
health and upkeep to think about. So
it’s a good idea for you the caregiver, the family of caregivers and event he
one being cared for to keep your eyes open for caregiver burnout to help the
one who is trying so hard to take care of Grandma or Grandpa to also take care
of themselves a little bit so they will last a lot longer.
Underlying much of the intensity of effort many caregivers
put out to help their aging or align parents is guilt. Guilt can be a powerful force that feeds on
itself in an unhealthy way. The outcome
is not only does the primary caregiver feel guilty that mom or dad are even
having to go through age related illness, they feel guilty for any time they
take for themselves or to care for their own needs or the needs of their
family.
Caregiver burnout can result in decline in health in the
caregiver and eventually may lead to changes in attitude about the task of care
giving and in some cases a nervous breakdown.
Symptoms include poor sleep and eating habits in the caregiver, a
possible increase in drinking to help “settle the nerves” and an inability to
think about anything else than what mom or dad needs.
If you see these symptoms in yourself or someone you know
and care about who may be suffering from caregiver burnout, act fast to get
them some help. They need to realize
that taking care of themselves is part of the task of caring for their aging
parents. It may even be a situation that
calls for a talk with the caregiver along with the one being cared for. If that senior citizen can see that they need
to encourage their caregiver to go be with family, get some rest, see a movie
and forget the responsibilities of care giving for a while, that respite from
the stress can do a world of good for that important person in their lives.
The relationship between an elderly person and his or her
caregiver is complex and intense sometimes.
But that relationship does not exist in a vacuum. There are a lot of people affected by what is
going on when that caregiver goes to that senior citizens apartment and give to
him or her that one on one attention that is so necessary.
For one thing, the caregiver’s friends, family and coworkers
are affected. Becoming the primary
person responsible for the care and well being of a senior citizen is a
peculiar job because it is tremendously demanding and completely unpaid. Caregivers are for the most part children or
close relatives of the senior citizen being cared for and they have jobs,
families and a full life outside of the time they put in taking care of their
parent or parents.
So when that responsibility falls to you, those around you
also have to give a little to help you accomplish that goal. But for those who are related to a caregiver,
there is a demand on you as well. If mom
has to go over to Grandpa’s apartment every night for two or three hours, that
means mom isn’t home helping you with your homework, making supper or just
being available if her little girl needs someone to talk to.
If dad is gone thirty or forty hours a week taking care of
Grandpa, that is time he is not home providing guidance for his kids, fixing
the garbage disposal or making those corny but fun jokes the kids groan about
but love. Similarly, the friends and
working world of a caregiver are also asked to give up a little or a lot of the
mind, the emotions and the time of that caregiver so he or she can go and care
for that elderly parent and divert that energy and time in that direction.
For those of us who have a caregiver in our family or part
of our social or work circle, in addition to the sacrifices, you can become
concerned for your friend or loved one because of the demands of caring for a
senior citizen. It’s a job that is
taxing to even the strongest adult and one that take a lot out of your friend
or family member. Caregiver burn out is
a common syndrome and it doesn’t just affect the caregiver. If your parent, spouse, coworker or friend
undergoes a break down from the stress of caring for her mom or dad, that will
have an impact on everyone.
So there is a compelling need for all of us associated with
a caregiver to learn to care for that caregiver to help her and support her in
what she is doing. Some specific things you can do are…
Let
them know you believe in what they are doing.
Caregivers often feel very alone and guilty that they are not attending
to family and other relationships. By
letting her know you are 100% behind what she is doing and that you are doing
fine, that guilt is removed which makes her know she can make it.
Let
her know she is missed.
Pick
up the slack. Each evening if dad and
the kids can pick up the house, then mom can get some sleep and know that you
are taking care of business at home so she doesn’t have to worry about it.
Let
mom sleep in. Maybe even bring her
breakfast in bed every so often.
Pitch
in. Go over and help grandma out
yourself so it’s not all on mom.
An
unexpected surprise. Every so often do something to surprise and totally
delight mom and give her a fun break from her worries of care giving. A movie out or a limo ride around town can go
a long way for a weary caregiver.
If the spouse, the children and friends and associates of
the coworker can keep and eye on her to look out for those signs of burn out,
it may be our responsibility to jump in and give her some support before
everything falls apart. By caring for
the caregiver, she is better able to give attention to that senior citizen she
is caring for. So in a way we are all
becoming part of the effort to give the caregiver’s mom or dad the best care
possible. And that is what community is
all about.
More and more businesses are facing a challenge and some decisions to be made. As the baby boom generation moves into retirement years and becomes elderly, the workers that make your business function so efficiently are going to have the additional demands placed on them of becoming the primary caregiver for an aging parent.
It’s easy to just shrug at this need in your employee
population but just as the demands of parenting can have a huge impact on the
workplace, the personal needs of your employees to take care of their aging
parents will have an impact on the office and the productivity of your business.
Business can no longer be cavalier and declare, “Well they
can just quit and we can find new employees.”
The brutal truth is that skilled, trained and mature employees don’t, as
they day, grow on trees. With the work
force shrinking, it’s foolish to think that if you have a solid and hard working
employee who knows his job and does good work for your business, that employee
can’t just be replaced with a kid right out of school.
The cost to your business can be devastating if you have a
policy of running off good, hard working and smart employees because they are
becoming caregivers in their personal lives and replacing them with younger,
unskilled employees who are less informed about the ways of business. The costs of training and the learning curve
of the job alone will easily be more than any costs of accommodating existing
employees. Moreover, you cannot just replace
judgment, relationships, market savvy and wisdom which many of the employees in
the age bracket bring to your business.
So how do you accommodate the needs of this new group of
caregivers who are beginning to become a regular part of your workforce? The first step is to understand what they are
going through. These people are going to
take care of their loved ones whether you are aware of it or not. So if you can partner with them to make them successful
at home, they will work extra hard to make you successful in the marketplace.
Start with some seminars and brown bag lunches where people
can come and share the demands they are going through as caregivers for elderly
parents or loved ones. Invite everyone
to these lunches because there will be many in your business who know that is
coming up for them and want to learn all they can about what is ahead. By making an open discussion of elderly care
issues part of the discussion at work, you are communicating that you want to
help and not hinder what your employees are facing. And that will endear you to them and get you
the reputation of being one of those “good employers” in town.
Not all employees who are caregivers will need accommodation
all the time. If their parent’s needs are
not that demanding, it will be more of an emotional adjustment than a demand on
the schedule. But encourage each
employee who is entering into a time of being the primary caregiver for their
parent to communicate that to you both through meetings with the Human Resource
department and to their boss as well.
There is a practical side to getting inside of what is going
on with your employees. To your workers,
they see you as family and feel more bonded to the workplace because you are
concerned about their parents. But for
you, the business will know in detail what is going on with that situation so
you can anticipate if that worker will see sudden interruption come up at work
and adjust schedules accordingly.
Be sensitive and be communicative with your employees and
you can truly become their partner in dealing with this tough part of their
lives. And in doing so, they will feel
that you support them and their loyalty to the company will skyrocket. That loyalty will translate into better
productivity and longevity in your workforce.
That stability translates into a more efficient organization which is a
more profitable organization. So in the
long run, partnering with your caregivers in the workplace just makes good
business sense.
Sometimes when you and your elderly parent are partnering
for their care, it seems like an “us against the world” situation. But since the senior citizen you are caring
for has little fight left in them, it seems it’s up to you to make sure that
your elderly mom or dad get all they have coming. Just because a person becomes a senior
citizen, that doesn’t mean their fundamental rights go away. They deserve and should expect to be treated
with respect and for those serving them to live up to expectations.
But just as it was before your parent became a senior
citizen, a right must be claimed to be a right.
So while there is no formal “Senior Citizens Bill of Rights”, there are
laws on the books about how nursing homes must treat senior citizens. And even if your mom or dad is in an assisted
care facility and not a nursing home, there are some basic expectations that
were in that contract and that are fundamentally assumed that the facility will
live up to. And its up to you as the
caregiver to make sure they are living up to what is expected of them.
First of all, the facility your senior citizen lives at
should be reliable to provide the basics of safety and cleanliness. Look at the evacuation plan for the facility
in the event of a fire or another emergency that would mean getting your parent
out of the building. Is it a plan that
is clear and is it workable considering the entire facility is full of elderly
people who may not move very quickly?
And what about emergency power?
In the event of an emergency where the power goes off early, is there
emergency backup power to operate elevators and automatic doors so everyone can
get out?
If the facility offers food service as part of their package
of services and if there is a charge for that service, there is a basic
expectation that there will be meals made available three times a day, that it
will be healthy food and that your parent will never be denied service. It is also not out of line to expect that the
food could be delivered to the senior citizens rooms if your parent is ill or
injured. And your parent should be able
to get some variety in their diet. If
they are not doing a good job of making foods that your parents like to eat,
they shouldn’t be making that additional charge for food service.
As we mentioned earlier, your parent didn’t lose his or her
rights as an individual when they move into an assisted care facility. If your parent is paying to use that
apartment, they have a right to live as they please in there. Within certain constraints because they are
in a community setting such as keeping noise down after bedtime and the like,
your parent should be able to do what he or she wants to do in the privacy of
their home without the interference from others in the community or from the
staff of the complex. This includes
receiving guests, allowing family or friends to sleep over, how the apartment
is decorated and what kind of music your parent enjoys.
A right that really cannot be detailed but can be felt
dramatically is your parent’s right to be treated with dignity, compassion and
respect. This is an intangible but how
the staff of the facility treat the resident’s means a lot to your parent when
they see these people every day. Its not
out of line to expect the staff and management of the facility to know your parents’
names and greet them warmly when they come down to eat or go to a social
event.
If the staff of the facility have to work directly with your
parent, it should be done respectfully and pleasantly. If your parent reports verbal or emotional
abuse going on by the staff, that is cause for you to investigate it and hold
that facility to accountability for that problem.
Remember the old saying that the squeaking wheel gets the oil. So if the facility needs to be reminded of their responsibilities, you be that squeaky wheel. Squeak loud and squeak often so your parent can live in a place where they enjoy their days and feel that this is a place they can genuinely call home.
More and more businesses are facing a challenge and some
decisions to be made. As the baby boom
generation moves into retirement years and becomes elderly, the workers that
make your business function so efficiently are going to have the additional
demands placed on them of becoming the primary caregiver for an aging
parent.
It’s easy to just shrug at this need in your employee
population but just as the demands of parenting can have a huge impact on the
workplace, the personal needs of your employees to take care of their aging
parents will have an impact on the office and the productivity of your business.
Business can no longer be cavalier and declare, “Well they
can just quit and we can find new employees.”
The brutal truth is that skilled, trained and mature employees don’t, as
they day, grow on trees. With the work
force shrinking, it’s foolish to think that if you have a solid and hard working
employee who knows his job and does good work for your business, that employee
can’t just be replaced with a kid right out of school.
The cost to your business can be devastating if you have a
policy of running off good, hard working and smart employees because they are
becoming caregivers in their personal lives and replacing them with younger,
unskilled employees who are less informed about the ways of business. The costs of training and the learning curve
of the job alone will easily be more than any costs of accommodating existing
employees. Moreover, you cannot just replace
judgment, relationships, market savvy and wisdom which many of the employees in
the age bracket bring to your business.
So how do you accommodate the needs of this new group of
caregivers who are beginning to become a regular part of your workforce? The first step is to understand what they are
going through. These people are going to
take care of their loved ones whether you are aware of it or not. So if you can partner with them to make them successful
at home, they will work extra hard to make you successful in the marketplace.
Start with some seminars and brown bag lunches where people
can come and share the demands they are going through as caregivers for elderly
parents or loved ones. Invite everyone
to these lunches because there will be many in your business who know that is
coming up for them and want to learn all they can about what is ahead. By making an open discussion of elderly care
issues part of the discussion at work, you are communicating that you want to
help and not hinder what your employees are facing. And that will endear you to them and get you
the reputation of being one of those “good employers” in town.
Not all employees who are caregivers will need accommodation
all the time. If their parent’s needs are
not that demanding, it will be more of an emotional adjustment than a demand on
the schedule. But encourage each
employee who is entering into a time of being the primary caregiver for their
parent to communicate that to you both through meetings with the Human Resource
department and to their boss as well.
There is a practical side to getting inside of what is going
on with your employees. To your workers,
they see you as family and feel more bonded to the workplace because you are
concerned about their parents. But for
you, the business will know in detail what is going on with that situation so
you can anticipate if that worker will see sudden interruption come up at work
and adjust schedules accordingly.
Be sensitive and be communicative with your employees and
you can truly become their partner in dealing with this tough part of their
lives. And in doing so, they will feel
that you support them and their loyalty to the company will skyrocket. That loyalty will translate into better
productivity and longevity in your workforce.
That stability translates into a more efficient organization which is a
more profitable organization. So in the
long run, partnering with your caregivers in the workplace just makes good
business sense.
There is one axiom that if your parents don’t pass away
young in life, you are going to watch them age.
Now for the most part, this is a natural and nice part of life because
mom and dad can slowly become grandma and grandpa which are nice roles for them
after working so hard to raise you.
But a corollary to that axiom is that if mom and dad are
going to age, at some point you are going to begin helping them with the daily
affairs of life. And that occasional
helping will escalate as their needs grow strong until you will become a full-fledged
caregiver for an elderly person.
For many, the time when you suddenly become a caregiver is
just that – sudden. It happens often
after the death of a parent and the widowed parent suddenly becomes needy
because of the loss they are experiencing.
For married couples who have been together for decades, that loss is equivalent
to the loss of a limb and far more devastating so that may be the time when you
suddenly go from having few concerns for your aging parent to having many.
It might be strange to look at it this way, but the more you
can ease into care giving, the more time you have to get used to it, for your
elderly parent or parents to get used and for your family, forefends and coworkers
to get used to it. And if you can step
in and make some minor changes to the environment of your aging parent, you may
be able to delay the time when they become very dependent on you.
If your parent or parents are still living in their own
home, there are things you can do to make their living space more accessible
and safe including…
Create
a lifestyle that is all on one level. Stairs
can become a hazard for an elderly person.
So early in your plans to adapt their living space, move them into a
ground floor bedroom and put all significant rooms, including the kitchen, the pantry,
the laundry room and the living room are on the same level.
Take
some of the work out of daily chores.
Most local grocery stores will deliver food to the elderly so you can
make those arrangements for your aging parent.
You can also find services that work by the hour that come in and clean
the house, do simple repairs and chores and take care of the business of home
ownership for your parents.
You
can make arrangements with home health
care professionals to drop by for an hour or two a week just to make sure your
parents medications are still safe to use, that all prescriptions have been
filled and that your parent understands their medications and when and how to take
them.
Reorganize
the kitchen so things your parent will use every day are on an eye level shelf
and are easy to get to and to put away after washing. Make sure the toaster oven, microwave and
other important appliances are also easy to get to and that your parent is
comfortable with these units if the models that may have come with the assisted
living center are not familiar to them.
Go
through the house and make it easy for your parent to use. You can put in those walking and grab bars
along the halls and in the bathtub and other places where your mom or dad might
need the additional support. You can
check the lights so there are plenty of visibility for what your parents have
to do.
To really take the preparation of your parent’s living space
for their ease of use and safety, look at pulling emergency pull ropes in every
room. These units are used extensively
in assisted care units and they make it possible for your parent to pull that
cord if she is in trouble and set off an alarm or call to you or to emergency
care, should there be a sudden medical need.
By working to make your parent’s work area easy to use and
safe, you can do a lot to put off the time when your mom or dad may have to
move to a retirement village or nursing home.
And you keep them independent which allows you to slowly ease into care
giving which is much easier on everybody.
The job of becoming the primary caregiver for your aging parent
is universally recognized as one of the most difficult transitions we will go
through. To start with, it’s hard to go
through the reversal of parent and child.
All your life, mom or dad were the strong ones. They were the ones you ran to for help and
who were always there to tell you, “It’s ok. Everything will be all right.”
But now as your parent ages and you have to witness their
demise mentally and physically, you realize that everything may not be all
right especially if your parent is going through a slow decline of a terminal
illness. When the only outcome of what
you are dealing with in your parent’s life is death, that makes it tough to stay
upbeat, creative and proactive about how to handle life’s daily challenges.
The task of caring for an elderly parent is
overwhelming. You have concerns about
their finances, their medications, the progress of their disease if they are
battling something terminal, their mental state, their diet and their emotional
state as well. It’s easy to begin to
“hover” your senior citizen in an emotional attempt to block any more harm
coming to him or her. This is a
parenting instinct and one that your dad and mom probably won’t resist because
they want to be cared for.
You feel the anxiety of your parent and the fears they face
as the months and years ahead hold uncertain dangers and a certain
outcome. So there is an instinct in caregivers
to give 100% of your time, your energy and your resources to caring for that
elderly loved one.
The problem is that you, the caregiver do have other
obligations other than caring for your loved one. You may have a job, a family and your own
health and upkeep to think about. So
it’s a good idea for you the caregiver, the family of caregivers and event he
one being cared for to keep your eyes open for caregiver burnout to help the
one who is trying so hard to take care of Grandma or Grandpa to also take care
of themselves a little bit so they will last a lot longer.
Underlying much of the intensity of effort many caregivers
put out to help their aging or align parents is guilt. Guilt can be a powerful force that feeds on
itself in an unhealthy way. The outcome
is not only does the primary caregiver feel guilty that mom or dad are even
having to go through age related illness, they feel guilty for any time they
take for themselves or to care for their own needs or the needs of their
family.
Caregiver burnout can result in decline in health in the
caregiver and eventually may lead to changes in attitude about the task of care
giving and in some cases a nervous breakdown.
Symptoms include poor sleep and eating habits in the caregiver, a
possible increase in drinking to help “settle the nerves” and an inability to
think about anything else than what mom or dad needs.
If you see these symptoms in yourself or someone you know
and care about who may be suffering from caregiver burnout, act fast to get
them some help. They need to realize
that taking care of themselves is part of the task of caring for their aging
parents. It may even be a situation that
calls for a talk with the caregiver along with the one being cared for. If that senior citizen can see that they need
to encourage their caregiver to go be with family, get some rest, see a movie
and forget the responsibilities of care giving for a while, that respite from
the stress can do a world of good for that important person in their lives.