Posts Tagged "stress"

Caregivers Resisting Help

Posted by on Jan 7, 2013 in Caregiving | 0 comments

Originally published January 2012 at www.kindethics.com. Reprinted with permission. I have never been very good at asking for help and, like many family caregivers, I didn’t think that my own needs mattered. Thinking I had to do everything all the time caused me to have two breakdowns; once during my early years of caregiving and again in the last year of my 17-year caregiving journey. I wish I had known about the following statistics from a recent MetLife Study: Family caregivers experiencing extreme stress have been shown to age prematurely and this level of stress can take as much as 10 years off a family caregiver’s life. 40% to 70% of family caregivers have clinically significant symptoms of depression with approximately 25%-50% of these caregivers meeting the diagnostic criteria for major depression. Stress of family caregiving for persons with dementia has been shown to impact a person’s immune system for up to three years after their caregiving ends thus increasing their chances of developing a chronic illness themselves. I don’t know which statistic frightens me the most. But I do know that I have paid an emotional, physical and financial cost for being a caregiver. (I also loved taking care of my family.) It didn’t have to be that way. I could have and should have asked for help. But I am a caregiver and when people told me, “Just make time for yourself,” it wasn’t that easy. If you think about who in a family becomes the caregiver, it will usually be the person who is more nurturing and generous with their time. So by nature, the caregiver is the type of person who already gives more than others. And this becomes a vicious cycle of give – give – give instead of give – receive – give – receive. I recently said to my friend who is an overwhelmed caregiver, “Maybe now is a good time for the rest of your family to learn what they need to do to help their grandfather.” What I heard back from her were lots of excuses: They don’t want to help They don’t know what to do They don’t know him like I do They will just make it worse I don’t have time to teach them It is just easier if I do it I get tired of asking I don’t think they would help, even if I asked Why should I have to ask, they should just know what to do I don’t want to be a bother It is too much effort to ask Sound familiar? I realized in that moment that it isn’t always that the family won’t help; it is the caregiver who is resisting asking for help. So let me ask you. If you had a broken shoulder, would it be okay to ask someone to carry your groceries to the car? If your car broke down, could you call for a tow truck? When your loved one needs help, don’t you get them the help you need? Then why don’t you deserve the same attention? Your needs matter and you deserve to have someone help you. Here’s my Four-Step Process, to help you identify what keeps you from asking for help and to overcome your reluctance. Step 1: I encourage you to explore what is keeping you from asking. Write down what goes through your head when someone says, “You should just ask for help.” What are your resistance statements? Step 2: Take your list of resistance statements and put a statement beside it to help you get past what has been preventing...

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Downsizing Stress

Posted by on Jun 21, 2011 in Housing Options, Living Arrangements | 0 comments

You have made the decision to move and “downsize” your living arrangements. You have either decided on your own, acted in part because of pressure from family, or put the decision off for so long that now you must move to a care home for medical reasons. Whatever the reason, downsizing can be a stressful and uncertain life transition. There are common reasons behind the stress, and each person will experience them uniquely and in different proportions. Some common stress triggers are grief, resistance, uncertainty and overwhelm. Here are some thoughts on how to cope with them. Give Grief A Chance First and foremost, allow yourself to grieve. “Downsizing is an end to one phase of your life and it is okay to be sad”, says Dawn Rennie, President of Transitions – Your Moving Facilitators. “Like the day you watched your children move out, leaving your home will be bittersweet. Your new home and lifestyle will mean new friends, new activities and new adventures. But you are leaving your home of many years and possibly your community and friends.” Rennie says it’s vitally important to allow yourself the time to say good-bye to what you are leaving behind.  Hanging on to “Independence” As we age, our physical abilities decline, and we fear losing our “independence”. But we can choose what independence means to us. Does it mean doing everything ourselves? Or does it mean arranging for others to do demanding tasks, and focusing on doing the things you really love to do? When we arrange for others to do the cooking, cleaning, and maintenance, we gain time and energy to spend on travel, volunteering, friends and family, or new hobbies. “You don’t give up your independence when you are the one choosing what you want others to do and who those ‘others’ will be,” says Jan Sali, Managing Director at Transitions. “But you do give up your independence when you allow yourself to decline to the point where others make those decisions for you.”  Fear of the Unknown Not knowing your downsizing options can be stressful, even frightening. To combat this, prepare and gather information, to avoid feeling forced into a decision you know nothing about. Explore all your options – including condominium living, an independent seniors’ residence, or various levels of care homes. Consult a local seniors’ housing directory (in Calgary, published by the Kerby Centre). Inquire at the local seniors’ centre or your municipal offices. Consult with friends who have made the move, interview realtors (if you are buying or selling), or talk to eldercare specialists. Armed with a list of “must haves”, visit the places you are interested in. Many places will give you lunch or dinner and invite you to their special events. Tour their facilities, learn about services and activities. Sample the menus, get a feel for the staff and “culture” of the place, and learn what the particular community is like. Spend enough time at each place see whether it fits with your budget and desired lifestyle. Once you decided where you will move, you will feel relieved, but more anxiety could follow: How will we manage the move?!?!  To avoid feeling overwhelmed, develop a personal moving plan, which includes decisions on the following: 1. Your time frame, e.g., set a goal for being in your new home. 2. What you want to/can take with you. 3. What you can give to family and friends. 4. What possessions are saleable, what can be donated, what needs to be disposed of. 5. Move-out and move-in dates (ideally with a couple of weeks between). 6....

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Fitness with Exercise Bands

Posted by on Sep 9, 2010 in Staying Active | 0 comments

Most of us know why exercise should be part of our life: reduced weight, toned muscles, and heart health. But exercise can also help with age-related health concerns including: improved balance and coordination, reduced stress, lowered blood pressure and cholesterol, and even improved mood.  Research shows that resistance exercise can improve functional independence and also reduce the risk of falls. With all those benefits, elderly persons are wise to include an exercise program in their plan for healthy aging. One easy solution is exercise bands. What are they? Originally developed by physical therapists to help patients recovering from injury or surgery, exercise bands are used for resistance training in the same way people use free weights or some exercise machines. The advantage of the bands is less risk of injury and a gentler, yet effective workout. Exercise bands do feel different than other resistance devices, because their tension is continuous throughout the exercise.  However, you can control the amount of tension – and make the exercise easier – by lengthening or shortening the band. Choose a band with the right resistance. Are all bands the same? Long, thin latex bands, which look like ribbons, are suited to more gentle exercises and stretching.  Other bands are made of rubber tubing and have handles at each end.  Choose these for a more intense workout and to help build muscle.  However, the user must be able to grasp the handles. What can I do with exercise bands? Many popular weight exercises – from bicep curls to quad lifts – can be modified for exercise bands. In fact, you can work your whole body. Many videos, DVDs and books are available on the subject.  Check with your favourite bookstore or library. Before starting any exercise program check with your physician. Where can I get exercise bands? You can find bands at sporting goods stores, home health care stores, and most major department stores. Exercise bands provide a portable, affordable, and reasonably safe way for older adults to exercise in the comfort of their own home. “I watched a TV show for seniors on exercise while sitting safely in a chair. I started using the bands and was surprised by how much strength I gained in my arms.” M.F.  Age 85    Vol.4, No. 1 © ElderWise Inc., 2008 You have permission to reprint this or any other ElderWise INFO article, provided you reproduce it in its entirety, acknowledge our copyright, and include the following statement: “Originally published by ElderWise Inc., Canada’s go-to place for “age-smart” planning. Visit us at www.elderwise.ca and subscribe to our...

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Older Caregivers Face Extra Risk

Posted by on Sep 8, 2010 in Caregiving, Health Signals | 0 comments

Expecting to “take it easy” in your senior years? According to 2007 figures from Statistics Canada, at least 675,000 Canadian seniors have had to curtail travel, leisure and personal interests – and have put themselves at risk for physical and emotional problems – because they are providing care to another elderly person. They could be looking after close friends (30%), spouses (23%), neighbours (15%) – even parents (9%).  One third of these seniors are over the age of 75. Fewer than one in five older caregivers gets a break from these responsibilities. Without help from family, community or private services, caregiver burnout – physical and emotional exhaustion due to prolonged high levels of stress – is almost inevitable. Not only can physical health problems multiply, but mental health issues, such as feeling powerless, resentful, and isolated, can compromise a caregiver’s well-being. Most of these seniors may not think of themselves as caregivers, but that’s exactly what they become when they take responsibility to help others with their daily needs. Caregivers are from all walks of life and income levels. They are predominantly female but increasing numbers of men are taking on the role. But what they often share in common is stepping unaware and unprepared into a demanding role.  Caregiving responsibilities can occur suddenly, but they typically become long term (chronic), and they don’t always have a happy outcome. Responsibilities can continue even when the person receiving the care moves from a private home to an institution. Older caregivers are up against more challenges than their younger counterparts. They are unlikely to have the strength and energy of a younger person. Older caregivers may have to manage their own chronic health problems (e.g., high blood pressure, diabetes or arthritis) while caring for another. Doing yard work, shoveling snow, or going up and down the stairs with the laundry basket may be more than they can handle. Other caregiver duties can be mentally demanding. Managing finances, scheduling appointments, and other household decisions take more time and energy as you age. Conflicting emotions can drain energy as well, particularly when the personal relationships between caregiver and care recipient are strained.  Caregiving for a spouse can be especially demanding. The marital relationship is more intense, private and personal than many. A spouse’s illness results in greater stress, yet spouses are less likely to ask for help from others. Often, there’s a belief that what is happening should be kept private. Without greater awareness, understanding and action, more seniors will run the risk of burnout, which can lead to physical and mental collapse. Older caregivers face extra risk, and that has significant implications for families, communities and our health care system. For more insight on this topic, purchase our downloadable e-publication: Caregiver Burnout – How To Spot It, How To Stop It Vol. 5, No. 6 © ElderWise Publishing 2009. You have permission to reprint this or any other ElderWise INFO article, provided you reproduce it in its entirety, acknowledge our copyright, and include the following statement: Originally published by ElderWise, Canada’s go-to place for “age-smart” planning. Visit us at http://elderwise.memwebs.com/ and subscribe to our FREE...

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Juggling Elder Care and Job Demands

Posted by on Sep 7, 2010 in Workplace | 0 comments

Nearly one in three Canadians aged 45-64 provides some informal care for at least one elderly family member. About 70% of these caregivers are employed, and many are members of the “sandwich generation”, with children still living at home or otherwise dependent upon them. A rapidly aging population means that these numbers will increase. That leads to greater stress on families and put pressure on workplaces as well. Workers caring for seniors may need to juggle between demands: work reduced hours, use time at work for eldercare-related calls, or use vacation days to care for their elders. They may also decline relocation, work-related travel, promotions, overtime, or new assignments. They may even opt for early retirement as a means of accommodating the many demands on them. Even with these adaptations, family caregivers may experience “role overload” and suffer sleep deprivation and other stress-related ailments that affect their productivity. “The most common needs for working caregivers are flexibility in work schedules, information about services and aging in general, support from co-workers and supervisors, and help in making decisions about care options and related issues,” according to a recent article featured in The MatureMarket.com. Many employers are starting to recognize this pressure and looking for ways to support and retain their valued older workers. Some larger companies have started offering eldercare support services, but for many others, this is new territory. If you as a company or an employee are just beginning this journey, here are a few actions you might initiate: Employers: 1. Raise your awareness of employees affected by eldercare concerns. 2. Assess current or potential costs of employee turnover, morale and productivity associated with the stresses of eldercare responsibilities. 3. Create a supportive environment for employees to talk about their eldercare concerns, and educate your managers to be sensitive to these situations. 4. Review your company’s benefit plan and other company policies to account for this new reality. 5. Collaborate with affected employees on implementing new initiatives. Employees: 1. Learn what benefits are presently available through your employer (e.g., EAP, emergency leave). 2. Gather information about community services and support available (e.g., respite, adult day programs, companion services). 3. Enlist family and others to help share eldercare responsibilities. 4. Draw on the experience of friends and colleagues in similar situations. 5. Assess your need for alternate work arrangements, such as flex-time, job sharing, or alternate responsibilities. 6. Prepare a strategy for discussing your concerns and possible solutions with your employer. For an in-depth look at this issue, see a report prepared by the Family Caregiver Alliance: www.caregiver.org/caregiver/jsp/content/pdfs/op_2003_workplace_programs.pdf    Vol.3, No. 8 © ElderWise Inc. 2007 You have permission to reprint this or any other ElderWise INFO article, provided you reproduce it in its entirety, acknowledge our copyright, and include the following statement: Originally published by ElderWise, Canada’s go-to place for “age-smart” planning. Visit us at http://elderwise.memwebs.com/ and subscribe to our FREE...

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