“Can Adult Siblings Get Along When Caring for Parents?”

This article on today’s Next Avenue website (nextavenue.org) is about adult siblings caring for their parents.

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www.nextavenue.org/adult-siblings-caring-for-parents/

Can Adult Siblings Get Along When Caring for Parents?
How that struggle can be helped by storytelling
June 12, 2017
By Liz Seegert
Next Avenue

There’s really no getting around the complicated relationships among siblings caring for parents. While some families work almost seamlessly as a team, others are like ships passing in the night, sharing little except a rotating schedule. And for some, conflict can be high.

Most of us try to make sense of these relationships through a method dating back to prehistoric times: storytelling. While it’s not the kind of storytelling that might immediately come to mind, this approach helps siblings manage and overcome the dynamics and challenges of caregiving, according to a new study.

What Is ‘Storytelling’ in Caregiving Relationships?

This “narrative sense-making” is how we frame our understanding of what’s going on and how we give meaning to shared parental caregiving.

“It’s playing through experiences in our minds and telling stories to ourselves and others to make sense of it retrospectively,” says lead study author Danielle Halliwell, a researcher at New Mexico State University. Strong, supportive sibling relationships can help with the psychological coping and well-being of family caregivers, but not everyone is so lucky. And often, our expectations don’t live up to the ideal created by the media or by society.

“Culture plays a large role in how we think we should go through life transitions with family members, so when it doesn’t go like that, it’s disappointing and we try to make sense of it by how we talk about it,” Halliwell explains.

3 Nearby Siblings, 3 Approaches Caring for Parents

For Kaye Vivian, her life situation — newly separated, self-employed and not tied to a specific location — dictated that she would move to Houston to live with her 89-year-old mother. Two siblings live near their mother, two others live out of state.

“My one brother who lives here is not that kind of caregiver,“ Vivian explains. “He’ll clean up the yard or bring dinner, but doesn’t have the kind of time you really need from people.” Her sister lives down the block from her mother, but withdrew from the caregiving scene after several years as the primary point person.

Vivian tells herself that her sister really wants a separate relationship with their mother and that the bad feelings between this sister and her stem from a sense of no longer being needed. It’s created a lot of anger and resentment, but “couldn’t be further from the truth,” Vivian says. In fact, her sister is still very much needed.

Lack of Communication Stokes Conflict

Humans are storytellers by nature, says Halliwell. We set up narratives so life makes sense — A happened, so B happened, so C happened, and so on. When she and her colleagues queried 20 caregivers with siblings about their caregiving roles and relationships, the stories came gushing out.

Three major themes emerged: inequitable division of tasks, ideal versus reality,and interconnectedness (growth and challenges in relationships). Real life obstacles get in the way, and families do the best they can, but a lack of communication among siblings creates a lot of negative experiences, Halliwell found.

Like Vivian, many primary caretakers expressed disappointment with siblings because they thought they could depend on them more. On the flip side, less-involved siblings resented their brothers’ and sisters’ lack of appreciation for what they did contribute.

Some described tumultuous, declining relationships between themselves and their siblings, while others refashioned the dynamics into something more positive. One participant likened her family to “a flock of birds flying in a V formation” which not only saves energy and increases efficiency, but allows for the one in front to drop back when tired and for another to take the lead.

Caring as a Team

That’s similar to the relationship Barbara Glickstein has with one of her brothers. She says they’re a team who “have each other’s backs” as caregivers for their 92-year-old mother, who has dementia. Their mother is in assisted living, but Glickstein and her brother visit often. They also handle the finances, consult with staff and aides and take her to appointments and on outings.

“When one of us is busy with family stuff or on vacation, the other just steps in,” she says.

Their sister lives out of state and is in touch by phone, but only visits sporadically. “She’s got a family and it’s impractical for her to help; she’s got her own issues,” Glickstein explains. Another brother lives nearby and visits socially, but does no other caregiving, she says. “I don’t rely on him for anything.” She points out that the current relationships mirror the family dynamics while growing up.

Talk Early

Families should have conversations about caring for parents sooner rather than later, Halliwell says. Don’t wait until there’s a crisis like a heart attack or a fall to suddenly be thrust into a caregiving role, she advises. That’s often when unpleasant things are said and feelings are hurt.

If you’re already a caregiver, she suggests:

* Talking with your siblings and painting a clear picture. Let them know you need help managing if you’re the main person, or that you need a break and that someone else needs to step up.

* Being understanding of each sibling’s unique demands and schedules, their strengths and limitations. Many conflicts arise because siblings don’t take on the perspectives of their brothers or sisters.

* Being open and communicating what you can and can’t do, or where you feel you can best help. For instance, you might offer to help manage finances or deal with insurance if you have the expertise.

* Writing down your thoughts and stories, especially if you normally confide in a sibling and feel you can’t. It will help alleviate some of your frustrations.

* Taking time to care for yourself. Eat right, get enough rest, take a walk, go to a movie or go out with friends regularly.

* Communicating with your siblings if you’re not happy with your role or responsibilities. Don’t let resentment or anger build up.

“Whatever you can do will be helpful and beneficial,” Halliwell says. “Don’t put so much pressure on yourself to have that perfect, ideal caregiver scenario we see in pictures and movies.”

Be realistic and don’t just tell yourself stories to rationalize another’s behavior. Remember: your well-being is at stake, too.

© Twin Cities Public Television – 2017. All rights reserved.

“Where Is the Line Between Caregiver Stress and Burnout?”

This is one of the best articles I’ve read on the line between caregiver stress and caregiver burnout.  And it’s short!  The author is Carol Bradley Bursack, author of “Minding Our Elders” (www.mindingourelders.com).

Here’s a key excerpt:  “Being a caregiver for someone we love can be an honor, but letting caregiving become our whole life is unhealthy over the long term. Balance is the key to surviving and even thriving as we care for our loved ones. Taking steps to limit stress can help us find that balance.”

The article addresses how to recognize when we may be crossing the line burnout:

* “We ask ourselves about our attitude toward our care receiver.”

* “[We] listen to our friends or others who care about us.”

* “We ask ourselves if we can occasionally feel happiness and/or joy.”

The article also describes how to avoid burnout and how to take better care of ourselves as caregivers.

Here’s a link to the article:  (Note that there are ads on the webpage.)

www.healthcentral.com/article/where-is-the-line-between-caregiver-stress-and-burnout

Where Is the Line Between Caregiver Stress and Burnout?
Carol Bradley Bursack / @mindingourelder, Health Guide
Health Central
Published On: Apr 10th 2013

“I can’t be ON all the time” (Caregiver Space)

This blog post to the Caregiver Space from February 2017 is about a caregiver who learned that she can’t be “on” all the time in caring for her husband.

She started off by thinking:

* “When my husband first got sick, it felt good to be needed”
* “Constant interruptions were scrambling my brain!”
* “I didn’t even say the word ‘no’ but I still felt so guilty!”

She realized she had to “learn how to take care of both [her husband and herself] without burning the candle at both ends.”

She was able to get her life back by pushing her husband to do more for himself. She says: “I started asking him to see if he can do things on his own. And he could. It was hard at first, but it was a fun challenge for us to do together. … As I pushed him to do more for himself, he also started to interrupt me less. … Now we have a system that I check on him at regular intervals.”

I don’t know if this approach will work for everyone; I guess it depends on how significant the needs of your care recipient are. But it sounds like good overall advice.

Robin

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thecaregiverspace.org/i-cant-be-on-all-the-time/

I can’t be ON all the time
by Sara Waltrip, Guest Author
Feb 13, 2017
Caregiver Space

Being a 24/7 caregiver means there’s someone who needs you 24/7. But I’m learning to accept that it’s just not possible.

Believe me, I tried. For the first few months I was unstoppable! Any time Joe needed me, I was there in an instant. It didn’t matter what I was doing, how tired I was, or how many other things needed to get done.

And then I couldn’t do it any more.

I started to slow down. I started to get sick all the time. I started to get angry. There used to be two of us in this marriage and it felt like now I was all alone, responsible for both of us. I felt bitter and trapped. That’s not the person I wanted to be. I don’t blame Joe for getting sick, but I also couldn’t cope with how much our lives had changed. I wasn’t angry at him, but I was angry and I was taking it out on him.

Something needed to change.

I can’t make him not sick. The doctors can’t, either. I needed to stop hoping for a miraculous recovery and accept that this is the situation I’m in and it’s not going to change. I can be wonder woman for a little while, but I can’t keep it up forever.

I was going to have to learn how to take care of both of us without burning the candle at both ends.

Joe is a grown man, the type of guy who never stopped to ask for directions or get help from anyone. He was a real independent, take charge kind of guy. I loved that about him. He took care of me all the time. I really leaned on him for a lot of things. At first, when he accepted that he needed to let me help him, I felt empowered. I finally got to return the love and care he gave to me all of those years. I could show how strong I really am. After a while, it got harder. I started to resent how much I was doing for him. While he leaned on me for a lot, I know he didn’t like it.

Step one for learning to do this long-term was pushing him to do more for himself. I can wait on him hand and foot when he’s having a particularly bad day, but not every day. There are certain things he can’t do for himself and that’s fine. But I realized I was babying him. There’s more that he can do than he’s doing. While he’s learned to let me do things for him and expects me to do things, he doesn’t like it any more than I do.

I started asking him to see if he can do things on his own. And he could. It was hard at first, but it was a fun challenge for us to do together. For a few months we discovered that he could do a little more for himself each day. Then we hit a plateau and it was frustrating, but that’s okay. His condition isn’t getting better, so now we know the maximum he can do on a good day and on a bad day and everything in-between.

As I pushed him to do more for himself, he also started to interrupt me less. Some things need to be done right then, it’s not optional. Other things can wait. He’d been interrupting me to ask for help for things that weren’t urgent and I was letting him.

Now we have a system that I check on him at regular intervals. He knows the longest amount of time he’ll have to wait before I’ll be there with him again and he can decide if he should call me in before that.

I can’t express how much this has improved our lives. He feels more independent. I feel more independent. And I can finally get things done. I had no idea how much trying to juggle a dozen tasks at once with constant interruptions was scrambling my brain!

Now some days I can do the stuff that needs to get done, from start to finish. When I hear him call for me I know it’s because it’s important.

I feel like I have my life back.

At first I felt like I was really letting Joe down by saying no to him. I didn’t even actually say ‘no’ and I still felt so guilty! But then I saw how happy it made him to get back to being the sort of guy who didn’t need someone else’s help all the time. We’re both so much happier now.

There are still bad days. It’s still exhausting. But now I know I can keep doing this. I could never stop being Joe’s caregiver — now I know we can keep this up, til death do us part.

A story about how grieving begins “with the knowledge of our mortality”

This is a very sweet story by Caroline Wellbery, MD, a friend of mine for over 30 years. I don’t think the article is well-titled. It’s more about stages of grief and how grieving is different with different people.

Here’s a link:

www.washingtonpost.com/national/health-science/we-unplugged-my-father-from-everything-as-he-wished-but-i-wasnt-ready-to-let-go/2017/06/02/69ce7b4e-1bcc-11e7-855e-4824bbb5d748_story.html

Health & Science
We unplugged my father from everything, as he wished, but I wasn’t ready to let go
By Caroline Wellbery
June 4, 2017
Washington Post

Robin

“The Emergency Medical File Every Caregiver Should Create”

AgingCare.com suggests every caregiver develop an emergency medical file for the care recipient and include these nine items:

* medications list;
* allergies list;
* list of doctors, including primary care physicians;
* general info on serious medical conditions and history;
* do not resuscitate order or POLST (Physician Orders for Life-Sustaining Treatment) form;
* medical power-of-attorney document;
* most recent labs;
* copies of all insurance cards; and
* copy of photo identification

This article suggests giving the packet of info to paramedics responding to 911 calls. Not sure if that’s good advice. Definitely bring the file to the ER or urgent care clinic. And make a copy of the file for adult day programs if the care recipient attends a program often. Probably makes sense to have copies in several places.

Here’s a link to the full article:

www.agingcare.com/Articles/the-emergency-medical-file-every-caregiver-should-create-428239.htm

The Emergency Medical File Every Caregiver Should Create
By Ashley Huntsberry-Lett
AgingCare.com
5.17.2017

Robin