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Its All About Give and Take


RLT

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Years ago, when I was home schooling five children, I often felt the need to get away from the kids if only for a little while. At that point we lived in a tiny Illinois community so that you had to travel 45 minutes at least to do even do basic shopping or Dr. visits. I loved my children and at that time we were doing an especially absorbing study on medieval Europe. To most people it must have seemed I had a rather idyllic life. The children’s father travelled a little over an hour each day to and from work which he felt a tremendous tedium. One day I made the mistake of saying that I was jealous of his ability to have that time each day to be all by himself. To me having that much time to be alone with my own thoughts seemed to be a wonderful luxury. He of course, jumped on me thinking I was implying that he had it easier than me.

 

No matter the situation we find ourselves in, there are always elements that we look at in other people’s lives and think – If only… As I read blogs I often have felt jealous of other caregivers who are still working. From my perspective, it seems like it would be such a relief just to be able to set aside the 24 hour concerns of care giving in exchange for another set of absorbing issues related to a job. Personally I would love the sense of self-dependence that would come from having my own income. But, to the person working, having a job is just another set of problems on top of the care giving. Those people look at me and think jealously that they wish they only had to worry what was going on at home. I guess that proverbial green is always someplace else.

 

In the end we are all struggling to best manage the set of circumstances in which we find ourselves. It is easy to curl up inside ourselves and not reach out or to present a select corner to exhibit to the world. It is probably in this that we are our own worst enemy. I ran into this full on the other day. I usually am unable to join a chat but I actually set my alarm for this one. The general discussion at one point dealt with the frustrations of incontinence. I got the opinion that most of the others were dealing with occasional accidents. I have been there. I had three reactions. One was to simply encourage others with the tricks I had learned. Another was a silent desire to prepare people for the possibility that occasional may lead to complete (Something that may have helped me along the road). Then there was that deep down ache that said I wish I still had Dick home, poop and all. How did I respond? Rather noncommittally.

 

Back to the home school years – At one point in time I became the “go to” person for counseling about child rearing and home education. I averaged about three women a week with whom I sat down and tried to help. So many of these ladies would come in tears and it was my job to dry those tears and encourage them not to give up. My reputation for helping grew because sure enough, for each of those ladies, life did go on. They learned they could do it. The “magic” though was inside each of them and not from me. Still I never wanted to do or say anything that would discourage these women. Therefore when I hit those days when things did not work so well I my life, I kept silent. I had all the “answers” and could give myself the same talk I gave to others. This placed me again in a very isolated position. I had no outlet to share my fears and failures. Before you write me off as vane or prideful I must stress that I never thought myself better than anyone (quite the opposite). I just truly wanted to help and wanted the best for each person (there were a few men).

 

The truth was though, that I needed support just as much as each of those people who came to me. I did not have the emotional support when the walls of my world tumbled down. Home schooling is long behind me and my primary roll these days is that of caregiver. I have been doing this for a long time and have learned a thing or two which I hope to share to help other people along their journey. But I never want to be in the position in which I got myself with the homeschoolers. After all, I came here for support. I need to be able to cry and tell what is going wrong in my life just as much as I want to rejoice at the things that do go well. I want to share the tips that have made life better for Dick and I and I want to be able to express my feelings when things feel like they are falling all apart.

 

I joined StrokeNet in 2005, after Dick’s first strokes the beginning of that year. The dynamics of StrokeNet have changed over time as some people have left and new ones become more active. I have adapted my involvement because of those times when there was a (unofficially) prescribed rule that was very much like the policy I adopted as a homeschooler. At that time I got shot down because I expressed opinions and feelings that were not within the prescribed let’s keep everything upbeat and happy. I agree that we can drag ourselves into depression by a constant negative dialogue. Experience has shown me that if we continue to deny negative feelings any expression, they manage to find another outlet. If in truth we could always feel those “acceptable” positive feelings, we would not need a support group. At present, I am pleased to see a bit more balance amongst the caregivers. A validation of our negative emotions can do a much better job of reversing our feelings than demanding we “snap out of it” or “think positive.”

 

I guess that in the end I have to realize that I am both a novice and an expert. I have learned a lot through caring for Dick for the past nearly 7 years. But there are always changes that challenge that move me return me to start. Often I can tell you more what not to do than what to do. I get tired of the pat “correct answers” fact is there are simply a lot of questions that we have that simply do not have an answer. The responses that come from the heart are the most helpful though. People who can feel comfortable with giving experience backed tips on incontinence (for example) as well as being comfortable with being honest that the issue overwhelms them at times are the most helpful to me. When you feel that you cannot express the reality of what you are feeling for fear of losing the position you cease to be supportive. It is all about give and take.

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Thank you for saying that. I am not a caregiver but I was feeling guilty for wanting to scream 'are you nuts???' every time someone says they are grateful for their stroke. Don't get me wrong, I see ways I have grown stronger, but I can think of better ways. I grow tired of platitudes and for me, like you, I need the facts, no matter how scary it is.

 

This whole thing is scary and hard for survivors and caregivers and hiding behind the 'rose bush' won't save us from the thorns. But pointing out the thorns just might. And remember to smell the roses while you're at it.

 

Jamie

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"hiding behind the 'rose bush' won't save us from the thorns. But pointing out the thorns just might"

Well said Jamie. I think you are a poet!

Ruth

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Ruth: I for one was so pleased you joined us in chat. And for very selfish reasons, I must add. I can't get my head around the issues you are dealing with lately. I can offer suggestions as to how to deal with a SNF as that is where my training and education come in. I can throw out different ideas as to time out and relaxation, that you may not have considered.

 

But from the selfish aspect, I need you there. With all of you caregiver pros, there is always such a wide variety of suggestions, ideas, problem-solving. Everyone deals with stroke differently and even if a suggestion is not exactly right for another, it gets those mental juices flowing. With some thought and some tweaking, the road to dealing with an issue may fork and offer an even better outcome.

 

I feel badly for those caregivers who have to work. I can not imagine, especially in this economy, having to bring home a paycheck, support a family and be a caregiver. The stress must be incredible, especially if there is no money for paid support or even family/friend support. You are right in that specifically in my case, it is 22 hours of the week that I am totally away from stroke. But I love what I do, am very good at it and are certainly blessed with the caregivers I have here at home.

 

But I also experienced the "must be positive" attitude here in the early months. While I am pulling my hair out trying to cope, someone is says "Oh just pray" or "it will get better-chin up, stay postive." My faith is in recovery and prayers for patience and good health to keep up what I am now supposed to be responsible for and chin up does not clean up the mess on my living room floor or figure out how I am supposed to get groceries in, figure out an OT-PT schedule and get him to his much needed follow up appointments.

 

I depended on those caregivers who told me it was OK to be angry, depressed. It was OK to go out in the yard and holler. Who offered solid, realistic support and suggestions, who helped me work through an impossible daily schedule. Who said it was OK to take a breather!

 

I too have trouble asking for help. I am the nurse afterall, I have all the answers-lol! My Contractor said it best when he came to redo the bathroom. "Bruce looks terrific, Debbie is a mess." That is also from my childhood as one of seven and my Mother's insistence that NO ONE was going to speak poorly of the condition of her children, regardless of the sacrifices she had to make for herself. We Palmer-women do not suffer fools gladly.

 

Please let us know how the arrangements for Dick are coming along and your thoughts in your decision-making and please, if for no other reason than your experience and support, stay with us poor "Newbies" who so need you. Debbie

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Ah Debbie you always manage to make me walk away feeling better. I love your insight into things from nursing perspective. Truth is that we are all newbies at something. Just when we think we have mastered a situation another challenge comes around and we find ourselves fumbling again. That is why we need this network of support so badly.

Ruth

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Ruth, I was a Lifeline Telephone Counsellor (sucide line) for eight years. I did one shift a fortnight (two weeks) at first, then I became a group trainer nd had to do two shifts a week as I helped others become accustomed to the phones.

 

I did the training course over and over, two a year for five years, and yet at some point each course some exercise would stab me to the heart and I would dissolve into tears and become inconsolable for a while. I used to think I must be so weak.

 

Afterwards I realised that when I thought I was strong everyone else thought I was cold and stand-offish, but when I was weak people thought I was just human and loved me for it. I came to realise that my tears and sense of failure worked the magic when all my knowledge and experience sharing could not.

 

What a paradox life is.

 

Sue.

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Thank you for saying that. I am not a caregiver but I was feeling guilty for wanting to scream 'are you nuts???' every time someone says they are grateful for their stroke. Don't get me wrong, I see ways I have grown stronger, but I can think of better ways. I grow tired of platitudes and for me, like you, I need the facts, no matter how scary it is.

 

This whole thing is scary and hard for survivors and caregivers and hiding behind the 'rose bush' won't save us from the thorns. But pointing out the thorns just might. And remember to smell the roses while you're at it.

 

Jamie

Jamie, I must admit that I cringe when I hear someone say they are happy they had the stroke. I have been thinking of a response to that. Next time I will say, I am happy in spite of the stroke. This way I react in a positive way to that sort of comment.

 

mc

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Thank you for saying that. I am not a caregiver but I was feeling guilty for wanting to scream 'are you nuts???' every time someone says they are grateful for their stroke. Don't get me wrong, I see ways I have grown stronger, but I can think of better ways. I grow tired of platitudes and for me, like you, I need the facts, no matter how scary it is.

 

This whole thing is scary and hard for survivors and caregivers and hiding behind the 'rose bush' won't save us from the thorns. But pointing out the thorns just might. And remember to smell the roses while you're at it.

 

Jamie

Jamie, I must admit that I cringe when I hear someone say they are happy they had the stroke. I have been thinking of a response to that. Next time I will say, I am happy in spite of the stroke. This way I react in a positive way to that sort of comment.

 

mc

 

MC, this is another of those times that it is OK to accept that they may actually feel that way, while I certainly do not. I usually turn the attention back to them and express my pleasure that they are doing so well. without interjecting my thoughts. If I must, I share something I have gained, some insight or wisdom...and I think we all have gained that.

 

I don't and never will wear rose colored glasses. I have nothing to hide or be ashamed of and after having strokes not much anyone can say will scare me now.

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I totally agree with you that negative feelings need an outlet of some sort or they come back and haunt you!!!

Eva

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I am rather pleased at the response that this blog had. I guess it had a truth that others needed to think about as well as me. Yes, it is true that the "strong" answers sometimes come across as cold. Most caregivers and survivors probably have to work at keeping their negatives at bay. It is far to unhealthy to let it get to you. But a release valve is so important. About as important though is having an understanding audience.

Ruth

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