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how much is too much?


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When Ray is sick, has another TIA or stroke I put my life on hold for a while. I have been caring for him at home since September 1999 so that has been a while. In that time I have had three days break twice a year. I have not at this stage put him into care,nor have I had to leave him for any reason. I am not saying I am a saint, I am just stating the facts of our life.

 

For maybe twelve months or so I have noticed a change in Ray. It is not so much that he doesn't listen, or doesn't understand, it is more that he does things his way and scorns what others say. This is obvious in ways that family are beginning to notice like if we are going out he will "go off to find somehing" but when I actually ask him what he can't remember. He now forgets what day it is, he forgets that I have asked him to do something, he doesn't deliver messages or remember what people have asked him to pass on. If I question him about it he denies that it ever happened. All of these events could be part of the onset of dementia, or they may just be personality changes. Whichever they are it is getting harder to live with him.

 

Ray is not a shouter, an abuser or a violent person, he is a passive aggressive. He sabotages rather than destroying. He has been unco-operative the past week or so, slower, more reluctant to get up and get going. I've asked the doctor about anti-depressants but he tells the doctor he is "just fine" and smiles the boyish grin.

 

I feel it is all getting on top of me again. I felt like that at the time I joined this board. I knew Ray had had another stroke and needed to be properly assessed and to get access to rehab. In some ways nothing much has changed. He has had some therapy but without being willing to complete his exercise program at home he won't get his old fitness back, without me pushing him in the wheelchair all the time he won't be able to go distances or even stand for lengths of time. I'm doing a lot of running around on his behalf and he isn't/can't co-operate in his recovery.

 

When is rehab too much for the survivor? Is there a time when I as a caregiver need to say: "Okay, that is enough, let's just go slowly downhill until we hit rock bottom?"

 

I know that in comparison to a lot of others here Ray still has a lot of movement, he still is relatively young at 63 and well looked after as we have our own home and some income. His relations like others here don't want to know him and support him since his illness and I know that must get him down, especially at this time of the year. But even when our kids and grandkids are here he doesn't seem to want to interact with them very much. He talks for a short while and then looks at his watch, turns his eyes to the road, or his book or just stares into space. I wish I had someone to turn to who understands this sort of behaviour and could tell me at to do to change things for the better.

 

How much is too much for the caregiver? When is it time to say: "I can't do this anymore. Find someone else to take care of Ray. I've had enough?"

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Sue, I really do understand what you are saying and I am answering not as a caregiver (which I had been with my Dad when my Mom had a stroke) True not the same but I am looking at this from another point of view. I have 2 questions. 1) When you were married, were the words "till death do us part" used? and 2) what if the tables were reversed? Perhaps you are just thinking that perhaps a nursing home.....there really has to be a better way. I spent time in a nursing home butI knew it was as a "step down" for 4 weeks. Of the people there who were permanent residents, those who were in very bad shape- it was understandable, those who were there as residents I don't think had much of a life. The place was really excellent with activities that were great, a sort of patient board who I guess planed some things, "walks" around the area, musical entertainment at lunch during holidays etc. as well as a beautifully decorated "Living room" where they were tables and chaurs for cards, a huge TV and comfortable furniture. It was rarely used by the patients. Occasionally, a couple of residents played cards there. I had a roommate who was a permanent resident. She had lived with a friend who was a caregiver who became a friend. When the friend moved away, her son who did visit her everyday and call did not take her into his home but put her there. It's true as a diabetic she needed insulin but basically, she gave up. She would not go to the dining room to eat her meals, never left the room except on shower day etc. I

visited her after I left and was in out patient and then I would visit her after that. For about a month, they had a psychiatrist seeing her to try to

change this pattern but it didn't seem to help. One day when I went to visit, she had an IV and said she had a flu. I stayed away for a few days and went

when she said that they were going to remove the IV and when I went and met an

aide in the hall and asked her if my friend was sleeping, she told me the

news....... Because she just stayed and got no exercise, she developed a

stoppage, was taken to the hospital and apparently had had enough and did not

permit surgery.

 

A nursing home is not the way. Perhaps something else. pash.gif

 

 

 

 

 

 

 

 

A nursing home is NOT your answer. Perhaps help in another form. pash.gif

 

 

 

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Yes Phyllis I know a nursing home is not the answer. I may get more help around February when my social worker gets her act together.

 

The problem of Ray's deteriorating mind is that his uncertainty is making him more irratable, less co-operative so slows everything down. He also like to be my number one priority.

 

I think I'll have to change my signature to:

 

Not retired, just tired.

 

 

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Sue,

 

I think you need to sit down with your family and the a social worker, to figure out long term ways for you to deal with the issues of caregiver loneliness, weekly caregiver respite, etc., etc. Most people have to put off the nursing home route for as long as humanly possible because of the high financial drain on assets. Having share-cared my dad for five years who had dementia, I know it's not easy and I don't question anyone when they think they can't take it any longer. However, you can do what you have to do in a home setting for a longer period of time if you can get some on-going help from family and/or organizations like the Commission on Aging, etc.

 

Jean

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hey Sue:

 

I don't have anything to add to it except the fact that I sympathize with your frustration, my dad suffered from alzeimer at age 44, it was great impact on whole family, he died at age 55, I was only around with my mom, who took care of him all the time, all other siblings had flown from nest, It was not easy on my mom at all, and you have to relise this is in India where no onehad heard of alzeimer, initially we thought he had just gone plain mad, it used to frurstrste my mom whole lot, and I was teenager at that time, so I was no help to mom in anyways, I guess I was youngest of 4 so maybe suffered from young child syndrome, but please take care of urself, at one point I prayed my dad to pass to God. take as much help you can get in taking care of Ray, I don't think nursing home is bad idea either,

 

This remind me I better make living will of me.

 

lots of hugs

Asha

 

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Hi Sue, it gets to a point of "burn out" I understand as I have been a caregiver to a husband on a dialysis machine (which I ran at home for over a year) he passed away from complications.

Is there some way that every few months you could have Ray go into a care facility for a week ot two, to give you a break and a much needed rest to catch up on "yourself". Even a day facility a couple times a week. Possibly interaction and activities with other people for him.

I know you are doing your very best, but caregiving 24/7....there comes a time.. when you need to re-charge.

Best Wishes to you both

Bonnie

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Sue,

I know how you feel, I am in the same boat only Rod tries most days. It still is loney and I get very tired of doing everything my self. One thing I have started doing since coming to the board is "ME" time. Whether I read, or go out for a coffee, or an evening with friends.You need to make time for yourself by your self. Get someone to come over and stay even for an evening. Hang in there its a tough row we hoe. smile.gif

Lynn

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