Guilt Feed

Delirium and Even Death Following Physical Trauma Not Unusual for Elders

DepressionthinkstockDear Carol: My mother, who was in her early 80s, was doing well except for arthritis and high blood pressure. Then she fell and broke her hip. After surgery, she seemed not just foggy but completely irrational. The doctor said that this wasn’t unusual for someone her age considering what she’d been through and that she’d get better. Mom spent several days in the hospital and was then moved to a nursing home to recover and receive physical therapy. The staff was terrific with Mom. When I asked them if Mom would recover mentally, they were non-committal. They didn’t want to say that she wouldn’t but they seemed less sure than the doctor. As the weeks went by she didn’t improve mentally, though she was doing okay physically. The, five weeks after the surgery, she suddenly died. It’s hard to accept. How common is this? – Terri

Read full column on Inforum about the effects of hospitalization on elders:

Support a caregiver or jump start discussion in support groups with real stories - for bulk orders of Minding Our Elders e-mail Carol


How We Can Balance Elder Care With Other Relationships

Balance4 (2)As caregivers, the first thing to go is the time, or even the energy and desire, to maintain friendships. Even maintaining friendships that go back years can seem like just one more thing to do when a caregiver is so swamped with demands. So, caregivers stop seeing friends, hence friends stop asking them to do anything fun. Friends get tired of being turned down. And caregivers forget that life was once fun. They are too busy giving care to everyone else to even notice the loss.

Read full article on Agingcare about balancing caregiving with other relationships:

Purchase Minding Our Elders: Caregivers Share Their Personal Stories – paperback or ebook

“I hold onto your book as a life preserver and am reading it slowly on purpose...I don't want it to end.”  Craig William Dayton, Film Composer


Learning to Back Off and Accept Risks While Caregiving

BicycleRisk...I am aware that many people under age 65 need assistance from their adult children or other sources because of health problems. That being said, having arthritis or heart issues, for example, doesn’t make a person cognitively impaired. Therefore, when we offer to help in these situations, the elders’ opinions and wishes must be taken into consideration. I know only too well that watching our parents get older is difficult. Ideally, they were once our anchors. No matter how difficult life became, there was comfort in knowing that our parents were around, even if they were half way across the country. Now, when we see their joints needing replacement, their skin wrinkling, perhaps even their memory recall slowing, we cringe. Whether or not we wish to admit it, we are afraid. We know that our parents are not immortal. One day we will be without them.

Read full article on Agingcare about why we need to step back and not interfere with our elders' happiness:

Support a caregiver or jump start discussion in support groups with real stories - for bulk orders of Minding Our Elders e-mail Carol


Hard Times for Caregivers: When Loved Ones Rally Before Death

DeathComfortMany adults sit by the side of their dying loved ones, sometimes for days, working on accepting the loss of their physical presence and what this loss means in their lives. Then, a spouse, parent, child or friend suddenly rallies, becomes more stable and in some cases wants to talk. We grasp at what seems to be a turnaround and sigh with relief. They are going to hang on for a while; or are they?

Read full article on Agingcare about the intricacies of the death rally:

Support a caregiver or jump start discussion in support groups with real stories - for bulk orders of Minding Our Elders e-mail Carol


Think Carefully About Long-Term Issues before Cohabitating with Your Elders

Family6You're close with your parents and you see them needing help. You've watched their decline, but so far you've handled it and they've stayed in their home. You've hired out the yard work and much of the housework. But it's time now for something different. Dad's often confused and Mom's diabetes isn't being cared for properly. You are wondering, should they move in with you? Years back, having one or both parents move in with the family was relatively common. My grandmother moved in with our family when my brother and I were teens and our little sister was a toddler. My parents built a new home that could accommodate privacy for Grandma as well as a family with teenagers and a toddler. It worked.

Read full article on HealthCentral about the road to cohabitating with aging parents:

Purchase Minding Our Elders: Caregivers Share Their Personal Stories – paperback or ebook

An amazing book of stories that will touch your heart and encourage you, especially if you are a caregiver. Carol  Bradley Bursack also has an excellent web site devoted to the elderly and their caregivers. - Carol Heilman


The Challenge of Going Public with an Alzheimer’s Diagnosis

DepressedElderSadly, even after years of work to educate the public about any illness that affects the brain, a stigma remains. No matter that most, if not all, mental illnesses have a biological basis. No matter that people aren’t any more responsible for a brain illness than they are for other illnesses. The fact remains that whether the disease affects the brain occurs at a younger age in the form of depression or bi-polar disease or an older age in the form of Alzheimer’s disease or another dementia, people with brain illnesses are often reluctant to acknowledge their illness for fear of being treated differently than others. There has been some progress when it comes to enlightening the public, but not nearly enough.

Read full article on HealthCentral about going public about dementia:

Purchase Minding Our Elders: Caregivers Share Their Personal Stories – paperback or ebook

An amazing book of stories that will touch your heart and encourage you, especially if you are a caregiver. Carol  Bradley Bursack also has an excellent web site devoted to the elderly and their caregivers. - Carol Heilman


Caregivers Confess: Thoughts We Aren’t Proud Of

FriendsWouldn't it be nice to be a caregiver who had only loving thoughts every moment of the caregiving day? Maybe there are caregivers like that. If you are one of them, I truly congratulate you. Most of us who have been through years of caregiving will not fall into that category.  Here's a sampling of caregiver thoughts that I've heard people talk about. You'll likely feel better just reading them.

Read full article on Agingcare about  those little thoughts that we wish we didn't have:

Support a caregiver or jump start discussion in support groups with real stories - for bulk orders of Minding Our Elders e-mail Carol


No Need to Feel Guilty About Wishing a Loved One Could Let Go

DeathDear Carol: My mom is 94 years old and frail. She has a weak heart and bad lungs, yet she hangs on. I’m a 73-year-old widow. I took care of Mom at home for over five years, but two years ago I placed her in a nursing home. I felt terrible guilt about doing that because I’d promised her that I wouldn’t, but my own health was deteriorating and I couldn’t physically transfer her anymore. There was no other choice. Apparently, we both had outdated ideas about nursing homes or we would have done this sooner since we are both pleased. But Mom is now bedridden and can barely murmur a few words. There is no quality in her life that I can see and I find myself wishing that she could just let go. Then I feel ashamed. She’s very religious and isn’t afraid of death, and neither am I, but I'm still confused about my feelings. Guilt and shame nag at me even though I know that her current situation is miserable. How do I deal with this feeling of disloyalty about wanting her life to end? SL

Read full column on Inforum about the guilt from wishing an ill loved one would die:

Purchase Minding Our Elders: Caregivers Share Their Personal Stories – paperback or ebook

“I hold onto your book as a life preserver and am reading it slowly on purpose...I don't want it to end.”  Craig William Dayton, Film Composer


Recovery from Double Grief May Require Professional Care

CryingWomanDear Carol: My mom passed away a month ago from a major stroke. Since her death, I seem to either be in a fog or collapsing into tears. My sister, Carolyn, had been caring for mom until two years ago, but then Carolyn had a sudden heart attack and died. She was only 43. Mom then came to live with us. Mom had COPD and heart disease. My husband has always been a rock of support and love and my two kids have handled Mom's death well. They are trying to help me even though they, too, are grieving their aunt and their grandma.  I’m the one who is a mess. I miss my mom more than I ever thought possible. My grief seems to be more consuming than that of other caregivers who’ve lost a parent. I’m not sure what to do with my overwhelming feelings.  I’m not even sure what I’m asking for except that I need guidance. SC

Read full column on Inforum about buried grief and fresh grief:

Purchase Minding Our Elders: Caregivers Share Their Personal Stories – paperback or ebook

“I hold onto your book as a life preserver and am reading it slowly on purpose...I don't want it to end.”  Craig William Dayton, Film Composer


Hospice Care about Re-Focusing Priorities, Not Giving Up

Hands12Our culture is steeped in language that makes accepting the terminal diagnosis of ourselves or a loved one more difficult to accept than it needs to be. Doctors say, “I’m sorry, there’s nothing more we can do. You might want to look into hospice care.” Patients tell their doctors that they want “aggressive treatment,” until there is nothing else that can be done, then they will go on hospice care.The crux of these conversations is that medicine will do everything possible and then when you give up you will go on hospice care.

Read full article on HealthCentral about how hospice care is "doing something."

Purchase Minding Our Elders: Caregivers Share Their Personal Stories – paperback or ebook

“I hold onto your book as a life preserver and am reading it slowly on purpose...I don't want it to end.”  Craig William Dayton, Film Composer