psi.bmp (21826 bytes)William W. Lee, Ed.D.

Licensed Clinical Psychologist

 

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CAREGIVERS AT RISK

 

Caregivers are those who assume some degree of responsibility for the care and supervision of an ill or disabled individual. The following characteristics were identified by the Family Caregivers Alliance, surveying caregivers of brain-impaired adults in California.

 

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76% of caregivers were female

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Mean age of caregivers: 59 (range was 17-94 years)

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75% lived with the patient

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32% worked (47% of those under age 65)

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18% had quit their jobs to give care

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66% showed clinically significant depressive symptoms

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43% reported their own health as fair to poor

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70% said patient could not be left alone

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71% of patients could not bathe or dress alone

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46% of the patients could not communicate or follow directions

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40% reported their patient was abusive

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Greatest needs were emotional support and respite care

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Caregivers provided care an average of 93.3 hours per week

 

HELPING CAREGIVERS

bulletGet help early - counseling, assistance with caregiving duties, etc.
bulletInvolve your family from the beginning by sharing your concerns with them
bulletAccess all the information you can about the disease and educate yourself as much as possible about its progression
bulletHave an awareness about the losses to come, such as incontinence, inability to dress, etc., so they are not totally unexpected
bulletRecognize the hidden grief component of your anger, anxiety, guilt, and depression. Expect adaptation, but not resolution, of your guilt
bulletAppreciate your grief and seek out someone who understands it
bulletRecognize the signs of denial: for example, you insist, "I don’t need any help." "Nothing’s wrong. Everything’s okay."
bulletAcknowledge your right to feel emotionally off-balance
bulletLearn to "Let Go" from the start and share your caregiving burden. Your loved one can survive a few hours without you
bulletForgive yourself for not being perfect
bulletStop trying to be perfect: caregiving has turned your world upside down; make compromises on housekeeping and other chores, getting support, etc.
bulletJoin a support group early
bulletTake care of yourself - physically and emotionally. Have regular checkups. Get as much rest and respite as possible. Eat well-balanced meals. Give yourself time to cry. Don’t be afraid to acknowledge your feelings of anger, anxiety, helplessness, guilt and despair
bulletHang on to your sense of Self. Keep up your regular activities as much as possible
bulletTake one day at a time, but don’t neglect to plan for the future. Good planning can include getting a power of attorney, accessing community care early and filling out placement papers
bulletBe kind to yourself. Remember you are experiencing normal reactions to abnormal circumstances
bulletLearn how to communicate differently with your loved one if cognitive and language abilities decline. Good communication strategies help to avoid frustration
bulletMake sure your family doctor is one who is willing to listen and understand
bulletAccept yourself for being human; even if you "lose it", give yourself a pat on the back for doing the best you can
bulletArrange for planned time away from the task of twenty-four hour care. Do things just for you!