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The Caregiver’s Balancing Act
By: Kristine Dwyer, LSW
In the 1960s, TV celebrity Ed
Sullivan featured a Chinese talent artist who
demonstrated the careful balance and timing of spinning
porcelain plates atop thin, wooden sticks. The key was
to start spinning a stack of plates one at a time and
then dash from plate to plate keeping each one in motion
to prevent them from crashing to the floor. Viewers
watched in amazement as plates slowed their pace and
began to wobble precariously, yet miraculously the man
was able to reach each plate at the last second just
before it tipped. The artist then ended the performance
by quickly gathering up each teetering plate into a neat
pile without a single disaster.
Caregiving today can often be compared to this
entertaining yet realistic experience. Balancing the
multiple roles and responsibilities of our lives is a
constant challenge. Each plate may represent a different
part of our lives as we work tirelessly to maintain
motion and balance. They can symbolize personal needs,
marriage, family, career, friendships, health issues,
finances, social and physical activities. These are the
“plates” of everyday life that one can expect to spin.
Then when one becomes a caregiver, several more plates
are added such as personal and medical care,
transportation, supervision of safety needs, emotional
support, companionship, financial oversight and
decision-making for the well being of a loved one. Add
in the weight of a few unexpected events such as sudden
illness, job loss, or a divorce and it can be very
difficult to keep all of the plates spinning in unison
without a calamity.
Although we want to avoid losing our momentum, a sudden
crash of a plate or an unexpected personal emergency can
be a time of awakening. It can also be a call to
reprioritize as we evaluate the results of a fallen
plate. One may ask, “Should I keep spinning these plates
alone or ask for help?” “Should I remove a plate before
it falls, or perhaps set one or two aside to focus on
fewer plates for awhile?” Keeping an eye on our spinning
plates is important to assess our capabilities and the
challenges we are facing. If we live in a continuous
scramble between the plates, we may lose our focus on
what is truly important and jeopardize our own health
and safety, not to mention the well being of those we
care about.
Caregiving for a loved one may last for months or many
years. In addition, the number of plates may change or
be replaced as life unfolds and we strive for a healthy
balance. Whether you decide to keep all of the plates
spinning at once or set a few aside, caregiving support
can be received in many ways: attend a support group or
personal counseling sessions to gain a perspective of
the caregiving situation, build a support network to
include family, friends, medical personnel, clergy and a
social worker/care manager, accept assistance with
personal care needs from family members and friends to
lighten the load, hire private help even a few hours a
week for household and chore services, accept respite
care opportunities to allow a break from caregiving and
find ways to renew one’s own body, mind and spirit.
We may not all be as talented as the Chinese balance
artist, but we can use our own inner resources and the
help from others to attain steadiness in our lives.
Providing care to someone in need may be one of the most
important roles one will ever fill in a lifetime, yet it
does not have to be done alone. The first step is to
recognize that we are spinning too many plates or that
the plates are teetering out of control. The second step
is to ask for help. This is a sign of strength, not
weakness, and is the surest way to keep all of the
facets of our lives in careful balance.
Kristine Dwyer is a Caregiver Consultant and Licensed
Social Worker with Carlton County Public Health and
Human Services in Cloquet, Minnesota. She is also a past
and current caregiver for family members.
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