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The Roller Coaster of Caregiving
By Jane Cassily Knapp, RN, LCSWC
Now let’s look at
Scorekeeping—Who did what, when? Who did more? Whose
turn is it? Who never takes a turn? Who is the most
exhausted? There is no equality in caregiving as in
parenting. Be careful not to fall into this pit. It
will only add to further family discord.
Advise Givers—Sometimes those family members who,
for various reasons, are not the primary caregivers
attempt to make themselves feel less guilty or more
involved than they actually are by stopping by
weekly or monthly to loudly advise the caregiver
regarding all the things you aren’t doing adequately
for “Mom” or all the ways in which you need to
improve your caregiving.
Don’t allow yourself to be hurt by these people.
Just let them vent. They are only trying to take
care of themselves. It’s not really about you or the
quality of your caregiving. You may choose to
respond by saying, “I know it must be very hard for
you to not be able to be here as often as you would
like to be and not to be able to do the things for
Mom that you wish you could.”
Overcoming Losses
One thing that is often overlooked by the caregiver
and other family members is the impact of the losses
for both the caregiver and the dependent family
member. A wife may miss the husband she has known
and loved for many years. She experiences the loss
of the friend with whom she has shared interests and
confidences. Who was her companion for parties,
grocery shopping, going to church or just taking a
walk or watching TV together. Not only have you lost
your friend but now you may have to take on the
roles that this person used to hold within the
relationship
like financial responsibilities and household jobs.
You may feel guilty, angry, and sad for feeling like
“this isn’t the person I married.”
The dependent loved one experiences many losses as
well. Their lifestyle, their independence, their
jobs (at home and/ or at work), their health,
friendships with co-workers or others are now cut
off. Others now see them as invalids but they may
feel like screaming “I’m in here and I’m a person!”
It’s very hard to tolerate a constant state of
dependence.
On whom do we find it easiest to take out our
frustrations? The person we love, of course. When we
are totally dependent on that person, we often take
out our anger and frustrations. This can make for
very difficult times.
Ambivalence—We may find ourselves saying “I want to
do this…I don’t want to do this…..I wish this was
over…” Does that mean I don’t love this person?
“Sometimes I daydream about their funeral. Sometimes
I wish they had died while they were independent and
not survived to be in this state. What’s wrong with
me….sometimes I wish they were dead.” Does that mean
I’m terrible?
You are not terrible for thinking these thoughts.
You are not wishing the person you love is gone; you
are wishing this state of constant caregiving and
decreased quality of life for your loved one are
gone. You are wishing your exhaustion and
frustration are gone. That is why you need to
improve your self caregiving. Your dependent loved
one is counting on you to be there for them but you
can’t do this if you don’t take care of yourself.
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