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Senior Sense: Caregivers Need Care Too
  Mary McCallum, COASEV March 2006

More than 27 million family caregivers in the U.S. provide over 20 hours of care each week, the equivalent of a half-time job. Sylvia is one of them. At 45, she works full-time as an administrative assistant while being the primary caregiver for her mother Eunice, 75. While Eunice is mentally sound, her physical abilities were compromised after a fall. She moved in with Sylvia, a single mother whose young adult son also lives with her. He is developmentally disabled and has special needs.

"My plate is very full," says Sylvia. "I love my mother and want her here with me, but right now it feels like all I do is work and take care of my mother, my house and my son. There isn't any energy left over for me."

Sylvia fits the definition of caregiver posted by the Family Caregiver Alliance: "family, friends and neighbors who stand by those they love as they face chronic illness, disability, or death...some are new to caregiving...and for others providing care has become a way of life."

Caregivers are on call seven days a week, despite added career demands, and they often ignore their own needs while ministering to others. Well intentioned caregivers who are motivated by generosity, loyalty and love frequently experience stress, loneliness and depression. Eighty percent of them are women, and many face the special circumstances of "the sandwich generation," those caught between two generations that need their assistance. Their time is sliced in half while their responsibilities double. They lack time, privacy and social lives. Not surprisingly, taking care of themselves gets put on the back burner.

There is a delicate balance in this situation: a sick person's well being hinges on that of the caregiver. When the caregiver exhausts their own physical and emotional resources, the person needing care will suffer too. How can this balance be restored and maintained?

The Family and Medical Leave Act ensures that employers recognize workers' needs for leave to provide care to elders and disabled family members. Support groups abound that offer emotional and social outlets for overburdened and isolated caregivers. Adult day care services, Meals on Wheels and Senior Companion programs can help fill in the blanks left when caregivers must be at work.

The Council on Aging for Southeastern Vermont offers an important source of support through their Caregiver Respite Grants. They provide a period of rest and relief to unpaid primary caregivers, and may pay for adult day care or in-home services. The value of the grants in providing funds to get a break from the exhausting responsibilities of caregiving cannot be underestimated. For any caregiver, time off is often the most crucial element in caregiving.

Sylvia recognized the toll that caregiving was taking on her life when she felt dangerously close to burnout. Before allowing that to happen she took some steps to re-create a personal life in order to strengthen her emotions and maintain her health. She joined a gym near her job and works out when she can. She bought a crockpot and cooks up large batches of nutritious soups and stews that last for several meals and are more healthy than the salty pizzas and take-out she had begun to rely on. She designated two evenings a month as "hers" to socialize with a friend. She makes it a point to take at least one nap on her weekends. And most important, she learned to ask for help.

"I was overwhelmed with the generosity of members of my church when I let them know about my circumstances," she says. "From shoveling snow, to offers of casseroles and rides to doctor appointments. One gentleman picks up my recyclables once a month when he passes by on the way to drop off his own. He has no idea how much that means to me."

One additional step that Sylvia took was to invest in a personal emergency response system for her mother called Lifeline (also available from Link to Life). Eunice now wears the small electronic device when she is alone in the event that she has an emergency. With the push of a button help can be on the way.

As for Sylvia, her new personal mantra for respite from her caregiving burdens looks like this:

  • Healthy Eating
  • Exercise
  • Social Contact
  • Rest

It has enabled her to focus more clearly on the rewards of taking care of those she loves.

RESOURCES

  • Senior Helpline (800-642-5119) can connect caregivers to support groups, Meals on Wheels, Senior Companions, Caregiver Respite Grants, and Adult Day Care options.
  • Lifeline (800-LIFELINE).
  • Link to Life (800-848-9399).

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