Spousal Caregiver

@snowball - the love of my life is a quadriplegic - we’ve been together 25 years. I will tell you what he told me when we first met, and we’ve stuck to it. “A spouse cannot be a full time caregiver. It’s a relationship killer.” I have thorough knowledge of how to care for him, and I have in emergencies or when we were younger we would take cruises and I’d care for him. But I can no longer transfer him, so that’s off the table.

In California we have a social program - In Home Supportive Services. It provides cash benefits to help pay for caregivers. Could you possibly find out if your state has a similar program. Even hiring someone for the 3 or 4 hours a day can give a much needed break to you. And your love.

I know you say you’re not into support group help type things, but what about online therapy from Better Help? Besides the stress of caring for your love, there’s the grieving over what’s been “lost” that needs to be dealt with or you’re likely to find yourself sick. Having a safe place to talk with someone is immensely helpful.

Don’t be a martyr. It’s ok to ask for help.

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Snowball I am so incredibly sorry for you and your family. To build off of others’ ideas, if the thought of finding a counselor is too much, see if your or H’s employer offers EAP benefits. With mine, we get 3 free phone calls with a counselor per issue and then they will refer you to someone else. From my understanding, it’s like calling a 1-800 number which would be far easier for me than trying to find a therapist.

Also consider calling your local United Way office. At our annual fund drive at work, they send someone who talks in depth about various local programs your funds support. Often they are groups that support cancer patients and their family. If anyone would know the ins and outs about what help is available to you locally, they would.

I am so so sorry. Also, give yourself grace. You can’t be perfect all the time, especially in this living nightmare. You would extend it to others in such a situation, so do it for yourself. Many hugs to you

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I came back to this thread to make the EAP suggestion. On the caring for parents thread, I mentioned that I did five sessions through an EAP on the topic of dealing with my sibs during this time of caring for my mom. It has REALLY helped.

Also, there are lots of ways people can help. For instance, if you tell us what city/state you are in, I know people on here would do what we do and jump into research mode. Maybe we could find resources for you.

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@snowball I’m not sure of the age of your husband or your insurance etc. but my friend who is a spouse caregiver was also talking recently about some respite care potentially available through Medicare. Maybe something to look into with your insurance regardless if it is Medicare.

And if it helps, use this thread to sound off, express emotions good or bad, etc. - this is such a supportive group and while we seem to have opinions about EVERYTHING (;)) we are also good about just listening and supporting.

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I am so sorry. I have some experience with this, as my father had a brain tumor (glioblastoma) over 20 years ago. It was an extremely difficult situation. My limited advice is to have a hospital type bed in the house, along with caregiver help. My mother grew so frustrated with my father for not being able to follow instructions. It wasn’t his fault; he had been a physics major, inventor, and business executive. It was the disease and the radiation that incapacitated him. She had a difficult time remembering that on a daily basis. Since my mother was not going to go to or use a support group, the caregiver relief was crucial to her mental health.

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Meant this for snowball. I don’t respond much on here, so I’m not very good at it, technically. Sorry.

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Hugs to you. I second what everyone has said above. Get outside help–contact home health agencies in your area; these folks provide the type of caretaker services your husband needs. Also, do something for yourself; anything where you can get away (physically or mentally) and regroup.

@snowball - thinking of you during this time! :yellow_heart: Caregiving is hard. Agree with the suggestions to find paid help - and sometimes it takes several caregivers until you find the right one/right company.

So sorry you, your H, and your family are going through this. Agree if you can get even a sitter several times a week might be helpful, even if you stay at the house and have time to your self. If you have grocery delivery service that could eliminate a trip, or ask your kids when they do grocery shopping to get your supplies, too.

Our neighbor cared for his wife for years at home. We strongly encouraged him to get care giver help. But, what he did instead is hire a weekly or twice weekly house cleaner and a yard person. It took a lot off his plate. Sometimes you just need confirmation to ask for help.

When my kids were little- I yelled a few times when they frustrated me- I just forgave myself and went on. Your H, I am sure understands you are doing the best you can.

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No advice, but…

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Just a note as the child of someone who needed care for several years, and of course it is different for everyone.

The greatest comfort my siblings and I had was helping our mother care for dad. The biggest frustration was watching her try to do it all herself so they weren’t “a burden”.

Your family is a team. If you want everyone to cope, let them help, in big ways and in small. It’s not fair to keep them at arm’s length if they can be of service (and naturally everyone has different abilities, etc, goes without saying)

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Thank you to all that have replied and offered hugs and suggestions. Keep those prays and hugs coming; we both need them!

I am able to get time away for errands and appointments, including the much needed hair and nails! Family and friends are providing many meals or DoorDash gift cards, which has been a tremendous help and I have a twice a month cleaning lady. It is funny what my husband now wants to eat; he will request things he rarely ate before, or reject things he always ate. While I am coming to rehab for a good part of the day, I am not doing the physical work for him, so that is nice. Typing this as he naps in the recliner before his next therapy session and will leave to run errands when they take him.

As he is in a diaper most of the time, he is not comfortable with family or friends dealing with that, so I try to schedule my leave time around his toileting needs as best I can. This is where a paid caregiver would be best, and I have the name and have spoken to 2 that I know have worked for families we know long term. We have made the decision to hold off on paying for help at this time as neither of us have worked since the beginning of June. Once we know for sure that my husband is going to get money from his disability policy, we will revisit home help.

Six years ago we downsized to a 3 story town home with the master on the top floor and no elevator. Several friends thought we were crazy, but we said, we are young and able, the stairs didn’t bother us. If at any time we couldn’t handle the stairs, we would move at that time. Neither one of us thought about illness vs. getting too old and frail to manage. Currently my husband is in the guest bedroom on the bottom/garage level. He is set up with a baby monitor for my ease, although every time I wake up during the night, which has been often for years, I check the monitor to see if he is asleep or up playing on his phone. He does have a rental hospital bed that I hate as it is basic, but that is what Medicare would pay for. He will call or text me if he needs a change as I keep the monitor sound off due to his snoring! His room is set up well and he has everything he needs in there.

Recently I got a recliner for the room to make him get out of bed; previously he had vetoed the purchase, but my daughter talked him into it. It came Saturday and he was admitted to rehab on Monday so it hasn’t gotten much use. His core strength is very weak, so he get uncomfortable sitting up for too long, and complains his butt hurt! OT and PT are making him work here, so hopefully he will make some progress and move to outpatient therapy once discharged.

I also feel I have a strong family/friend support group, although I hate to dump on them too much. One is our closest friend who lost her husband 4 years ago after a long illness, but different. My husband and I were with her every step with her husband, so she in turn is there for me. I think we are managing as well as can be expected now, I just worry as his symptoms progress. This previous healthy man now have medical issues, other than the cancer, that he never had before; high blood pressure, diabetes (due to the steroids,) blood clot, and wacky labs due to the chemo and tumor.

My husband will tell people I do everything for him and I am a godsent, but then will make a demand of me that isn’t rational and get angry when I would comply. I know that is the tumor talking, so I try to be patient, but if I am tired or frustrated, I might snap. He has mentioned a few times that he is here in rehab to give me a break, while we keep telling him it is to get him stronger. Yes, it is a perk with him here that I have a break, but it isn’t the reason. While he won’t say it, I have wondered if he thinks we have sent him away; he seems a bit sad, but says everything is fine. Again, his affect may be the tumor, not his true feeling, but it is hard to tell.

We are a ways away from hospice at this time. We have spoken to the social workers when he was last hospitalized. After his next MRI we hopefully will have more information.

My biggest complaint, and I have spoken to her about this is, my SIL (husband’s sister.) She constantly wants to know what is going on, how he is doing, will he get better, etc… Family members get updates, but she will ask questions that have no answer at this time. She acts so sad, and how terrible this is for her. They are very close as she is 9 years older, and he lost his mother when he was 11, so she is a mother figure to him. We are all very close, but I am tired of her sadness; the kids and I come first, like the Ring Theory article someone posted years ago on the Caring for Parent thread.

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It sounds like you have been creative in your house set up and have a “for now” routine, though hard.

I’ll share a personal situation - noting that I know your situation is certainly different.

My H had a terrible accident at work in his 30’s that left him with a broken pelvis, punctured lung, etc. (fortunately he was able to recover). He was home for 6 months recooperating and needing LOTS of help. Our first child was just a year old and I was working part time. We had no bedroom on the first floor so our dining room became his bedroom complete with hospital bed, commode and other equipment. Let me tell you there were times I wanted to SCREAM. I’m sure he did too. I would go to the grocery store and because he was home and had nothing to do he would question items I bought. I remember LOSING IT over being questioned about the type of bread I bought, lol!!! In reality for both of us it wasn’t the bread - or whatever else we nitpicked about - it was the loss of life as we knew it. Our routines, our physical space, his physical limitations, WINTER and being stuck at home, frequent family and therapy visits in the homes (I’m an introvert!). I felt on edge all the time - and he was on edge just feeling useless in his recliner.

You, your husband, your family - everyone probably realizes that many negative reactions are situational and not personal (most of the time :slight_smile: ) You do the best you can with the day you have, put it away at night and wake up and try again.

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Your H may be acting out toward you due to his own frustration with his situation. Like when our kids would act out toward Mom when they were having trouble with friends. You are his rock, his safe space in all of this. While he doesn’t really want to dump in you, he feels the need to dump - and you are the one he knows will love him no matter what.

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Could you set up a CaringBridge site and tell your SIL that any info you can share will be on there? I did that when my son was ill last year and it was very helpful. It got tiring trying to keep everyone updated, and at times I would forget to notify some family or friends.

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Actually, I will notify my SIL for my husband’s side of the family, and my aunt for mine. They are responsible to relay messages to those that need to know; it works most of the time. I got in trouble with my MIL as she hadn’t had an update in days when my husband was last in the hospital, even though I had spoken to my SIL for over 30 minutes the day before and specifically asked that she call MIL (husband’s step mom for 50 years.) This is when SIL said it made her sick to talk about husband’s situation! I just don’t have it in me to repeat the same thing over and over to multiple people. Again, my SIL is worried about her little brother, and I get it, but asking me if he is going to get better when he has only been in rehab for 48 hours isn’t necessary.

My kids send out an email blast to family and close friends, as well as some of husband’s work friends, when more info needs to go out. For now this works for us.

I get showing true colors with the ones you love; I do not take my husband’s personally, and I think he knows the same of mine.

When I got back to the room after his PT today, when he said was very hard, he was teary eyed, and said he was afraid he would never be able to walk again. We talked for a bit, and I think he is ok, but it was the first time in awhile he showed a true emotion.

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So very hard. But don’t forget to keep on living beyond the illness! Both of you! Take the time to bring the jokes, humor, cartoons, current events into both your lives. Funny videos on youtube. Read him the newspaper. Have “normal” discussions as much as possible. Gossip about the neighbors, talk politics (if that’s your thing), new movies (watch some). Do crosswords together.

Taking care of someone can become a total blur. All your mind is doing is trying to figure out the next step and how to jump that next hurdle. You’re running interference continually between family, medical stuff, and just keeping personal life going. It can be overwhelming. And can build resentment and anger pretty fast as you get worn down. But both of you are emotional beings first and to deny the fun side of yourselves is a disservice to both of you. So take anytime you can to have a laugh. A laugh is worth a whole lot of deep breaths.

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Wondering if hospice would, in fact, be helpful. Usually two nurse visits, aide every morning, social worker, chaplain and volunteer if desired. As you probably know you don’t have to be at death’s door and hospice improves quality of life for many. My mother was on it three times, for months each time. May not be a fit for you right now, but just wanted to mention that services are available without severe decline.

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I am pretty sure one can not receive treatment for cancer and be on hospice. He is still receiving oral chemo as well as another treatment option. I could be wrong, but that is my understanding.

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I am aware. Please note my last sentence :slight_smile:

Second the idea of accessing hospice. He can continue meds and treatments for issues not related to the hospice diagnosis. If he still is having treatment then palliative care can help.

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