Spousal Caregiver

I realize you said that you are not one of the “support group” kind - and that’s precisely how I would describe myself. I prefer to take care of matters as much as humanly possibly, allow myself to feel sad/upset at times, but am completely adverse to dwelling on my misery with others.

Still… let me just observe, how much “spilling it all” can and does help (just look at what how detailed you’ve written here, to strangers). And while you do have the support of friends and family, their natural reactions might be to try to analyze and fix – they don’t primarily think of you as (almost) the other “patient”, who has distinct needs, frustrations and limits that are not centered around your husband.

Support groups don’t have to be a “whining circle” that many might think they are. They can truly be a big help in giving you the strength to keep going, because these might be people who have “been there”; as a result many things will not just be “heard” but actually be understood (sometimes before they are ever said.)

I’m not suggesting you could really afford or even see yourself to “slack”, but it’s okay to put yourself first occasionally – and a group might encourage you to set time aside on a regular basis.

Hugs!

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I haven’t had this experience myself, but H’s cousin’s wife has been caring for the cousin for over a year since a traumatic heart transplant where just about everything that could go wrong has. I won’t meander with details, but he has turned into an active man with a possible mortal heart issue, to someone who’s heart is doing okay now, but nothing else is–coma for weeks, kidneys failed–will need another transplant for this, severe gastro issues, bone infections, and many many other traumatic issues.

Cousin’s wife has been the caregiver, coordinator of care, driver to literally scores of different specialists, therapy, dialysis, and everything else. Because his problems are so complex and contradictory, she seems to spend much of her time just figuring out what the path forward should be each day. She does get family help, but OTOH, MIL just moved in with them and she’s taking care of her now, too.

I’m leading here to what seems to help her more than anything else (besides that she is very religious)–writing. She journals whenever she can about what is going on, how he’s doing, what the latest emergencies are, what the good moments are, etc. She started a private FB group where she posts her writing. It seems to really help her to put her thoughts into words, and she lets that be how friends and family can know what is going on with Cousin. So she doesn’t have to rely on who’s telling who.

The communicating to everyone is helpful, but what most seems best about it is how just getting her experiences into words seems to help her. Just a thought (as a writer, I always think it’s a useful exercise, of course!) Sending hugs and very best wishes to you and your H.

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@DigitalDad, well put! Still not sure I would attend a physical group, but I might. Truth be known, over the past 20+ years, and I can’t believe it has been that long, CC has been the most helpful to me for any and all issues. I might not always agree to what everyone writes, but I take it all in, and for that I am grateful. This is why I finally posted after waiting for over a 2 months.

I believe I mentioned above that my husband has always been the emotional, loving one; we joke I have a heart of stone, so can take on the world without batting an eye. If I cry, other than sappy shows and commercials (I am talking to you Publix,) you know something is really wrong with me! :unamused:

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As long you’re comfortable - there is no limit to the understanding and acceptance you’ll find here. However informal and impersonal this setting might be, “we” can play that role to whatever degree you need right now.

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These last two posts! CC and writing!
I think garland is onto something. I think Latetoschool and Sunshineeast shared their writings here as a way to gain support and save their public face.
We are here for you, snowball, write away!

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I like this advice. One of my regrets from my time with my mom when she was dealing with health challenges is that I spent so much time trying to deal with the situation that I didn’t spend enough time just enjoying her. There were so many limitations, but I could have brought her a milkshake (she loved them), read her the book she couldn’t focus on enough to finish, gossiped about family. I did learn from that and tried to remember it when I went through tough times with my dad, brother and FIL.

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I am not going through any sort of what you are @snowball and you have my best wishes.

I have had a few health challenges with my husband and a cancer diagnosis and treatment for my 32 year old daughter.

My mil who is normally a wonderful caring loving person, has a lot of trauma as her mother, her sister and my mil’s niece passed away of female cancer at 37. It’s been difficult because my mil tries as much as she can but there is still all this stuff she can’t get control of.

She’s better with my husband’s health issues but the daughter’s has been more difficult.

If your sil has lost her mother at a young age and now her brother is going through his own health problems, she might have some trauma that she isn’t coping with. Doesn’t make it better but sometimes it helps to acknowledge and accept that she can’t be that person who is supportive or helpful.

Maybe one of your kids or another relative can be a buffer between you and her. My person is my husband but that is obviously not a solution for you.

I can relate to the calls that aren’t helpful and are full of her own anxiety. It feels very overwhelming.

I think this thread is a blessing. So much tenderness here.

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Rest assured - your feelings are valid and completely reasonable. You are the only one who’s actually “living” it. And no matter how many well-meant “I can only imagine’s” you get from people - of course, they can’t possibly.

When I have to deal with that, it helps me (upon reflecting on it later in the day), to remind myself that, despite them being terribly ignorant, and acting it – objectively their concerns are genuine, and questions valid; in spite the fact, that I (nor anyone) can’t have answers.

That helps me to react/respond without escalating the situation, and not take it as a personal affront.

Maybe there are some questions where you can redirect by stating the obvious:
“I’m sorry, for the moment it’s important that I stay focused on the immediate and best care, from moment to moment, day-by-day, to avoid being overwhelmed or missing a step.
If you want to help with that question/topic/matter, I won’t be offended if you want to look into that and let me know what you find out.”

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My sister just went through this with her bed bound daughter with MS who was 42. She recently passed. She was her caretaker during covid and the agency actually employed her since no one else would come out. She had to spoon feed her meals and change catheters and change her multiple times a day. Using a hoyer lift to bring her to the bath to clean her.

She did it herself and it wore on her. But honestly she never really complained. She would of taken the help but it wasn’t available. My other sister tried to help.

So, get and take help from whomever you can. Lots of people say “How can I help” almost meaninglessly. Tell them how they can help. Impose on your children, neighbors, family and friends. It takes a village, right?

Also, give yourself some grace. Your doing the best you can. There are agencies out there that can help. Whether religious or medical find who those are and take advantage of every resource you can.

I am keeping you in my thoughts.

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I’m so very sorry you are dealing with this and hope your H gets as strong as possible at rehab. I agree that if you can figure out how to let others help, that would be ideal. Having a schedule when others are willing to watch for 2 hours at a time so you can have some time for yourself once he gets back home would be a start.

Figuring out what things you would like and need help with would also be great so when people ask how they can help you have specific tasks that they can help with.

Please take good care of yourself. Talk with your insurer about possible resources available. In home PT was helpful to our family with my mom.

Dear @snowball

Like the rest of our community I empathize with everything you’re dealing with in your current situation and send you prayers and best wishes.

While I haven’t experienced caretaking for a spouse, I was the primary caregiver for my parents for the last 9 years (up until my mom’s passing last month). I am writing to you because your story touched me and I hope to help in some small way.

You have received great advice. I hope you don’t mind if I share what I found helpful as I navigated rehab, hospitalizations and day-to-day care. This may end up being a very long rambling post, but please forgive me. I have good intentions.

You don’t need to hear my long story so I’ll try to condense my thoughts.

Caregiving for a loved one is so stressful. I suggest adopting patterns of behavior to reduce some of the stress. I realize some things that worked for me, may not work for you, but I recommend:

  1. lots of lists…with consideration of proactive measures and

  2. a calendar planner to record “stuff”. It’s amazing how memory is affected by stress. I would take a quick photo of the whiteboard at the hospital and rehab to keep track of nurse and therapist names. Then later I’d write the names down along with important information in the planner. I also would note when doctors visited, their name and bullet points of the visit, highlighting action I needed to take so I wouldn’t forget.

Also your husband may find having his own 8x11 monthly calendar useful. Days in rehab can feel a little disorienting. Days of the week become blurred. Visualizing and crossing off days helped to mark time, record achievements and approaching goals.

In my opinion a written list helps organize one’s thoughts and declutters the mind. As you check things off the lists it gives you a semblance of control and accomplishment as you check them off. When creating the lists try to remember to address emotional needs as well as physical needs.

I’d start with the “have to” list which would include things like pay the bills, maintaining the house/yard/shopping/etc. Delegate where possible. Adult children often want to contribute in some way and sharing a list of ideas where assistance would be appreciated can be helpful. They can pick what works for them. Don’t try to do everything!

(Quick note: I remember having to make quick shopping trips for things. I didn’t want to impose on anyone and I figured I could always do it during my “free time”. In hindsight I think that was a mistake. I would’ve benefited from having someone be my go-to once a week or possible short notice shopper.)

Then there’s the proactive list, which is hard because it sometimes feels like conceding to negative expectations. For us, most things did come in handy. If they are never needed, they can be returned or donated…the shopper should definitely keep receipts and note the return policies. Items we purchased include a tray table, a shower chair and a portable toilet seat with handles that goes over the toilet (no screws) but can also be freestanding with a below seat bucket.

You mentioned diapers so I’ll mention Costco sells these which can help protect the mattress and linens.

https://www.costco.com/kirkland-signature-extra-large-absorbent-pads%2C-30-in-l-x-23-in-w%2C-100-count.product.100229990.html

One list that might be good to give structure to the day is a (rough) daily schedule. At the end of the day it can provide closure and can serve as an introduction setting up expectations for the next day…hey, it’s the teacher in me. Lol.

Your husband can give input to the list, giving him a sense of control over his schedule. For instance Morning: get dressed, breakfast, brush teeth/hygiene, physical therapy, outdoor time, meditation/relaxation Afternoon:(tbd) Evening:(tbd)
You learn what the loved one likes and dislikes.
Dressing reminds me that I bought easy slip on indoor shoes and easy to put on and off clothing.

Btw putting a list or directions in plain sight can be helpful. I used painters tape to hang them on walls, mirrors, etc.

Also video taping important stuff that you communicate to your husband may come in handy. I avoided confrontation numerous times with my mom when she insisted I hadn’t told her something. All I had to do was whip out my phone and show her the time stamped video. Just a thought.

Lastly, I’ll share my mantra as a caregiver to my mom. I said the bold part over and over.

You’re doing the best you can (in your current condition). I’m doing the best I can (under these conditions). We’re not going to be perfect but we’re a team. We’re going to face this together. It won’t be easy because we don’t have the experience. But we will learn together. We will have to make sacrifices, compromise and be better communicators as we navigate this uncharted territory. We have to play this hand we’ve been dealt…and most importantly, everything we do, we do it out of love.

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I am in California.

We are a state that provides IHSS -In Home Support Services.
I often referred my patient’s families to this program and did this as a part of my job in rehab speech/language services. (I also referred to CCS (California Children’s Services) which did the similar services on the pediatric level.)

Does your state have a similar program? It works well. If he’s over 65, he can access the eldercare network through your county and ask for a referral to the same program.

What this program does is provide in-home health care and support for your husband. My Dad had these services (3 days a week from IHSS and 2 days a week from his VA services-you are allowed to combine program services depending on the level of care). You will also receive desperately needed respite care for YOUR SANITY. In our county, it is on a sliding fee scale and is generally not need-based.

You will be given a network of providers who specifically do home health care. If your husband qualifies for care, as noted by his physicians, in any area like: meals, family counseling, physical and occupational therapy, driving to appointments, etc. then, you can submit your state’s paperwork to your family physician. He fills it out and services are generally started within a couple of weeks. (The rehab service personnel will receive referrals from your hospital/medical group, per the State’s support.)

You/your family will contact caregivers, in your area to interview, and see if your husband, you, and the provider are a match. Or, you get paid to be the caregiver and submit paperwork to become his in-home support and earn a wage while caring for him. Subs will come in when you need to have time, as “respite” care while you take care of your needs (groceries, shopping, hair appts, dental appts. your physicians appts, etc.). The program monitors your rehab care providers (OT, PT, SPEECH, Couns.)
It is an exceptional program and there are some kinks, but for the most part, people receive the services, that keep them out of the hospitals, with those enormous fees.

Most people don’t access IHSS because they don’t know about it, but it is a service provided by the State and County. Every state is different, but you need to ask.
In Home Supportive Services

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Might help to know what state posters are in when needing help. The benefits do vary a lot and people in your state could point you in the best direction.

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I am nowhere near as wise as some people who have already posted, but my advice is to ask for help with the little things that you may feel like you “should” do for yourself, but would be easy for someone else to do.
Taking trash or recycling to the trash room or curb, for example. If you leave it at your door someone else can take it.
If you place a grocery order on-line, someone else can easily pick it up for you.
Remember, it makes other people feel good to be able to help.

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This times a thousand. My dad’s neighbor would just ask what he needed from the grocery store when she was going and pick it up for him (he just paid her back). Brought his mail and newspaper up to the garage. The garbage men would actually come up to the house and collect his garbage can for him so he didn’t have to wheel it to the curb. So many little things made a huge difference.

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Small deeds can mean so much.

Kudos to Dad’s neighbor (who he did not know) noticing that he was in his 90s and having a hard time pulling full garbage can uphill on his long driveway. He walked over, introduced himself saying something like - “I notice that you struggled a bit with that… would it be OK if I brought your trash can up to the street each Tuesday night?”.

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Just coming to vent, although I am reading everything each of you post. After a good day at rehab yesterday, my husband has been exhausted today. I don’t think he got much out of his therapy session, although he did try with each one; currently taking his second nap today as he says he is so tired. BP has been low, so they dropped one of his BP meds that he was given when in the hospital last month when he had high readings for the first time every. Seems every time a new medication is added, it causes another problem. Not sure if the tiredness is from hard work yesterday, radiation and chemo catching up to him, the tumor, BP, or some and all of the above. He also vocalized over the weekend that he doesn’t want to be like this and had a much needed pity party. He seemed better after we talked (well I talked, maybe he listened.)

SIL calls while he is sleeping, so I text her back to say I can’t talk as I am in the room with him; I am under the blanket in the recliner! When I tell her he is exhausted after a good day of therapy yesterday, she wants to know what I mean; has he made progress? SIL, you were just here Sunday and saw him, it is going to be baby steps, if anything, as he has been in a bed for 7 weeks. She wanted better news; sorry I wasn’t able to provide it.

I know she loves him and wants him to make a miraculous recovery; if I could twinkle my nose I would make it happen. For some reason, these “caring” comment and questions upset me. I can not be there for her; I need her to be here for me, although I have my close friends for that.

End of rant and my own pity party.

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@snowball - sending you hugs. Please know that so many of us care about you.

No advice as I have not been through this. But please feel free to vent here.

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This. “Taking care” of people who want to know what’s going on and want to hear only good news can be exhausting.

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