Tuesday, March 17, 2020

Caring for the Caregiver

The relationship between an elderly person and his or her caregiver is complex and intense sometimes.  But that relationship does not exist in a vacuum.  There are a lot of people affected by what is going on when that caregiver goes to that senior citizen's apartment and give to him or her that one on one attention that is so necessary. 

For one thing, the caregiver’s friends, family and coworkers are affected.  Becoming the primary person responsible for the care and well being of a senior citizen is a peculiar job because it is tremendously demanding and completely unpaid.  Caregivers are for the most part children or close relatives of the senior citizen being cared for and they have jobs, families and a full life outside of the time they put in taking care of their parents or parents.

So when that responsibility falls to you, those around you also have to give a little to help you accomplish that goal.  But for those who are related to a caregiver, there is a demand for you as well.  If mom has to go over to Grandpa’s apartment every night for two or three hours, that means mom isn’t home helping you with your homework, making supper or just being available if her little girl needs someone to talk to.

If dad is gone thirty or forty hours a week taking care of Grandpa, that is time he is not home providing guidance for his kids, fixing the garbage disposal or making those corny but fun jokes the kids groan about but love.  Similarly, friends and the working world of a caregiver are also asked to give up a little or a lot of the mind, the emotions and the time of that caregiver so he or she can go and care for that elderly parent and divert that energy and time in that direction.

For those of us who have a caregiver in our family or part of our social or work circle, in addition to the sacrifices, you can become concerned for your friend or loved one because of the demands of caring for a senior citizen.  It’s a job that is taxing to even the strongest adult and one that takes a lot out of your friend or family member.  Caregiver burn out is a common syndrome and it doesn’t just affect the caregiver.  If your parent, spouse, coworker or friend undergoes a break down from the stress of caring for her mom or dad, that will have an impact on everyone.

So there is a compelling need for all of us associated with a caregiver to learn to care for that caregiver to help her and support her in what she is doing. Some specific things you can do are…

§  Let them know you believe in what they are doing.  Caregivers often feel very alone and guilty that they are not attending to family and other relationships.  By letting her know you are 100% behind what she is doing and that you are doing fine, that guilt is removed which makes her know she can make it.
§  Let her know she is missed. 
§  Pick up the slack.  Each evening if dad and the kids can pick up the house, then mom can get some sleep and know that you are taking care of business at home so she doesn’t have to worry about it.
§  Let mom sleep in.  Maybe even bring her breakfast in bed every so often.
§  Pitch in.  Go over and help grandma out yourself so it’s not all on mom.
§  An unexpected surprise. Every so often do something to surprise and totally delight mom and give her a fun break from her worries of caregiving.  A movie out or a limo ride around town can go a long way for a weary caregiver.

If the spouse, the children and friends and associates of the coworker can keep and eye on her to look out for those signs of burn out, it may be our responsibility to jump in and give her some support before everything falls apart.  By caring for the caregiver, she is better able to give attention to that senior citizen she is caring for.  So in a way we are all becoming part of the effort to give the caregiver’s mom or dad the best care possible.  And that is what community is all about.


Monday, March 16, 2020

A Stressful Job


This is a stressful time worldwide and It’s an understatement that being a caregiver for an elderly loved one is stressful and more stressful during this Pandemic. And in general, by the time you accept that you are in the role of “primary caregiver”, the need to help your elderly parents is already advanced.  So, you usually have some “catch up work” to do so you can establish some controls over your ageing parent’s medical situation, finances and lifestyle.

But the one person that can do the most to deal with the stress of being a caregiver is you, the caregiver.  You have to see taking care of yourself as much a part of the job of taking care of your parents as any of the other duties you do.  You are a huge resource to your mom or dad so tackle the care of that resource for their sake.  If you do, not only will you be a better caregiver, you will live happier and continue taking good care of your family and other responsibilities as well.  And that’s a healthy approach to caregiving and the only approach that will work if the job goes on for a long time. Vancouver Health Authority suggests that there are some things you can do to support the well-being of yourself and others during this time:

Take care of your body! Take deep breaths, stretch or meditate. Continue to eat healthy, well-balanced meals, exercise regularly and get plenty of sleep.

Avoid excessive exposure to social media or sensational coverage. While being informed is important, it can be detrimental to your mental health to constantly take in stressful information. Consider ways to find balance with activities you normally enjoy.

Stay connected with loved ones and continue to maintain healthy relationships.
Fear and anxiety about a disease may feel overwhelming at times. By trusting the facts, sticking with the latest protocols, looking out for one another, and practicing good mental health habits, we can protect ourselves and our communities.

Sunday, March 15, 2020

As I get older I realize that

1. I talk to myself because sometimes I need expert advice.

2. Sometimes I roll my eyes out loud.

3. I don‘! need anger management. I need people to stop
pissing me off.

4. My people skills are just fine. It's my tolerance of idiots that
needs work.

5. The biggest lie I tell myself is "I don't need to write that down. I'll remember it."

6. When I was a child I thought nap time was punishment.
Now it's like a mini-vacation.

7. The day the world runs out of wine is just too terrible to think about

3. Even duct tape can't fix stupid. but it can muffie the sound.

9. Wouldn't it be great if we could put ourselves in the dryer for ten minutes: come out wrinkle-free and three sizes smaller?

10. "Getting Lucky" means walking into a room and remembering why I'm there.

Friday, March 13, 2020

Coronavirus--where do I get good information?

My friend Sylvia said this the other day when we were talking and I think it is something we need to consider as we make a decision about things being normal. The biggest challenge for me is that while I feel just fine, I cannot in good faith guarantee that I have not been in contact with someone who is carrying the disease and is also, at the moment, feeling fine. This is not like inadvertently giving someone your cold that has not yet manifested itself. With an elderly person, such passing on could be a death sentence or, at the very least, a serious illness.

I cannot in all good conscience take that chance with any group of people, let alone a group that we have been told again and again are in the most vulnerable category. We, are in that category and have been cautioned to particularly watch out and try our level best not to catch this virus.

So, not only could I inadvertently give the virus to someone if I am out and about acting normally, they could do the same to me, both of us without knowing we had done so till weeks later. I am not prepared to live with that knowledge in order to do something that is not a life-critical event. How about you, what changes are you making during this emergency?

The next question is where do you get accurate information about this virus as part of your Emergency Preparedness? We have some links that may help you get the information you need to protect yourself and your loved ones.
The links below start from the World Health Organization and then go to my country, my province and my city. Each area has their own information so I would encourage you to start with the World Health Organization link which is here https://www.who.int/emergencies/diseases/novel-coronavirus-2019 and then drill down using their site to find out more about what your country is doing.

For the latest on what Canada is doing about the virus follow the links below:

The Public Health Agency of Canada empowers Canadians to improve their health. In partnership with others, its activities focus on preventing disease and injuries, promoting good physical and mental health, and providing information to support informed decision making. It values scientific excellence and provides national leadership in response to public health threats. For the latest information on the Coronavirus in Canada go to the links below.
Current cases, the risk to Canadians, monitoring, news and updates
Countries with travel notices, safety abroad, planning a cruise, returning travellers
Planning, prescriptions, essentials, caring for those who are ill, communication
Symptoms, diagnosis, treatment, about coronaviruses
How it spreads, prevention, risks of getting coronavirus

Airports, assisted departures, collaboration with provinces and territories

For the latest on what British Columbia is doing about the virus follow the links below:

To support BC’s health care providers, this web resource (BC Ministry of Health current health issues) has been established to provide a centralized, current, and evidence-based source of current information about the emerging health issues in BC.
Novel Coronavirus (COVID-19)

This information is updated almost every day, it is from the Vancouver Coastal Health Authority
A new coronavirus is the cause of an outbreak of respiratory infections, now known as COVID-19. The number of cases worldwide is changing quickly. B.C. has confirmed cases of coronavirus; however, the risk to Canadians continue to be low. 
What you need to know
Risk: The risk of coronavirus disease transmission continues to remain low for residents of British Columbia. People without symptoms do not pose a risk.
Prevention: Proper hand washing, covering your mouth and nose, when coughing or sneezing and staying home when you’re sick, is the best protection.
Symptoms: Reported signs and symptoms include: fever, coughing, difficulty breathing, and/or pneumonia in both lungs.
Experiencing symptoms: If you think you have the symptoms of coronavirus disease, please stay at home and call 8-1-1.
Returning from travel in Hubei province (including Wuhan city) in China or Iran: If you have returned from these areas, monitor for symptoms and avoid contact with others for 14 days after leaving those areas.
Returning from any travel: Travellers returning from other parts of the world are not asked to self-isolate but should monitor themselves for symptoms. If you have been travelling and you become ill or become ill after you return home, tell your health care provider about recent travel and your symptoms. You should also tell your provider if you had close contact with a sick person or had another high-risk exposure such as direct contact with animals. 
Health questions: If you have health concerns, call
HealthLink BC at 8-1-1.

Fraser Health Authorities web page on the virus is here
At Fraser Health, the health and safety of our residents and staff are our top priority.
We are working closely with Fraser Health sites and programs, the BC Centre for Disease Control, and the Public Health Agency of Canada to respond to the evolving novel coronavirus situation. 
The critical steps to ensure the safety of our employees and the people we serve at Fraser Health include early identification of cases, prompt isolation, testing and monitoring, and executing proper infection, prevention and control practices within facilities.
In addition to keeping you informed via this Q&A, we have organizational structures, plans and processes in place to address and monitor emerging issues like this one.
Information for Fraser Health-area residents about the novel coronavirus (named COVID-19)
Information to help support you as a Fraser Health employee, volunteer and patient partner.
A new coronavirus is the cause of an outbreak of respiratory infections, now known as COVID-19. The number of cases worldwide is changing quickly. B.C. has confirmed cases of coronavirus; however, the risk to Canadians continue to be low.

The City of Port Coquitlam has information on the City’s webpage and they did put out a press release, which I missed. The webpage can also be accessed here: https://www.portcoquitlam.ca/city-services/community-safety/emergency-preparedness/covid19/ The web site has some good links and has the following information that is useful to know: (The following is from our webpage)

What Port Coquitlam is Doing
The city is committed to providing a clean and safe environment for all our facility users. To further prevent the spread of viruses, it has measures in place for daily cleaning and has increased cleaning of public touchpoints in city facilities.
The city also has emergency plans and processes in place if the risk increases.
The city is also advising staff and facility users to follow proper hygiene etiquette as directed by local health authorities. This includes:
Regularly and thoroughly washing hands with soap and water (use hand sanitizer if soap and water are not available),
Avoid touching your face,
Not coughing in your hands,
Discarding tissues into a waste container,
Using cleaning supplies provided to wipe down fitness equipment before and after use, and
Not attending public facilities, events or gatherings if you are sick.
For all health-related concerns, the public is advised to call 811 or contact their health-care provider or local public health office.