Tag Archives: Aging

It’s never too early, but it can suddenly become too late

After a trip to Minnesota to see family and friends in need of care, I am reminded of the importance of telling others what you want. It’s hard to imagine NOT being able to speak for oneself, but I’ve witnessed a sister and a friend struggle to do just that.

This blog, albeit a bit longer than normal, appeared as an article in Girlfriend’s Magazine earlier this year. Read, enjoy, and then put your wishes to paper:

I had an exchange student from Norway in 2010-11. Henrik and I hit it off immediately. When he asked why I had chosen to have an exchange student, I jokingly replied, “I’m grooming you to take care of me if that day comes.”

Of course I was kidding with Henrik, but sharing my wishes has never been a joke. My Health Care Directive provides a good, basic overview, but like an excellent meal, I want my care team to pay special attention to ingredients that are unique to my tastes. If you find it challenging to write down your potential needs, may I recommend writing a letter? I think of letter writing as creating a recipe book for my care. The following is just one example of what such a letter can contain.

Dear Henrik,

You asked that I let you know how to take care of your “host mamma,” because, after all, you will be one of my caregivers. (You do remember that we made a pinky-swear about this, right?) Ideally I will hold on to my faculties and you won’t need any of the information contained in these letters. But if the day comes when I need you to care for me, these letters will provide insight. (Of course I expect you to train the others on my care team.)

We had tons of fun when you lived with me. We sailed into the wee hours and slept until 10 on Saturdays. You know I love active, full days, but I’ve also grown to cherish my quieter days. Some days will even be sad. Let me have those times, mixed with spells of uproarious laughter and spontaneous kitchen dancing. I like to process my feeling and alone time is important. However, if I’m alone for more than three days, it’s time to get me out (or bring people in).

I may complain when you tell me you’re taking me out, but please persist. If I remain disconnected from others for too long, my depression can easily pull me into a very dark place. Take me to a coffee shop. We can talk, read, or simply people watch. Take me to a bookstore, even if you don’t think I can read. Let me wonder and sit amongst the books. Take me to a movie or on a drive with a stop for ice cream and people watching.

If you invite friends for dinner, don’t get so caught up in the conversation and forget about me. I could easily get lost in the rapid-fire conversations if I have dementia. Include me by simply putting your arm around me. Nod and say, “Isn’t that right, Kari.” It will be your job to help me feel connected, even if I’m not contributing. Don’t worry if I can no longer form sentences. If I’m smiling, then I’m enjoying myself.

This letter writing is a two-way street, Henrik. If you have specific questions or wonder about a specific ingredient in my overall care, please ask. And remember, you’re not to do this all by yourself. You must also take care of you.

Love you!

Your host mamma

Family drama played out as adults

Siblings Spring 2017My siblings and I are together for a week. It’s a great big mix of fun and confusion. It’s as if we’re back at the dining room table in our childhood home, resuming the roles we played as children. Unresolved family issues simmer just below the laughter, ready to take center stage when the joking subsides.

I have always felt like the black sheep with my siblings but during this trip, I’ve learned that we each, in our own way, feel like “the odd one out.”

It’s not easy to come together as adults and deal with emotions that accompany diseases, aging or family caregiving. For many of us, navigating the rough waters of our childhood was challenging enough. I’ve worked through a lot of my childhood trauma, but still find it difficult to hold on to this new-found strength when in the company of my family of origin.

Our families are the first hierarchical institution we experience, the place where we feel most connected, but sometimes also where we feel most limited. Think about dinner times—where you sat and how you interacted with your family. That scene is recreated when we come together as adults to deal with heavy-duty life issues, oftentimes without the benefit of training. We simply use the limited skills we gained as children and clumsily apply them to adult situations.

I have leaned on the SANE Method™ once again, feeling supported by asking a friend to lunch, feeling appreciated by making time for walks in the woods, letting go of guilt by reminding myself that I’m doing enough, and feeling energized through getting enough rest. We can’t always have easy times with our families of origin, but we can have sanity, and that is in your hands.

Lost in a crowd of familiar faces

My dear friend Sylvia, who suffered from Alzheimer’s disease, was very agitated when I visited her at the nursing home. She was sitting in her wheelchair, banging it against the nurse’s medication cart. As I approached her I heard the nurse address her like this, “Sylvia you’re missing a shoe.” That meant nothing to Sylvia.

Later on, my dad tried to tell my friend, “This is where you can set your water glass.” Sylvia looked blankly at him and held on to her glass.

loneliness in a crowd copyEven though my dad felt that he was clear in his explanation, at a certain stage of Alzheimer’s disease sufferers can no longer follow simple instructions. We also can’t expect them to take part in or to understand our conversations, especially in large groups.

Part of what I do through my speaking engagements is help people understand what it’s like to be with familiar faces, but still feel totally lost in everyday conversation.

The closest I have been to understanding how Alzheimer’s disease can impede communication was when I was on a semester abroad in Norway. I remember one such time where I was the one completely adrift in a crowd.

A friend invited me to a party where I met a number of his friends. My Norwegian language skills were good, but nowhere near good enough to keep up with the rapid-fire conversations that were happening all around me. I felt lost, confused and totally exhausted by the end of the evening.

To top it off, I took the wrong bus to get back to where I was staying. When I finally arrived at my apartment, I was in tears. My roommate greeted me with, “We’re only going to speak English and tomorrow I’m taking you to the American Lutheran Church.” That’s how she helped me regain my footing and feel connected again.

I offer three ways to help you stay connected with a loved one who has Alzheimer’s disease and struggles to communicate:

  • Connect with your eyes—stand or sit at the same level with your loved one and look them in the eyes. Look at them when you’re talking to others, even if they aren’t able to contribute. Let them know that you see them and that they are included.
  • Slow WAY down—speak clearly and in short phrases. Allow pauses in your sentences and space for them to respond. Their response may come out in “word salad,” but nod and acknowledge them; don’t correct them. If they have lost most of their ability to speak, refrain from asking them questions that require complex responses.
  • Use touch—if they can’t form sentences, include them in the conversation by holding their hand or sitting close to them.

If you’re able to shift how you interact with a loved one suffering with Alzheimer’s disease, you also take care of yourself. You stay SANE* in a challenging caregiving world.

*Supported, Appreciated, Not Guilty and Energized, explained in my new edition of The Unexpected Caregiver

It’s time to have The Conversation with Mom and Dad

It was probably one of the most important and treasured conversations I’ve had with my in-laws. Granted, my husband’s parents are pretty special people. They read three newspapers a day, several books each month and discuss world events. They tackle health issues head on and look for solutions and support, rather than dwell on any setbacks.

On our last visit, they sat down with my husband, John, and me, and read aloud each of the points in their Advanced Healthcare Directive. Both John and I have worked in senior housing and have professional experience helping families come to grips with end of life care. I’ve filled out my own health care directive, talked about end of life on my radio show and during presentations, and have been a part of my own dad’s planning process. But we’re older now and our parents are older. It is highly likely that any of our four parents will eventually utilize a health care directive.

two people talkingI can’t lie: It’s not necessarily an easy process, but it is profoundly rewarding. If we hadn’t read through my in-laws wishes, we would have missed several crucial details. Among these is that they do not want Hospice to come into their home. They would prefer to move into a Hospice facility. John and I thought for sure they would want to die in their home, but they have their reasons for not wanting this and now their wishes are quite clear. We know very specifically what care they want in the later stages of their lives.

Yes, we’re talking about end of life when filling out an advanced healthcare directive. But we’re also looking at how we want to be cared for while we’re still living. If you haven’t yet broached the topic with your parents, give it a try. Use my example. If they don’t want to discuss end of life issues, let it go, but try again another day. And while you’re waiting, fill out your own directive. You may just gain rich insights into how you really want to live.

Beating depression by being both busy and engaged

When I have too much down time between projects, I can easily spend more time sleeping or surfing Netflix than is good for me. I get stuck. My depression blooms when I am not engaged in IMG_2826 - Version 2meaningful activities. I lean on my SANE Method*, knowing that the first word, Supported, is crucial to moving through a tough period. I have a circle of safe and positive friends on whom I can call.

I also understand the importance of being busy. I don’t usually subscribe to “busyness for busyness sake,” but at times there is value in simply getting out and doing something—anything. This won’t sustain me in the long run, but it works to move me through to meaningful activities.

Family caregivers can easily fall into variations of a similar trap: thinking that the appearance of their parents being busy trumps the actuality of being involved in an activity that’s engaging and meaningful to them, or thinking that — like some impromptu cruise directors on the Good Ship Getting Older — it’s somehow now up to the children to constantly be planning activities for mom and dad.

Don’t get me wrong. There’s plenty of value, mental and physical, in spending time with your parents to help them stay active and busy. But I believe it’s the “slow times” and the hours when your folks are on their own, pursuing their own interests in their own ways, that provide the greatest payoffs for their emotional and bodily health.

Just as is true with yourself, the goal is to help your parents get into things they will find enjoyable over the longer term — including activities they might do solo and under their own direction — because those are the ones they’ll do regularly and sustain by themselves.

If you notice your parents isolating themselves more and more, try opening a conversation about what brings meaning to their lives. And ask them how you can support them. Your support — whether is be simply listening to them or assisting them with ideas — can be one of the single most important things you do for your parents.

*Supported, Appreciated, Not guilty and Energized.

 

 

 

 

Four tips to laughing with your folks

I love being with my dad when he watches any of Peter Sellers’ Pink Panther movies. He literally cries uncontrollably and I end up cracking up just watching him. Laughter often comes spontaneously, but there are some days when I have to purposefully seek out fun. Busy caregivers can easily get buried in all the tasks of giving care. “I don’t have time to goof off,” I had one family caregiver tell me. I hear you and I understand that there are many moments in life that feel nearly joyless.

So how do we bring back the fun? How do you play, goof off, act silly during a day? I am fortunate that the man I married is never without a joke—however screwy. And even though most of his puns and word plays are “groaners,” I laugh (as do his daughters; one Mallory and Johnof them seen in the picture,  being silly with dad). It’s good for our emotional health to laugh and it certainly lifts our moods, but that’s not the only benefit.

If we constantly work, work, work, without relief, then our brains — and our bodies — begin failing us. Want an upside? Playing actually helps us get things done. Think about times you’ve struggled to complete a task, becoming more and more frustrated with yourself. Then someone does something funny, you laugh — and suddenly the task is not so difficult. When we shift our thoughts and do something out of the ordinary, our brains are refreshed and begin humming along again. Our bodies benefit, too. It’s been said that when we laugh, we release endorphins — the brain’s feel-good chemicals. Some researchers also contend that as well as lowering blood pressure, laughter increases oxygen in the blood, which encourages healing. Whether or not that’s true, I’ve found that a good laugh is worth its weight in gold.

When it comes to spending time with your parents (something your parents crave and you may dread), nothing says you can’t spend your time together playing. If you’re constantly checking your phone when you’re with your parents, or fidgeting trying to find something else to chatter about while wondering how soon you can beat a hasty retreat, odds are you really need to play.

Try these four tips:

  1. Watch a funny movie together (Dirty, Rotten Scoundrels is one of my favorites)
  2. Put on music from their era and dance (Nothing beats 50s dance music with my dad!)
  3. Reading aloud from a favorite joke book (I’m a sucker for Garrison Keillor’s Pretty Good Joke Book)
  4. Retell funny family stories (Like the time my then little brother Dave had to “relieve himself” on a car trip. Dad pulled the car off the highway, only to have Dave face the car, spraying the front fenders, causing my dad drive in reverse down the highway shoulder!)

Caregiving means taking care of some tough issues. Don’t let it consume you. Give yourself permission to laugh and include some fun time! You can find many more tips in my updated edition of The Unexpected Caregiver. And please, share your tips with me.

Feeling Appreciated…even during the holidays

If you ask some of my friends and family, they may tell you that I don’t like Christmas. That’s not true. What is true is that I’ve often felt let down at Christmas. Not because of the holiday itself, but, well, because it’s also my birthday. Celebrating my birthday always seems to be squeezed in between driving to the relatives and opening presents. Probably one of the most painful happy-birthday-christmas-bulbmemories I have is overhearing my grandma say to my sister, “Oh, I forgot Kari’s birthday. Grab a present from under the tree and we’ll put ‘Happy Birthday’ on it.”

When I started working on S.A.N.E.™ (Supported, Appreciated, Not Guilty and Energized) for family caregivers, I looked at aspects of my life outside of caregiving that would also benefit from my SANE Method™—Today I’m asking myself, “What can I appreciate about being born on Christmas Day?” Instead of expecting others to create a “happy day” for me, now I think of SANE™ and realize that feeling Appreciated is my responsibility.

How freeing it is to let go of expectations! Rather than planning my reaction to what doesn’t happen, I plan parts of the day and allow other parts to simply flow. Among other things, I appreciate that I’ve started a new tradition of birthday breakfast. French toast, bacon, coffee, and on the occasional year, a mimosa. It is that simple.

I came into this world at dinnertime on a cold Christmas Day and I took my time. Maybe that’s why it has taken me a while to learn how I can feel Appreciated on my own, from within. On this holiday season, I wish for you to find ways to Appreciate all that you do to create light in the dark winter. Know that feeling loved and Appreciated comes from within first, before it can be shared.

OMG it’s the holidays—Five tips to stay S.A.N.E.

Shamed to eat seconds and thirds of the turkey dinner, loud conversations about uncomfortable topics, menfolk sleeping in the assorted Lazy Boy chairs while womenfolk did the dishes. That about sums up my childhood Thanksgiving tradition. We didn’t dare do anything different lest we offend someone. But times have changed.

Family caregivers tell me they feel stressed to keep up with intense holiday traditions “for Mom and Dad’s sake.” But if one of your parents has any dementia or physical limitations, putting on “the big family affair” no longer makes sense. All the hustle and bustle becomes overwhelming, especially for someone with dementia. Remember the acronym KISS—Keep it Simple Silly—and replace stress with letting go of what you think needs to happen.keep-calm-christmas-ball

Last Christmas our family scrapped the usual tradition of making all the food and ordered it from the local grocery store. We supplemented with some favorites, but overall we let go of the need to be in the kitchen all day. As you enter the holiday season, consider these ideas for creating more S.A.N.E.* holidays:

  • Have smaller gatherings—one of them with hot turkey and the other with cold turkey sandwiches while watching a movie
  • Book a table in your parent’s assisted living or commons room, order food and listen to Benny Goodman tunes
  • Schedule time outdoors and play in the snow or at the beach
  • Gather old photos and help your parents create books to give to younger family members, OR
  • Consider time as your gift: put away cell phones and electronic devices and be present with your loved ones

*S.A.N.E.—Supported, Appreciated, Not guilty, Energized™

This month is for you

November is the month that the U.S. officially recognizes family caregivers. Why is this important? Simple. Family caregiving is a job, a role you take on many times without any pre-planning. It’s not an easy journey and many times it requires you to turn your life upside down in order to meet the needs of your loved one. I think it’s valuable that there is month dedicated to YOU—the Family Caregiver.

I’d like to share parts from this year’s Presidential Proclamation:

“Our Nation was founded on the fundamental ideal that we all do better when we look out for one another, and every day, millions of Americans from every walk of life balance their own needs with those of their loved ones as caregivers.”

take-care-of-self-first-copyThe theme of this month is “Take Care to Give Care.” You can’t give when your tank is empty. Well, you can…but it will be harder on both you and your loved one. Spend just a moment to think about how you can refill your cup.

“This month, and every month, let us lift up all those who work to tirelessly advance the health and wellness of those they love. Let us encourage those who choose to be caregivers and look toward a future where our politics and our policies reflect the selflessness and open-hearted empathy they show their loved ones every day.”

“Choosing” to be a family caregiver rarely feels like a choice. I encourage you to turn that around: Make a conscious decision about who you will be as a family caregiver. Rather than feeling like you “have to,” and that you’re “the only one,” find ways to support yourself. You don’t have to do this job alone, but you do have to ask for help. It rarely comes unbidden.

This month or any other time, I’m here for you.

How to beat the “Not-Enoughs”

“When will I see you again?” my Grandma Gladys would often ask as I was getting ready to leave. Instead of giving her a time and date I would answer with, “Well you know I’m awfully busy at college.” Part of that answer came out of frustration that my current visit didn’t seem to count. The other part was sheer ego. I wanted her to know that I was important and had a life. I rarely felt good after a visit that ended like that.

Was I doing enough? Could I have visited her more? I loved my grandma dearly, but had a lot of guilt about not doing “enough” for her. It’s hard to say what is enough and feelings of guilt only fuel your uncertainty.

guilt-1A simple way to beat the “Not Enoughs” is:

  1. Put yourself in a rational state of mind. (You may have to do math problems to move your brain from an emotional to a logical place. Try it. It works!)
  2. In that logical state, write down all that you do for your loved one. (Make no judgments as you write.)
  3. Stay in that unemotional place and look at your list.
  4. Ask yourself, “Could I do more? What would I do? How would it affect my life?”
  5. If it makes sense to do more, add in the time. If it doesn’t, look at your list again, but this time with a sense of gratitude for the time and energy you give.

Guilt will be a constant companion on our journeys as a caregiver, but you’re in control. Erase the guilt and embrace what you’re doing as enough.

OMG I’m a Caregiver: Three Tips to Feel Appreciated

I never thought I’d be called at 2 a.m. to help my grandpa use the commode. Who wants to see their grandfather in such a vulnerable position? But I did it, and fortunately my grandfather was good at expressing his gratitude.

This isn’t the case with all caregiving. You didn’t ask for this new role and as one caregiver shared with me, “I do everything for my mom and my siblings can’t seem to find the time to help.” Wherever you are in your caregiving journey, old sibling rivalries often return, especially when taking care of Mom or Dad.

The second letter of my S.A.N.E. acronym, Appreciated, involves understanding that your family is not going to change now that care of a parent is needed. Be realistic and look at how your family functions (or doesn’t function). Don’t expect them to change their deeply conditioned behaviors; rather, manage your own expectations. Use these three tips to feel more appreciated:

  1. Let go of feeling you need to do it all. Allow others to help.
  2. Let go of the “shoulds.” Appreciate your own health and take time for you.
  3. Give up the idea of being thanked by others. Thank yourself.

 

 

No, You can’t do it by yourself: 5 Tips for Caregiver Support

 

My mom burst into tears in the middle of a restaurant dinner and instead of asking, “What’s wrong,” I was embarrassed. I thought, “Why can’t she pull herself together?” My mom had a disease called Huntington’s disease, which renders its victims incapable of acting what many call “normal.”

If you take care of someone with a disease that causes dementia, you are not living a “normal” life and caregiving is therefore doubly challenging. You may think, “He’s doing this just to drive me crazy,” when in reality the repetitive questions or unpredictable behavior are not malicious. You’ve known this person for years and now you are their caregiver—helping with daily tasks, while getting to know someone who is actually a very different new person.

Think of it this way: Do you ever get really frustrated at a vending machine when it won’t take your dollar bill? You straighten out the bill, insert it again, and it just keeps spitting it back, even though the bill looks fine? Your loved one may also look fine on the outside, but their brain is not working the way it used to. You need to find a new way of being with him or her, while you simultaneously figure out how to take care of yourself.

I know you want to scream. Some days you even yell at your loved one, but that only adds to your stress. This is why you must find support—a person or a group which allows you space to say all the things you simply can not say directly to your loved one. Being supported along your caregiving journey is the first step in being a S.A.N.E. caregiver—Supported, Appreciated, Not guilty and Energized. Start by finding support for yourself:

  1. Educate yourself about the disease so you know what to expect.
  2. Let off steam with a trusted friend.
  3. Set aside a half-hour a day to do something just for you.
  4. Join a support group (or start one).
  5. Find ways to laugh every day.

You know you would do anything to help out someone in your shoes. It’s time to take that same spirit of helpfulness and turn it inwards. Ask for help and let others support you.

Incredible Cost of Giving Care

There is a cost to caring for our parents and loved ones that goes beyond the financial. Our schedules are eaten up by hiring caregivers, going to doctor appointments, answering weepy phone calls, defending our need for time away. Instead of complaining outright, we complain in public restrooms to strangers or at lunch to our best friend, while woofing down a sandwich and surfing the net for assisted living options. We yell at our kids, forgo the workout at the gym, eat out of the vending machine, and ignore those activities that gave us so much joy. They’re our parents, after all! We must take care of them.

Why do we do it? Why do we put ourselves in the role of giving care to our parents or other family? Reach beyond the usual response of, “If I don’t do it, who will?”

In my recent radio show, author Katy Butler shares her caregiving story. Her touching and trying account of looking after both parents will cause you to think. As will Dak’s blog Dying Gone Haywire from 2013.

I understand the pull of wanting to do what we “should,” and needing to set boundaries. I’m here to help and want to hear from you.

I See that you’re suffering; let me provide relief

“When all is said and done, killing my mother came easily. Dementia, as it descends, has a way of revealing the core of the person affected by it. My mother’s core was rotten like the brackish water at the bottom of the weeks-old vase of flowers. She had been beautiful when my father met her and still capable of love when I became their late-in-life child, but by the time she gazed up at me that day, none of this mattered.”

The first paragraph in Alice Sebold’s novel, The Almost Moon, hit me in the gut. A frustrated daughter relieves her mother’s suffering while also setting herself free from the pressures of caring for someone who no longer recognized her as her daughter.

But this is a novel. This is not real life. As soon as I finished the book, I sighed and silently asked the unthinkable, “When will we see a headline about a daughter ‘relieving’ her mother of suffering?”

And then this article appeared. Is that what this is about? When we see a mother-daughter murder-suicide in the news, alarm bells ring. I discussed this with Dak and these are our thoughts in his words:

 

It’s just one case, right? It’s not like this is happening all over the place. This is not an epidemic. It’s just a weird thing is what it is. It’s an isolated incident, that’s all.

And yet, there is a whole lot of mystery to this that opens out into many possible worlds. This story offers very little detail. The authors won’t speculate. This one will.

I can imagine reasons for this happening from many angles.

The mother had a dread disease and no one would listen to her except the daughter who decided to act to alleviate her mother’s pain and then couldn’t live with herself.

The tyrannical mother finally became weak enough for the abused daughter to overpower and kill. Then killed herself.

Sorrow at loss of being useful.
Sorrow for being a burden.
Without hope.
Interior demons hide in the dark and they look like competence to everyone else.
Despair. So many reasons for despair.
Why did she choose a gun?
A belief that there is a better afterlife.
The weight of living is too heavy.
Too much of a burden on the ones you love.
Too much of a burden on the country you love.
Loss of community to death, to convenience, to entertainment and long distance.

What are the solutions here? How do we feel when we read a story like this? I feel my mind reach out to try to comprehend what happened, but why? Do I think I might become a woman whose mother is still alive and have to face this situation myself? No. But I can imagine how it could have felt and I think it would have felt pretty bad. No matter what the story behind the people is, at least one of them was suffering and had no relief in life. We can moralize about her choice, but that doesn’t seem like a solution to me. I feel that it’s wrong to kill, but happy people have no reason to kill. A satisfied society is a safe society.

So these two…hey one of them lived to be 93. That’s some persisting. I don’t think people live to be 93 without figuring a few things out and my feeling is that she had a good way of coping with stress, one that worked. Her daughter made it to 60 and that’s saying a lot as well. (I know we’re not supposed to be impressed with how long we live now compared to the entirety of our previous existence, but I’ve been watching “Cosmos.”)

She was suffering and we were in no position to offer relief. I think the fear is that one day we will be suffering in such a way that we need help for relief and it doesn’t come, or it’s slow to come. What kind of help?

We seem divided from our heritage. We have social media instead of being social, and I think many of us are fooled into thinking that the two are equivalent. There will always be suffering, but what if we were so kind to each other and considered ourselves together as a body rather than individual and separated pieces that we all shared the suffering so it ceased being so awful to any one of us?

I think it’s easy to forget that there are solutions to our problems and they are going to be found whenever two or more of us gather together. Remember who told us to do that? Again here it is easy to get hooked into the story, but the story is alive in us. We are telling the story of ourselves right now. I know I’m not alone in preferring kindness to suffering.

Dak Gustal is a freelance writer and poet living in Randoph, VT. You may contact him at st.augustus@gmail.com

Expressing love for one’s father

My friend Evan’s tribute to his father resonated with how I feel about my dad. Evan tenderly illustrates the importance of recounting a parent’s influence and meaning in one’s life. I share this in hopes that it will inspire you to do the same, if not at least contemplate gifts and lessons you’ve received from your parents.

By Evan Brown

No recipe, but maybe an acknowledgement of the recipe of life.  Sometimes we face moments we know are coming, think we are preparing for and find ourselves so unprepared and wishing for more…more time, more conversations to say all the things we wanted to have the chance to say, more time to just be in the same room enjoying their company.

My father, Lee Brown, passed away, gently in the early morning.  He was 82 and had spent a long time with some serious lung issues.  I will really miss him, for all that he shepherded out of me. Read more »

Poetry in Caregiving

Over the years Dak (a.k.a. my brother Steve) has given me a most treasured gift: his love through words and friendship. I am grateful that we are a sister and brother duo that has grown up sharing similar interests and friends. We played well together as young kids (even though I broke many of his “toy” sticks just to make him mad), acted in high school plays and marched in band at the same time. While living in Denver, CO, he sang in a church choir that I directed (often times teasing me before we sang by mouthing to me, “What are we singing?”) Today we are uncovering ways we can combine our talents to further the understanding of family caregiving and aging. I am blessed to have such a wise and loving brother on my team. It is my honor to share his thoughts about the month that is now closing and the journey of family caregiving. Read more »

Caregiver support online

CaregivingNOW_OnlineConvoBannerWebSmallThere is a forum where you can get support on your caregiving journey. And if you’re not a caregiver (yet), I’m sure you know someone who is. Sign up here and join the conversation: http://unitedfrontmn.org/caregivingnow/.

We tend to avoid having the conversations around giving care because we feel we ‘should’ be able to do this without assistance from others. Well, that’s just not the case. We all need help when caring for someone else, lest we lose ourselves in the process.

November has been deemed National Caregivers Month and I sincerely hope that this one month of highlighting the often-times tough journey of family caregivers expands the understanding of this role.

Join me today for a special 3-day conversation focused on helping you create more joyful holidays with clearer boundaries. As always, if you want one on one help, click here. And if you’re looking for an on-going support group, check this out.

Brain Seeks Research: Cash Available through NFL

Ever forget where you put your car keys? That’s normal. Forgetting what car keys are…not normal. What is the difference between normal aging and memory loss? In my presentation called Forget Less; Remember More, I help you arm yourself with the facts about your brain and reduce your worries. We explore how the human brain works and what it needs to stay healthy. I introduce exercises fun, simple activities you do on a regular basis to help build a stronger brain.

Rather than worrying about cognitive decline as we age, I teach the facts about aging and memory loss, about normal function vs. disease. Alzheimer’s disease is the leading cause of dementia and is the sixth leading cause of death in the U.S. Every 68 seconds an American develops Alzheimer’s disease. That will increase to every 33 seconds by 2050. And yet research lags behind. Why? Because we remain a youth-centric nation and many of the diseases with dementia affect older adults.

Enter brain injuries among professional football players. Read more »

Money, Age, and Big Foot

Recently I posted a question on Facebook asking for top issues when it comes to caring for Mom and Dad. One response was: “I hate trying to make sense of their finances & realizing, by looking through checkbook registers for instance, that dementia was grabbing ahold of my mom much earlier than I realized.”

There are different types of loss. When dementia takes hold or death comes too quickly, financial issues tend to scream for your attention. Right in the middle of dealing with emotions, you need to tackle financial concerns.

I interviewed Aaron Britz of Legacy Wealth Management recently. He specializes in helping women gain financial control during a life transition, such as loss of a loved one. The interview is both upbeat and informational and could be just the ticket for moving you from fear of finances to getting a grip on this often times emotional issue.

And for a completely upbeat and upside-down look at financial issues, I call on Dak Gustal. Be wise…bite off these financial issues and if you want support, contact me. Now, here’s Dak: Read more »

Getting Unstuck

“Open your new brain” I suggest to audiences and individuals. This means setting aside the rote response “I can’t do this; this won’t work in my situation.” By opening your ‘new brain’ you listen to ideas with the attitude, “I wonder how I can apply this new information?”

We all get stuck now and then. For some of us, it feels like we’ve been stuck in those glue traps set out to catch unwanted mice. And we continue doing the same thing over and over, hoping that today, the result will magically evolve. When it doesn’t it can easily throw us into a maelstrom of emotions.

Here are my suggestions to loosen the grip of the proverbially glue trap and open your new brain:

  • Get creative. I know, hard to manage when feeling stuck. So get up and dance! Call a friend or sit and color. Just do something. Don’t think about it. I have adult coloring books, if you’d like to order, and I also provide excellent suggestions for creatively interacting with your loved ones when giving care in my book.
  • Stop the mind chatter. Focus on someone else. Turn your attention to listening to another person and set your self talk on a shelf. This small act brings a double blessing—that person is truly listened to and you let go of your mind chatter for a bit.
  • Walk outside. In all weather. Look up at the trees. Breathe deeply. Listen for nature’s conversation and let it take over your mind chatter if just for a little time.
  • Use humor. Watch a stand up routine or just listen to people laugh. If nothing else, humor will shift your physiological makeup and automatically make you feel just a little better. What will it hurt?

If there’s any way I can help you get unstuck—either with caregiving issues or aging issues or heck, just living issues, let me know. I’m here to help.

I’ll Eat You Up

It’s “Heart Attack Monday” and I’m often more than amazed how many people are feeling the stress of not only Monday, but of life. At the same time. Dak’s blog is worthy of taking a break to read and reap from his insights.

By Dak Gustal

I know you know this, but maybe you, like me, keep forgetting: stress is hurting us now and in the long term. Here’s a study out of Sweden linking stress in middle age with increased risk of Alzheimer’s disease.

A lot of us are prone to stress. Offhand I would say that most of the people I know are stressed out much of the time. We get into habits of worry and deadlines and getting to the church on time and we have headaches and heartburn and midsections that buzz as if from one blow after another as well as shoulder blades that want to lodge in our earballs. There are so many things that seem so important and so needing of our attention and we want to be good and we want to do right and I don’t want my kids to miss out on anything good or get into anything bad and all you talk about is how your relationship is in trouble again and then there’s the economy and politics and religion. How’re things going at work?

Where is the good news? Or if there is no good news, which prescription can I take?

All I got is the good news today, but you are going to have to want to hear it:

Let it go.

See? I know you read that and something inside of you slumped and was disappointed.

“I already know that.” might be one response, but chances are you think if you let it go you will tumble off into space like Sandra Bullock in “Gravity”, only you don’t have George Clooney in a jetpack to save you, right?

Your mind is designed to think and solve problems. It’s really good at it. It also thinks that it is what’s holding everything together. But every day other people don’t do what we think is right, politicians come to conclusions we simply can’t stand, kids forget to close doors, and if we don’t keep marching around setting things to order, the whole kit and the whole caboodle will cascade into chaos. All of this happens in our minds, but it translates to stress in our bodies. Our physical brains are part of our body.

I know you know you need to get control of your stress, but maybe you don’t know that your mind is probably not the best ally for doing this. Remember, minds think. Let’s get our body’s opinion.

Just sit there for a moment and feel your body from the inside. Let your thoughts get caught up in mapping out your feet, your legs, your torso, your arms, your neck and head. Feel all that electricity bunched up in all the usual places that ache? Imagine that you could let it all go. Imagine that you could forget how important everything is.

What if you forget to think about it a little?

You lose your stress a little.

Take another look at what can happen if you don’t get out of your stress habits.

Come on now, you have a choice.

Dak Gustal is a freelance writer and poet living in Randoph, VT. You may contact him at st.augustus@gmail.com

What older adults know

This is where I started working with older adults. 24 years ago, I fell in love with teaching and directing adult learning programs. The experience shaped my career. My brother and I attended camp together as kids and now he’s back as an adult, sharing what I know to be a very special week:

Dak and KBBy Dak Gustal

What is knowing? What is not knowing?

I am at the Norwegian adult learning program at Concordia Language Village’s “Skogfjorden” in northern Minnesota and I am feeling good but also a little torn apart. Things move fast here, and there is a sense of motion that cannot be denied but also does not want to be fully explained, like a wave and a particle trying to compete for the same space in the mind. And this is only day two.

Here is a program predominantly led and attended by older adults and when you hear that, you might be tempted to think there should be a slow pace going on. You would be wrong.

These are not people waiting around for some kind of reward; they are teaching and reaching out to all that is around them, embracing their interests and uninhibited by learning.

DSC_0069

These are people that are willing and able to tell the truth of their lives and they share readily of themselves here without reserve.

They are not growing old despite their aging; they are also not burdened with the idea that they are more than what they are.

They are comfortable with their lives and because of this, they are able to offer themselves up with a kind of joy and openness that you don’t find in youth.

Contrast this with the serenity of the setting—the deep, northern woods, beautiful rustic cabins and pristine lakes in the cooling colors of autumn—and you feel life in a way that is its own reward. The mix of active and strident work learning a new language with the natural pace of deep nature is life itself lived fully.

***

At Buck Lake, Late September, 2013

Few look
But if you do
Come open
Fly apart
The leaves
Falling here
Are your heart
The wind
Breathes
For you
Forever here
You will not survive
This kind of beauty
Look anyway

Dak Gustal is a freelance writer and poet living in Randoph, VT. You may contact him at st.augustus@gmail.com

The Law Says Call Yer Ma

How other countries handle family caregiving is often in the news. Especially if it’s shocking…as in the case of China and India. Dak Gustal approaches the issues with his usual flair.

By Dak Gustal

Why would a country want to make a law that says children have to take care of their parents?

I was just reading this article about two giant countries in Asia doing just that. Apparently the children are so negligent, the parents are suing them for weekly phone calls. Can you imagine talking to someone who was only talking to you because the law required it? Read more »

Ew! Nanna and Pappa should not have sex

By Dak Gustal

Oh my! Did you know that sex is such a big deal?

I sure didn’t. I was surprised to find out that people think about and want to have sex even when they have wrinkles and gray hair.

Yeah, I took a look at this article about how people get fired when residents have sex in nursing homes, and also at this one about people that allow and expect it to happen. Read more »

Dying Gone Haywire

“Ask for help” and “Who’s on your team?” are two common phrases you’ll hear me say when it comes to caregiving, aging, or heck, just living. Taking my own advice, I called on my talented brother, Dak Gustal, who will offer fresh, humorous perspectives as an occasional guest blogger here at The Unexpected Caregiver. Please share this and other blogs. 

SteveBy Dak Gustal

The original story is called Woman Headed to Trial for Aiding Father’s Suicide.

That’s not that interesting.

Then it became: Boomers beware when caring for dying parents.
Now you got me.

This is my headline: Boomers! Bam! Pow! Yeah! Beware! Scary Parent! Run!
Perfect.

This has all the elements of a great story. I think there’s redemption coming. Read more »