How to Arrange Elderly Care When You Don't Want To

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I can't fix things for these people who ask. They know that. They just want to talk. But I do assure them that they aren't bad people for having these negative feelings. I do suggest they consider a few things:

  1. If they haven't tried it, get some counseling. Talking out your past with a trained counselor can be helpful. It can get some people over the hump of resentment, and they are more able to have some kind of active role in caring for their elders.
  2. I suggest Dr. Ira Byock's  book "The Four Things That Matter Most: A Book About Living." Dr. Byock is a hospice physician. He has witnessed many deaths. And he has seen the healing that can happen when emotionally destroyed families find a way to forgive. I've reviewed the book on my blog at www.mindingoureldersblogs.com, for those interested in reading more about this book.
  3. I suggest that if they cannot give hands-on care, they may be able to find peace for themselves by hiring a geriatric care manager to handle the day-to-day needs of the elders. These people know how to get the elders needs' met. They know who to call. Geriatric care managers are expensive, but for some people (not only those who aren't close to their loved one) they can be very useful. Unfortunately, not every area of the country has geriatric care managers, and also they are not uniformly regulated. However, AgingCare.com's directory of Geriatric Care Managers is a good place to start. Please be careful with Geriatric Care Managers. I've noticed on-line "credentials" popping up – and I don't mean real on-line distance learning. I mean the kind you can buy for a few bucks. This is going to be an area open for abuse until there is some true oversight. That time will come, but it's not here yet. If you don't have someone in your area that can be recommended by a site or an agency you know, then I'd make sure the person you select is licensed as a social worker, nurse or some elder related credentials. Always ask for references.
  4. The other option for families where things are truly an emotional mess is to get a legal guardian appointed. Many areas have agencies that specialize in this. You should be able to find out where to look by calling your county adult services. If you find you need to hire an outsider to handle the nuts and bolts of caregiving, don't beat yourself up. You have done what needs to be done to make you feel like a decent human being. Life is not always neat. You know that already. So, do what you need to do and then let it go.
  5. There's some chance that, during the process of lining up help, you may find a way to heal enough to forgive your elders and be with them, at least to some degree. Try to be aware that your parents were raised by imperfect parents. They often did all they knew how to do. That doesn't make abuse right. It doesn't make any of it okay. But, understanding that they are human beings with flawed pasts – they were likely abused as children, themselves – may help you reach their bedside while you still time to say goodbye.

Elder care author, columnist and speaker Carol Bradley Bursack is an AgingCare.com contributing editor and moderator of the AgingCare.com community forum. Read her full biography
 
 
 

Comments

 
  •  Comments 1 to 10 of 59 
 
 

jackielynn52

Give a Hug

Apr 23, 2008

excellent article

 
 

GailMcConnon

Give a Hug

Apr 23, 2008

I agree this is an excellent article

 
 

jackielynn52

Give a Hug

Apr 23, 2008

Gail, I was wondering are you also caring for a parent that was far from Perfect

 
 

MsC60

Give a Hug

Apr 24, 2008

Has anyone ever taken the above discussion and replaced 'parent ' with 'sibling'? My sibling has many health issues and depends totally on her husband, who also has his own health issues. He is 15 years older than her and in very poor health. It is very possible that he will pass on before her in the near future and it will be "up to me" to provide care or find a place that can.
The problem is that she and I can hardly be in the same room for more than a few hours, sometimes minutes. She has now and has always had a very vicious tongue. She's demanding and critical and demeaning with those closest to her. It has been her husband's choice to remain with her for many years and cater to her every whim. I have tried to have a conversation about what her choices would be when her husband passes on, but she chooses to avoid these issues and I feel sure she assumes that I will pick up where her husband left off. My other siblings chose long ago to have nothing to do with her. I also have health issues and am limited in my physical strength and energy and am not able to take this "massive" task on. I, too, know the sting of dysfunction that occurred in our childhood family, but every day I get up and make a conscious effort to be positive and loving to those around me. And I know with every part of my being that I could not undertake the responsibility of caring for my sister. But....the guilt about family does riddle me. And I don't see that dissapating. Any thoughts?

 
 

jackielynn52

Give a Hug

Apr 24, 2008

I have found counseling helpful. I am learning that I am not responsible for those that did not make appropriate provisions for their lives. You are not responsible to pick up where her husband leaves off. You can help and give what you can

 
 

You are all very wise. There are limits to what any of us can do. I always tried to fix everythinig for everybody, and I found that doesn't work (duh?). Guilt is unnecessary, when we are truly trying to be positive and loving. And no one needs to be the target of abuse, whether from siblings or parents. Trying our best to heal old wounds is always good, and getting counseling can help many of us. The thing to remember is that we, too, matter. No more, not less. But we, the caregiver, or adult child or sibling, matter. Self-care is not selfishness. It is survival and we need to care for ourselves to show others an example. Humility fits in here, but humiliation does not.

I talk a good line, but have a heck of a time practicing it. However, I'm improving.
Carol

 
 

Deb44

Give a Hug

Apr 27, 2008

Your article is very good, it's nice to know that some of us question whether we should take care of a parent(s) who is abusive. I have mother much like Nancy. I'm reading a book by Nina W. Brown, Ed. D., LPC. It's called Children of the Self Absorbed A Grown-Up's Guide to Getting Over Narcissistic Parents, Second Edition. I have not finished it but have learned a great deal from it already. Please keep talking about this subject as I'm sure there are a lot of us struggling with this issue.

Thanks.
Deb Hardaway:)

 
 

Hi Deb,
Thanks for the kind words. I do speak at events on this subject (and many others). This is one subject people don't easily talk about, because they think people will blame them. We can't worry about what others think. I took care of seven elders over the span of two decades, and I got the "bad daughter" thing when my mother went in a nursing home. Her friends didn't think she was "bad enough" for that, even though she made the decision. So, you just have to ignore "public opinion" and go with your gut.

I need to get that book. Thanks for the suggestion. People need support in doing whatever they feel they can (or can't) do.
Take care,
Carol

 
 

shantaj

Give a Hug

Apr 30, 2008

i was molested by my father and it was horriable for me, the worst part about it was that before that, he was all that i knew that was good. my mother was an acholic and abusive to where when it came to happiness it was my day he loved me with such purity until one day i guess i was all he had left and i was violated in every way. it was the worst he used this cream before every sexual episode so it was no evidence that it was him and he didnt go to jail. i was 13 y old. so i end up back with my mom and oh that was horrible so all i could do is think of good times with my dad and how it was nice. and started to mis him i didnt go back around him for years until my baby brother got killed and i seen him at his funeral. i was kinda happy to see him sad to say. at that time i was 22.he left a number for me and a year later right after i met my husband i decieded to call cause i needed to get anything out that would hold me back at that part of my life. i needed to let go of everything and i still wanted to see what he would say to me. we talked for a few seconds he told me if i needed and thing give him a call but he had to go. my feeling was a little hurt but i soon got over it. and i thought well maybe he can help me. he retired from grayhound as a machanic and he had some money, so i called to do just that ask for some help.and he told me to come over and get it he stayed in the same house . so me and my husband went over there and it was kinda funny cause i look just like him and my husband laughed. he smile greeted us let us in and went with it
he took us out to eat and gave me an envalope with $1000 in it and said again call me any time u need something and we talked alittle more but it was aquard. we left soon after. but to make a long story short he moved out of town 2 years later he was in an accident and they said he was dying that kinda blew my mind to where i felt like i was old enough to where i knew he couldnt hurt me maybe in that time he was putting himself out there i shouldve been triying to get to know him again, but know hes dying. if felt wierd when i got the phone call that he made it weeks later and no one was going to take him in and they had no choice but to put him in a home. i had a little 2 bedroom apartment and my nephew already live with me after his sister killed herself and his mother lost her mind, but thats a different story. but i told them he could come and stay with me. now mind u my dad was 74 at the time i was born when he was 46 so to let u understand that he is a older person. but me and my husband drove to berninham to get him and hes been here ever since.now its very hard because the help he need but he is also in denial told me he dont remember it then came back to say if he did he sorry but i just dont feel kike thats enough sometimes. and he also hover over his money and only enough for the one bill hes pay in the house and thats it . im going through hard times right now and they wont even give me benifits for taking care of him because he only gets medicare and not medicade. so it is realy hard .and u can imagine the strain on my marriage. thanks for listening .

 
 

shadyldy131

Give a Hug

Apr 30, 2008

Not only was my mother an uncaring parent for me when i was a child, she belittles me now, as an adult, and i am the only one left to take care of her. There is not time enough or room enough to write all the injustices she has done to me. The main one was to let my step father beat me as a child, and then as i got a bit older,(9) he also started sexually abusing me. I am sure that she must have known about this, but chose to ignore it. and i am sure she saw him beating me and leaving bruises on me. But, she chose to ignore it. I had one sibling, a brother, who was always her favorite. She still to this day, and i am 63 yrs old, talks about what a crybaby i was as a kid. She makes fun of that sad little girl, who had no one to really show her love. She turned me over to a pedophile, and i should take care of her in her old age? I guess so. Maybe it is the "Honor thy Mother and Father" thing that makes me feel so obligated. But i can say this one thing, I hate her as much as i love her. I know it is horrible to say this, but it is so true.

 
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