Dear Diary: Journaling for Caregivers

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Tuesday November 11, 2011

   Today mom threw her bowl of oatmeal at me.

   I ducked under the spinning projectile. But, despite my maneuvering, I still came up covered  stray grey flecks.

   For a second I just stood there, watching the gloppy remnants ooze down the wall and plop onto the floor among still-teetering pieces of smashed ceramic.

   When did she get so strong? How can she hurl a full bowl of oatmeal like she's channeling Walter Johnson, but, she can't open her pill bottle or get out of a chair on her own!?

A caregiver's journey is full of "dear diary" moments—those times when you just wish you had some way to discharge the knotted mass of emotions swirling around in your head.

The concept of keeping a diary may conjure up images of teenage girls confessing crushes. But, even adult caregivers can benefit from this practice.

Sometimes I just feel so alone.

   I used to be able to talk to mom about anything. I never would have been able to survive the crazy rollercoaster of my marriage to Henry if it wasn't for her support. She was the first person I told about his proposal, the first person I told about his infidelity. She held my hand as I signed the final divorce papers, and was there for me as I faced a new life without him and our friends he got in the divorce.

   Now mom's gone. My friends don't understand why I can't come to visit, and my sister is too busy with her family and her job to care…

For many, feelings of loneliness and isolation are part of the caregiving package. One of the key benefits of journaling is that it can give a caregiver someone (or something) to talk to.

B. Lynn Goodwin, former caregiver and author of the book, "You Want Me to Do What?—Journaling for Caregivers," (www.writeradvice.com) found the blank pages of her notebook to be an invaluable resource during the six years she acted as her mother's "personal assistant."

For her, having a journal was "like having a best friend that didn't talk back. I didn't get interrupted mid-sentence."

While it is important for a caregiver to cultivate social relationships with flesh and blood people, sometimes your best buddy may be non-judgmental piece of paper.

Why do I feel this way?

   One minute I'm angry with mom, the next I'm sad—I want the "real" her back. I can't handle this anymore!!

A caregiver's journey is littered with conflicting emotions. Brief moments of happiness and gratitude are sparsely sprinkled over prolonged periods of anger and sadness.

Psychologist Melanie Greenberg, Ph.D., (www.melanieagreenbergphd.com) feels that getting these feelings down on paper can help caregivers in a variety of ways. She says that a journal can provide a caregiver with a safe place to feel their feelings, helping them avoid the negative consequences of burying their emotions.

Putting pen to paper may also help you make better sense of your emotional reactions. One of Greenberg's female clients was dealing with intense feelings of anger while caring for her husband with cancer. Journaling helped the woman discover that she was really angry at her husband's cancer, not at him

I wonder what my mother would write about me.

   Would she say that I was a good daughter, or would it be a rant? Is she even capable of writing in her current state?

   I'm not sure I would have the courage to read what she wrote, but it might help her to get some of her thoughts and feelings on paper?

Depending on their level of cognitive impairment, a care recipient may also benefit from journaling.

Journaling shouldn't be strictly defined as putting pen to paper. Goodwin says that there are a number of different ways to journal, and the process can be adapted to accommodate an elderly loved one's physical abilities.

For example, a person who cannot type because they are battling with Parkinson's disease may find that recording their thoughts on a tape recorder or video camera is easiest. For people who have difficulty speaking due to a stroke can use a computer or even a type writer to document their feelings. For those who wish to keep their thoughts private, but still want to get them out, a neutral third-party transcriber could be hired.

And, it doesn't really matter if the recordings are legible or not.

Your elderly loved one has complicated thoughts and feelings that they want to communicate, just as you do. According to Goodwin, journaling provides both the caregiver and care recipient the opportunity to "reach beyond themselves."

I don't want to relive the bad times—just the good.

   Some things my mom says and does are just too hard to think about. I am embarrassed by how I react to her sometimes. I'm afraid that writing all of this down will make me feel worse.

Talking about difficult interactions with an elderly loved one and honestly confronting emotions can be a frightening prospect for a stressed-out caregiver, but Greenberg likens the process to talking with a therapist. In both instances, the person is forced to acknowledge and grapple with difficult feelings and situations.

Greenberg says that discomfort is an important step in the emotional healing process, and that consulting with a mental health professional can help caregivers deal with difficult realities they may encounter while journaling.

I don't even know where to begin.

   I'm no writer and my mind is such a jumbled mess, I don't know how to start to untangle it. And, I don't have the time to figure it all out because caring for my mother is a full-time job!

Being faced with a blank page can be a scary prospect for anyone, including caregivers with no writing background. But, as Goodwin points out, everyone is a writer and everyone has a story to tell (even if the only things you regularly write are grocery lists).

Writing prompts can help you get your creative juices flowing. Goodwin's book has hundreds of prompts to assist stuck caregivers, but she says that you can start with any source of inspiration.

Her suggestions include, starting with a sensory image, a list, or the phrase, "I remember…"

For the caregiver who doesn't feel like they have the time to journal consistently, setting aside time each day to write can help you remain consistent. Sometimes the unpredictability of caregiving may disrupt this schedule. But, as Goodwin, who is partial to writing in the morning points out, "It's always morning somewhere."

And, her final piece of advice for the caregiver embarking on their first journaling journey?

Start today.

 
Read more about: caregiver support
 

Comments

 
  •  Comments 1 to 10 of 10 
 
 

viola1873

Give a Hug

Dec 14, 2011

I have been keeping a "Caregiver's Journal" since Feb. 2007. I do not write regularly, but I feel it has been very helpful. Sometimes just writing something helps to clear it out of my mind. when it's on paper I don't have to "worry" about it any more. And, I find it's useful, on occasion, to reread what has gone before. It helps to realize how far we have come.

 
 

magdalena

Give a Hug

Dec 14, 2011

Being a caregiver with scant family support, this simple tool would be very useful for me to keep things from becoming pent up inside and help me sort the myriad issues. At the very least, it will give me something to find some humor in when I read back on it later.

 
 

shamrock13

Give a Hug

Dec 14, 2011

I would not say I kept a journal ...but I started a small secret group on Facebook with a handful of caregivers going thru the same thing. Over the past year we cried, vented, shared and consoled each other and yes sometimes laughed. The 5 ladies were my rock thru this journey because they were on the same path. I can look back on those threads and see how similar yet different this Alzheimer road was. Mom passed away last week peacefully and with dignity in her own bed at home and I am comforted by that. My prayers are with all who take on this monster task with such love.

 
 

tweety

Give a Hug

Dec 19, 2011

I havent kept a journal about my experiences , but after searching for answers to my questions. I came acroos this site. I have been a care giver for many family members and many of them got better and are able to do things for themselves, but now I am with my grandmother. she fractured her femur over six months ago and was in a rehab place for two months and I have been here with her since with my son and animals. she is able to walk and do many things for herself but cant do the things she needs to live alone. the doctor ordered her to walk everyday and to do it often to reverse her osteoparosis. she wont believe that she needs to move... the only time she gets up is when I tell her to. otherwise she wants to lay down.. is there anyone that would have a suggestion that would help her understand the importance on moving herself more and to feel good that she still can do things......

 
 

cricketinafp

Give a Hug

Dec 31, 2011

Keeping a journal is a great tool for me. Many times while I'm writing my words begin to flow freely and my feelings are released and I feel so much better. Many times I've literally had to lock the door to have some alone time to write and keep from being interrupted and even then there have been times when I can't even hear my own thoughts because of the distractions and overwhelming situations that occur due to caregiving.

When I am feeling like there is no peace around me in the house with caring for the one I love I will go out to my car at night so no one can see me and I just begin to talk out loud to God, at first it feels really weird and must seem like I am crazy lol, however once I just make myself start talking, even if it's just rambling at first, after a few minutes the words begin to flow and the pouring out of my feelings start to let loose. In this situation once the flood gates are opened feelings begin to come out of me that I wasn't even aware of and I am enlightened. I feel the divine spirit of God helping me in this situation and the affects are as if my grief, worries, fears, guilt, all of these feelings are poured out of me and an Angel of God picks them up and helps me to carry the burdens. It literally makes my soul feel lighter on so many levels. To get this kind of help the questions I pray about are these;

Please help me father to see this person and this situation and everything about it differently, help me to get a new perspective on both myself and this person and situation.

Once I see where my thinking is off or more specifically what situation that has come up or out as a result of caregiving then I search for a deeper understanding and for a way to change my perspective by listening to self help audiobooks or reading books that are on the area I need to understand. I find that many times the answers will come to me while I am talking to God or later when I am taking in knowledge.

I am sharing this experience with the intention of helping others here who like me might need to take journaling to the next step.

Cricket

 
 

shamrock13

Give a Hug

Dec 31, 2011

Cricket...I would do a similar thing...and go outside on the porch and talk to the Lord. I was the only thing that got me thru the hard days. You have to love and be in touch with yourself and your inner feelings in order to help others...God Bless you.

 
 

bobstitt1942

Give a Hug

Dec 31, 2011

My wife was diagnosed with CBD in December of 2003 so I have just completed my 8th year as a caregiver. About the 2nd year I went back and created notes from memory for the first couple years and have kept up with it ever since.

It is more a series of notes than it is a journal. Last year I was able to get my wife involved in a research program and they were able to use some of the notes in the project. That was my intention. The research director told me at the time he wished I would have included more of my feelings in the notes, but I had been trying to keep it more in 3rd person and keeping my thoughts out of it. Since then I have added a few more of my own feelings but it is difficult.

I asked the neurologist if she would like to review them at one of our appointments and she told me she would not have time and she probably could not do anything more for us anyway.

I talked to our GP and instead of doing a yearly checkup we go in on a quarterly basis. I recap all the notes and drop them off for the doctor a week or so before the appointment so she has time to look over them. Sometimes she gets a chuckle out of them, sometimes she sees something I should not be doing, and I always include questions that have come up during the quarter with it.

About 4 years ago I became convinced that diet was playing a big part in the progression of the disorder. By keeping good notes, I finally determined the two biggest things were milk and soy products. I figured out the milk right away, just figured out the soy in the last couple months. It is very difficult to find something when you don't exactly know what you are looking for.

We will be going in for the next doctor's appointment in about 3 weeks. I feel my wife is doing as good or better now than she has done for about the past year. She has better color, she is eating better, her bowel movements are much better, her incontinence has improved, she is doing little things she was not doing before like helping herself eat, coming in to sit down at the table instead of having to go get her, and I think she has started gaining weight again.

My notes are still mostly a fact sheet of diet, activity, etc., but I do try to put a little bit of my own thoughts down once in a while. I did add another food to her diet for lunch today and by keeping notes for the rest of the day I will know if that is something I can keep on giving her from now on.

I do ramble at times. I think it is a result of dealing with the CBD.

 
 

dancingclouds

Give a Hug

Feb 13, 2012

I too believe our diet plays a big factor in our over all health. Per bobstit1942, what is CBD?

 
 

bobstitt1942

Give a Hug

Feb 14, 2012

CBD is cortical basal ganglia degeneration, a variety of frontal temporatl dementia.

 
 

dancingclouds

Give a Hug

Feb 14, 2012

Thanks, I had no idea what CBD it stood for.

 
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