How to Say 'No' to Caregiving

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By nature, caregivers are nurturing people who put other's needs before their own. But how can you set limits without feeling guilty? Where do you draw a line and say "I can do this much and no more"?

Cindy Laverty is a caregiver advocate, founder of The Care Company and The Cindy Laverty caregiving talk show. "Caregiving can last for years. It can take over your life if you let it. Most of us didn't plan on being a caregiver, and never thought about the issues or the time commitment involved," says Ms. Laverty, a former caregiver herself.

Being able to say ‘No' can save you from emotional and physical burnout, and open up opportunities of shared caregiving responsibilities while deepening your relationship with your elderly loved one. Here are five tips from Ms. Laverty to manage your caregiving role:

Evaluate

Have an honest, realistic talk with yourself – the earlier in your caregiving journey, the better. Ask yourself how much of a commitment you are willing and able to make? Get clear about what you can do – and what you will do. Caregiving is not a one-person job. After you've come to terms in your own mind, get your parent on board and have a family meeting, before a crisis arises.

Prioritize

Those who know how to manage their own personal life fare best as caregivers. Ms. Laverty says, "Knowing what matters most in your life helps you put things into context," Ms. Laverty says. "This is your final journey with someone you love. How do you want that journey to look? How do you want your life to look at the end of the journey? Do you want your marriage intact? Do you want to maintain your career? You don't have to do everything, and you shouldn't do everything. Caregiving is one component of your life."

Set Boundaries

In her own experience and her work with other caregivers, Ms. Laverty has realized, "Many seniors become narcissistic and self-absorbed," she says. "All that matters is that their needs being met immediately. They demand and demand more. At some point you're going to have to say ‘I can't do that right now.' Set boundaries and stick to them. Don't become an indentured servant."

No is OK

Learning how say one little word – no – can make a world of difference. "You might think, ‘I can't say no to mom.' But your mom probably said no when she was taking care of you as a child. "Sometimes in life, the answer has to be no," Ms. Laverty says.

Get Help

If you are a caregiver who has taken on too much, understand that you cannot fix all that is wrong. Speaking to a professional – a counselor or a caregiving advocate can help get your life back on track. "Don't just stay on a runaway train. Once you get to the point of complete overwhelm, you will ruin your health, destroy your relationships, or just walk away. Get help before you reach the breaking point," she says.

 
 

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  •  Comments 1 to 10 of 65 
 
 

jshous

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Jul 2, 2011

I have been living w/ my 91 year old mother for nearly a year now and I have noticed some 'mission creep' as we call it in the military. Things that she could handle fine herself at first now she wants me to do for her. I encourage her to be as active as possible...although I know she's dealing with some painful joints. I'm leaving in a few weeks and then she's back on her own completely....that's when things will get harder for her.

 
 

desperate

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Jul 2, 2011

I have alresdy gone way over overwhelm. I fnally took advantage of taking a respite of 23 days, i wasted the other ones because I didn't know how I could do tht to her. I am alonr in this battle. My dad passed years ago, no siblings, aunts ,uncles etc... and friends who don't want to help.I also have a husband who does his best, however he is very ill.I'm to the point I don't know what end is up. I amhome beacase I was injured at work, and have been winting to retirement dissability for 6 years, my money is running out to pay a companion for my mom($15) an hour so tha I can time alone with my husband. I'm desperat, ill and tired of crying and feeling guilty Help!!!

 
 

I have had my dad living with me since my mother passed, 8 years. he is only 78. But, he is selfish, demanding, cannot get along with people, despises anyone who gets or is close to me including my 26 year old autistic son, and my ex husband. This is my duty. I have taken this on because there is no other choice, but it's a miserable situation. So miserable that after threatening my son 3x with a flashlight, baseball bat, and just himself, I found him an apartment. But, my dad cannot take care of himself because he is "child like" It's impossible to describe. He cannot even write a check. So, I still had even the lease in my name and paid his bills etc from his SS check which is not a whole lot. After being away (5 miles from me) and getting into an argument with this guy downstairs (his "friend") he wanted to move back and said he'd be better. Well as of earlier this AM he again is targeting my autistic son. I'm getting close to the blowing point, yet again.

 
 

einstein09

Give a Hug

Jul 2, 2011

Thank you so much for your words of wisdom and experience.

 
 

Smoky

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Jul 2, 2011

Dang you are not alone. I have been caring for my 83 year old mother for about 6 years now, even though she is living in an independent living arrnagment at a retirement village, I take care of everything, Doctor appts, groceries, dentist, etc. I or my wife are doing something for mom every single day and she calls at least 10 times a day. I am doing the best I can, this morning at 6:30am I went to get her gorceries so I could get some things done for myself today. I called to let her know I was coming over and she strarted on me. Mean and demanding and unhappy no matter what. I think I am going to have a heart attack I get so mad. This happens about every few weeks. I get blasted for nothing, because she is not happy depressed and does not like the food or the weather or TV or medication or the Doctor or whatever. Dang -- you are all not alone.. Scott

 
 

emjo

Give a Hug

Jul 2, 2011

Thank you for this article. The points are excellent and are often learned the hard way. As you say "Many seniors become narcissistic and self-absorbed,".... "All that matters is that their needs being met immediately. They demand and demand more. At some point you're going to have to say ‘I can't do that right now.' Set boundaries and stick to them. Don't become an indentured servant."" I find this so true. Emotional and physical burn out is a real concern for me and I have had to back off care giving to a degree for that reason. Fortunately, my mother is well cared for where she is and what I can handle is more at arm's length than the "front line". I simply do not have the physical and emotional resources for more than that. Though I have explained this to her, she still wants me to be more involved, My health has suffered in the past few years and I have had to distance myself. Family is not always available to help. I have a sister who refuses to and this is consistent with her behaviour over the years. She is there only to get something for herself. My mother, who at 99 is still very capable, wants others to "do for her". I encourage her to do everything she can for herself. She is a physiotherapist and knows that is best for anyone. I have found that she does not accept my limitations and gets very angry when I say "No" but part of that is also the personality disorder she has. It is a reality I have to live with. She gets angry about a lot of things and I cannot let that sway the healthy choices I make. Many are in a much worse situation than I am and my heart goes out to you.
Blessings
Joan

 
 

mitzipinki

Give a Hug

Jul 2, 2011

I was so impressed with this article. I have been telling people this for years. The word "no" does not hurt people. It may make them uncomfortable, but it doesn't hurt. I hope this article really helps people. It truly is freeing to be able to say "no" while still caring for someone. It is tough love in its purest form.

 
 

johnnycares

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Jul 2, 2011

I to found that this read is very forth coming with very good advice for all of us,thank you,johnnycares.

 
 

darrobertson

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Jul 2, 2011

I have been my mother's caregiver since my father died in 1996. She was much better physically then and lived on her own. In 2004 she moved in with my family; I have two girls and my very sweet, understanding husband. Her being here has been good at times but lately not so good. She goes to Adult Day care every day and at 96 I find that remarkable. When she is at home life is miserable. She is entertained and very well cared for at the day care. The care and attention here at home is not quite the same. She has not got any thing to do and not much she can do. Dementia has taken quite a toll on her. There actually times I can't stand her. I love her but don't like her so much. She was always fun and out going but not any more. I have a lady that will stay with her but she is not really able to totally take care of Mother. There are times when I just walk away as I can't stand the crazy talk and made up situations. I could go on and on but nobody wants to hear it. I do suggest Adult day care and getting someone to stay with your love one ;it is certainly worth it. Lets all keep venting ; this is all I have. Carol

 
 

hessaw

Give a Hug

Jul 2, 2011

Clearly the article says YOU have to change. For everyone's sake. Let be and let God take care of what you cannot. Good luck.

 
  •  Comments 1 to 10 of 65 

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